养心健脾汤联合针刺治疗小儿心脾失调型厌食临床研究  

Clinical Study on the Combination of Yangxin Jianpi Decoction and Acupuncture in the Treatment of Pediatric Anorexia with Heart Spleen Imbalance

作　　者：毋洋洋 WU Yangyang(Liyang Hospital of Chinese Medicine,Liyang 213300,China)

机构地区：[1]溧阳市中医医院,江苏溧阳213300

出　　处：《中外医学研究》2025年第9期109-113,共5页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:探讨养心健脾汤联合针刺治疗小儿心脾失调型厌食临床效果。方法:选取2022年2月-2023年2月溧阳市中医医院收治的102例心脾失调型厌食患儿作为研究对象,按随机数表法分为对照组和研究组,每组各51例。对照组给予常规西药治疗,研究组给予养心健脾汤联合针刺治疗。比较两组干预后中医证候积分、血微量元素水平(锌、钙及铁)、胃肠激素(胃动素、胃泌素、神经肽Y)、不良反应发生情况(呕吐、腹泻、乏力)及疗效。结果:干预后,研究组食欲不振、腹胀、神疲证候积分均低于对照组,差异有统计学意义(P<0.05)。干预后,研究组血清中锌、钙及铁水平均高于对照组,差异有统计学意义(P<0.05)。干预后,研究组胃动素、胃泌素、神经肽Y水平均高于对照组,差异有统计学意义(P<0.05)。研究组不良反应发生率低于对照组,差异有统计学意义(P<0.05)。干预后,研究组总有效率高于对照组,差异有统计学意义(P<0.05)。结论:养心健脾汤联合针刺治疗小儿心脾失调型厌食,可以改善患儿症状,提高血微量元素水平及胃肠激素水平,降低不良反应发生率。Objective:To explore the clinical effect of Yangxin Jianpi Tang combined with acupuncture in the treatment of pediatric anorexia with heart spleen imbalance.Method:A total of 102 children with anorexia with heart spleen imbalance treated in Liyang Hospital of Chinese Medicine from February 2022 to February 2023 were selected as the study objects and divided into control group and study group according to random number table method,with 51 cases in each group.The control group was treated with conventional western medicine,and the study group was treated with Yangxin Jianpi Decoction combined with acupuncture.TCM syndrome score,blood trace element level(zinc,calcium and iron),gastrointestinal hormone(motilin,gastrin,neuropeptide Y),occurrence of adverse reactions(vomiting,diarrhea,fatigue)and efficacy were compared between the two groups after intervention.Result:After intervention,the scores of appetite loss,abdominal distension and fatigue syndrome in the study group were lower than those in the control group,and the differences were statistically significant(P<0.05).After intervention,serum zinc,calcium and hot metal in the study group were higher than those in the control group,and the difference was statistically significant(P<0.05).The levels of motilin,gastrin and neuropeptide Y in the study group were higher than those in the control group,and the difference was statistically significant(P<0.05).After intervention,the incidence of adverse reactions in study group was lower than that in control group,and the difference was statistically significant(P<0.05).After intervention,the total effective rate of the study group was higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusion:Yangxin Jianpi Decoction combined with acupuncture in the treatment of children with heart-spleen disorder anorexia can improve the symptoms of children,increase the level of blood trace elements and gastrointestinal hormones,and reduce the incidence of adverse reactions.

关 键 词：养心健脾汤 针刺 小儿心脾失调型厌食 

分 类 号：R272[医药卫生—中医儿科学]