健脾消积方联合推拿治疗小儿积滞脾虚夹积证临床研究  

Clinical Study of Jianpi Xiaoji Prescription Combined with Tuina on Children Indigestion with Spleen Deficiency and Accumulation Syndrome

作　　者：林懂 金晶晶 LIN Dong;JIN Jingjing(Department of Chinese Medicine,Linhai Second People's Hospital,Linhai Zhejiang 317016,China)

机构地区：[1]临海市第二人民医院中医科,浙江临海317016

出　　处：《新中医》2024年第17期83-87,共5页New Chinese Medicine

摘　　要：目的:观察健脾消积方联合推拿治疗小儿积滞脾虚夹积证的疗效及对中医证候积分的影响。方法:选取96例小儿积滞脾虚夹积证患者,按随机数字表法分为联合组及对照组各48例,2组均给予规范饮食、作息指导。对照组给予西药治疗,联合组在对照组基础上加以健脾消积方联合推拿治疗。2组均治疗4周。比较2组临床疗效及不良反应发生率,比较2组治疗前后中医证候积分、胃排空功能相关指标值、胃泌素(GAS)水平的变化。结果:联合组临床疗效总有效率为95.83%,对照组为83.33%,2组临床疗效比较,差异有统计学意义(P<0.05)。治疗4周后,2组面色萎黄、不思饮食、食则饱胀、恶心呕吐、大便溏薄中医证候积分均较治疗前下降(P<0.05),联合组上述5项中医证候积分均低于对照组(P<0.05)。治疗4周后,2组最大饱足感胃容积、胃半排空时间均较治疗前下降(P<0.05),餐后0.5 h、1 h、2 h胃排空率均较治疗前升高(P<0.05);联合组胃半排空时间短于对照组(P<0.05),餐后0.5 h、1 h、2 h胃排空率均高于对照组(P<0.05)。治疗4周后,2组血清GAS水平均较治疗前升高(P<0.05),联合组血清GAS水平高于对照组(P<0.05)。联合组不良反应发生率为6.25%,对照组不良反应发生率为10.42%,2组不良反应发生率比较,差异无统计学意义(P>0.05)。结论:健脾消积方联合推拿可提升治疗小儿积滞的临床疗效,缓解临床症状,提高患儿胃肠蠕动及胃排空功能,安全性高。Objective:To observe the curative effect of Jianpi Xiaoji Prescription combined with tuina on children indigestion with spleen deficiency and accumulation syndrome and its effect on traditional Chinese medicine syndrome scores.Methods:A total of 96 children with indigestion with spleen deficiency and accumulation syndrome were selected and divided into the combination group and the control group according to the random number table method,with 48 cases in each group.The control group was treated with western medicine,and the combination group was additionally treated with Jianpi Xiaoji Prescription combined with tuina based on the treatment of the control group.Both groups were treated for 4 weeks.The clinical effects and the incidence of adverse reactions were compared between the two groups;the changes of traditional Chinese medicine syndrome scores,values of gastric emptying function related indexes and gastrin(GAS)levels before and after treatment were compared between the two groups.Results:The total effective rate was 95.83%in the combination group and 83.33%in the control group,the difference being significant(P<0.05).After 4 weeks of treatment,the scores of traditional Chinese medicine syndromes like withered yellow complexion,poor appetite,feeling full after eating only a little,nausea and vomiting,and thin and unformed stool in the two groups were decreased when compared with those before treatment(P<0.05),and the above five traditional Chinese medicine syndrome scores in the combination group were lower than those in the control group(P<0.05).After 4 weeks of treatment,the maximum satiety stomach volume and gastric half-emptying time in the two groups were reduced and shortened when compared with those before treatment(P<0.05),and the gastric emptying rates at 0.5 hour,1 hour and 2 hours after meals were increased when compared with those before treatment(P<0.05);the gastric half-emptying time in the combination group was shorter than that in the control group(P<0.05),and the gastric emptying rates at

关 键 词：小儿积滞 脾虚夹积证 健脾消积方 推拿 胃排空功能 胃肠激素 

分 类 号：R272[医药卫生—中医儿科学]