小金汤联合脐贴+捏脊治疗小儿汗证的临床效果研究  

The Clinical Effect of Xiaojin Decoction Combined with Navel Stickers and Chiropraction in the Treatment of Pediatric Sweating Syndrome

作　　者：冯子豪 徐闻 崔文英 FENG Zihao;XU Wen;CUI Wenying(Zhaotong Hospital of Traditional Chinese Medicine,Zhaotong 657000,China)

机构地区：[1]昭通市中医医院,云南昭通657000

出　　处：《中外医学研究》2025年第9期105-108,共4页CHINESE AND FOREIGN MEDICAL RESEARCH

基　　金：云南省科技厅科技计划项目(202101AZ070001-143)。

摘　　要：目的:探究小金汤联合脐贴、捏脊治疗小儿汗证的临床效果。方法:选取2022年10月-2023年7月昭通市中医医院收治的86例小儿汗证(肺卫不固证)患儿作为研究对象,按随机数表法分为对照组和研究组,每组各43例。对照组服用玉屏风口服液,研究组在对照组的基础上行小金汤联合脐贴、捏脊治疗,两组均治疗1个月。比较两组中医证候积分、治疗效果、不良反应发生情况。治疗后随访6个月,统计两组复发率。结果:治疗前,两组中医证候主症出汗及次症乏力、口渴、恶风积分比较,差异无统计学意义(P>0.05);治疗后,两组中医证候积分中出汗、乏力、口渴、恶风4个指标积分均降低,且研究组低于对照组,差异有统计学意义(P<0.05)。治疗后,研究组临床总有效率高于对照组,差异有统计学意义(P<0.05)。治疗后,两组总不良反应率比较,差异无统计学意义(P>0.05)。治疗结束6个月后,对照组复发率高于研究组,差异有统计学意义(P<0.05)。结论:小金汤联合脐贴、捏脊治疗可有效改善患儿的中医证候,临床疗效好,不良反应率低,安全性高,复发率低。Objective:To explore the clinical effect of Xiaojin Tang combined with navel stickers and spinal compression in the treatment of pediatric sweating syndrome.Method:A total of 86 children with sweating syndrome(lung wei deficiency syndrome)treated in Zhaotong Hospital of Traditional Chinese Medicine from October 2022 to July 2023 were selected as the research objects,and were divided into control group and research group according to random number table method,with 43 cases in each group.The control group was given Yupingfeng oral liquid,while the study group was given Xiaojin Decoction combined with nawel stickers and chiropractic treatment on the basis of the control group.TCM syndrome score,therapeutic effect and occurrence of adverse reactions were compared between the two groups.After 6 months of follow-up,the recurrence rate of the two groups was analyzed.Result:Before treatment,there was no significant difference in the scores of main syndrome sweating and secondary syndrome fatigue,thirst and bad wind between the two groups(P>0.05).After treatment,the scores of the 4 indicators of sweating,fatigue,thirst and bad wind in the two groups were decreased,and the study group was lower than the control group,and the difference was statistically significant(P<0.05).After treatment,the total clinical effective rate of the study group was higher than that of the control group,and the difference was statistically significant(P<0.05).After treatment,there was no significant difference in the total adverse reaction rate between the two groups(P>0.05).After 6 months of treatment,the recurrence rate of control group was higher than that of study group,and the difference was statistically significant(P<0.05).Conclusion:Xiaojin Decoction combined with navel patch and chiropractic treatment can effectively improve the TCM syndromes of children with good clinical efficacy,low adverse reaction rate,high safety and low recurrence rate.

关 键 词：小儿汗证 小金汤 脐贴 捏脊 临床效果 

分 类 号：R272[医药卫生—中医儿科学]