养胃增液汤加减联合捏脊疗法治疗小儿厌食症脾胃阴虚型33例临床观察  

Clinical observation on 33 cases of pediatric anorexia with spleen and stomach yin deficiency type in combination with modifying Yangwei Zenye Tang(养胃增液汤)and chiropractic treatment

作　　者：熊霖[1] 万飞[1] 莫世祥 李静 XIONG Lin;WAN Fei;MO Shixiang;LI Jing(School of Traditional Chinese Medicine,Chongqing Medical and Pharmaceutical College,Chongqing,401331,China;Traditional Chinese Medicine Speciality Ward,Chenjiaqiao Hospital,Chongqing Medical and Pharmaceutical College,Chongqing,401331,China)

机构地区：[1]重庆医药高等专科学校中医学院,重庆401331 [2]重庆医药高等专科学校附属陈家桥医院中医特色病区,重庆401331

出　　处：《中医儿科杂志》2024年第1期41-45,共5页Journal of Pediatrics of Traditional Chinese Medicine

基　　金：重庆市教育委员会科学技术研究计划青年项目资助项目(KJQN202302826);重庆医药高等专科学校创新研究群体(ygz2020402)。

摘　　要：目的观察养胃增液汤加减联合捏脊疗法治疗小儿厌食症脾胃阴虚型的临床疗效。方法选取2021年3月至2022年2月在重庆医药高等专科学校附属陈家桥医院中医儿科门诊就诊的厌食症脾胃阴虚型患儿70例,采用随机数字表法分为对照组和治疗组,各35例。最终,对照组脱落3例,完成32例;治疗组脱落2例,完成33例。对照组予葡萄糖酸锌口服液及双歧杆菌三联活菌散口服,治疗组予养胃增液汤加减口服联合捏脊疗法治疗。2组均1周为1个疗程,连续治疗2个疗程后统计疗效。结果治疗前2组的中医证候积分及总积分比较,差异无统计学意义(P>0.05),具有可比性;治疗后,2组的中医证候积分及总积分均较同组治疗前显著降低,差异均有统计学意义(P<0.01),且治疗组降低更显著(P<0.01)。治疗组的总有效率为96.97%(32/33),对照组为78.12%(25/32),2组比较,差异有统计学意义(P<0.05)。治疗期间,对照组出现轻度胃肠道不适2例,可能与口服葡萄糖酸锌口服液有关,但不影响治疗;治疗组未出现不良反应。2组血常规及肝肾功能检查均未见明显异常。结论养胃增液汤加减联合捏脊疗法治疗小儿厌食症脾胃阴虚型临床疗效显著,可明显改善患儿临床症状及体征,且安全可靠,值得临床推广应用。Objective To observe the clinical efficacy of modifying Yangwei Zenye Tang(养胃增液汤)com-bined with chiropractic therapy in the treatment of pediatric anorexia with spleen and stomach yin deficiency type.Methods Seventy cases of children with anorexia of spleen-stomach yin deficiency type who attended the outpa-tient clinic of Traditional Chinese Medicine Paediatrics Department of Chenjiaqiao Hospital Affiliated to Chongqing Medical and Pharmaceutical College from March 2021 to February 2022 were selected,and were divided into the control group and the treatment group according to the method of random number table,with 35 cases in each group.In the end,there were 3 cases of dropout and 32 cases were completed in the control group,while in the treatment group,there were 2 cases of dropout and 33 cases were completed.In the control group,zinc gluconate oral solution and Bifidobacteriumbifidumtriphylium were given orally,while in the treatment group,modifying Yangwei Zenye Tang was given orally and combined with chiropractic therapy.1 week was given as a course of treatment for both groups,and the therapeutic efficacy of the two groups was counted after 2 consecutive courses of treatment.Results Before treatment,the Chinese medicine symptom points and total points of the two groups were not statistically significant(P>0.05),and were comparable;after treatment,the Chinese medicine symptom points and total points of the two groups were significantly reduced compared with those of the same group before treatment,and the differ-ences between the two groups were statistically significant(P<0.01),and the reduction of the treatment group was more significant(P<0.01).The total effective rate was 96.97%(32/33)in the treatment group and 78.12%(25/32)in the control group,and the difference between the two groups was statistically significant(P<0.05).During the treatment period,there were 2 cases of mild gastrointestinal discomfort in the control group,which might be related to oral zinc gluconate oral solution,but it did

关 键 词：厌食症 小儿 脾胃阴虚型 养胃增液汤 捏脊 临床观察 

分 类 号：R272.4[医药卫生—中医儿科学]