布依族爆灯火治疗脾虚型小儿腹泻随机对照试验  

A Randomized Controlled Trial on Treating Spleen Deficiency Type Infantile Diarrhea with Buyi Nationality's Lighting Therapy

作　　者：陈娜 陈紫林 杨洋 王文洲 陶琼 杜丽 刘志伟 陈竹 CHEN Na;CHEN Zilin;YANG Yang;WANG Wenzhou;TAO Qiong;DU Li;LIU Zhiwei;CHEN Zhu(The Second Affiliated Hospital of Guizhou University of Traditional Chinese Medicine,Guiyang 550003,Guizhou,China;Zhenning Autonomous County People's Hospital,Anshun 561229,Guizhou,China;Guizhou University of Traditional Chinese Medicine,Guiyang 550025,Guizhou,China)

机构地区：[1]贵州中医药大学第二附属医院,贵州贵阳550003 [2]镇宁自治县人民医院,贵州安顺561229 [3]贵州中医药大学,贵州贵阳550025

出　　处：《贵州中医药大学学报》2025年第2期57-66,共10页Journal of Guizhou University of Traditional Chinese Medicine

基　　金：国家重点研发计划子项目(2019YFC1712502);国家重点研发计划子课题技术推广及应用(2019YFC1712505);2021年度科研创新和探索专项项目(2019YFC171250201)。

摘　　要：目的观察布依族爆灯火治疗脾虚型小儿腹泻的临床疗效及安全性。方法选取2020年1月—2022年12月来自贵州中医药大学第二附属医院儿科符合西医小儿腹泻和中医脾虚型诊断标准的144例患儿。随机分为对照组和试验组,每组各72例。对照组给予小儿推拿治疗,试验组给予布依爆灯火治疗,连续治疗5天,1个月后随访。在治疗5天后对疗效进行评价。结果(1)疗效指标分析结果显示:组内治疗前后比较:试验组和对照组在治疗的第1天、第3天和第5天,主症评分和中医证候评分的各自组内差异均有统计学意义(P<0.05)。主要疗效指标的两组间比较,止泻时间和止泻率:治疗5天后,试验组与对照组止泻率分别为51.39%和40.28%,差异均无统计学意义(P>0.05)。治疗有效率:治疗5天后,试验组治疗有效率为98.61%,对照组治疗有效率87.50%,两组的差异具有统计学意义(P=0.017)。中医证候有效率:治疗5天后,对照组中医证候有效率为97.22%,试验组中医证候有效率为86.11%,差异有统计学意义(P=0.016)。次要疗效指标的两组间比较:两组治疗5天后腹胀消失率、食后作泄消失率、食量减少消失率,试验组均高于对照组,差异均有统计学意义(P<0.05)。治疗5天后,两组精神不振和面色不佳的消失率的差异均无统计学意义(P>0.05)。(2)安全性分析结果显示:试验中,两组受试者均未发生不良事件及不良反应。结论布依族爆灯火治疗脾虚型小儿腹泻是安全、有效的。Objective To observe the clinical efficacy and safety of treating spleen-deficiency type infantile diarrhea with Buyi Nationality's Lighting Therapy.Methods From January 2020 to December 2022,144 pediatric patients who met the diagnostic criteria for infantile diarrhea in Western medicine and spleen deficiency in traditional Chinese medicine(TCM)were selected from the Pediatrics Department of the Second Affiliated Hospital of Guizhou University of Traditional Chinese Medicine,and randomly divided into a control group and an experimental group,with 72 cases in each group.The control group received pediatric massage treatment,while the experimental group received Lighting Therapy.The treatment was performed once a day for 5 consecutive days,and follow-up was conducted one month later.The efficacy indicators were evaluated after 5 days of the treatment.Results(1)The analysis results of efficacy indicators showed the comparison before and after the treatment within each group:for both the experimental group and the control group,there were statistically significant differences in the main symptom scores and TCM syndrome scores on the lst,3rd,and 5th days'treatment(P<0.05).Comparison of the primary efficacy indicators between the two groups,specifically the diarrhea cessation time and diarrhea cessation rate:After 5 days'treatment,the diarrhea cessation rates in the experimental group and the control group were 51.39% and 40.28% respectively,with no statistically significant difference between them(P>0.05).Disease response rate:After 5 days'treatment,the disease response rate in the experimental group was 98.61%,while the disease response rate in the control group was 87.5%.The dfference between the two groups was statistically significant(P=0.017).Effective rate of traditional Chinese medicine syndrome:After 5 days'treatment,the effective rate of traditional Chinese medicine syndrome in the control group was 97.22%,while in the experimental group it was 86.11%,with a statistically significant difference(P=0.016).Comp

关 键 词：布依族 爆灯火 小儿腹泻 临床疗效 安全性 

分 类 号：R272[医药卫生—中医儿科学] R29[医药卫生—中医学]