中药腹痛方联合小儿推拿治疗小儿肠系膜淋巴结炎的疗效  

Curative Effect of Traditional Chinese Medicine Abdominal Pain Prescription Combined with Pediatric Massage in the Treatment of Mesenteric Lymphadenitis in Children

作　　者：普荣斌 李璐 王雯婷 PU Rongbin;LI Lu;WANG Wenting(Department of Pediatric,the 926th Hospital of the Joint Logistics Support Force of the Chinese People's Liberation Army,Honghe 661600,Yunnan,China)

机构地区：[1]中国人民解放军联勤保障部队第九二六医院小儿内科,云南红河661600

出　　处：《世界复合医学(中英文)》2025年第1期73-77,共5页World Journal of Complex Medicine

摘　　要：目的探讨中药腹痛方联合小儿推拿在小儿肠系膜淋巴结炎治疗中的效果。方法选取2020年1月—2023年12月中国人民解放军联勤保障部队第九二六医院收治的1208例肠系膜淋巴结炎患儿为研究对象,按照不同治疗方式分为两组,各604例。对照组采取常规西药治疗,研究组在对照组基础上采取中药腹痛方联合小儿推拿治疗,对比两组临床疗效、中医证候积分、症状改善时间、肠系膜淋巴结大小及不良反应发生率。结果治疗后,研究组腹痛、盗汗、纳差等中医证候积分均更低,差异均有统计学意义(P均<0.05)。研究组退热、纳差、腹痛与腹泻消退时间均更短,差异均有统计学意义(P均<0.05)。研究组治疗总有效率为98.84%(597/604),高于对照组的96.69%(584/604),差异有统计学意义(χ^(2)=6.402,P<0.05)。治疗后,研究组淋巴结纵径、横径均更小,差异均有统计学意义(P均<0.05)。研究组不良反应发生率更低,差异有统计学意义(P<0.05)。结论采取中药腹痛方联合小儿推拿治疗小儿肠系膜淋巴结炎,可促进患儿症状消退,缩小肠系膜淋巴结大小,安全性较高。Objective To explore the effect of traditional Chinese medicine Abdominal Pain Prescription combined with pediatric massage in the treatment of mesenteric lymphadenitis in children.Methods A total of 1208 children with mesenteric lymphadenitis admitted to the 926th Hospital of the Joint Logistics Support Force of the Chinese People's Liberation Army from January 2020 to December 2023 were selected as the research objects.They were divided into two groups according to different treatment methods,604 cases in each group.The control group was treated with conventional Western medicine,and the study group was treated with traditional Chinese medicine Abdominal Pain Prescription combined with pediatric massage on the basis of the control group.The clinical efficacy,traditional Chinese medicine syndrome scores,symptom improvement time,mesenteric lymph node size and incidence of adverse reactions were compared between the two groups.Results After treatment,the scores of traditional Chinese medicine syndrome such as abdominal pain,night sweats and poor appetite in the study group were lower,and the differences were statistically significant(all P<0.05).The time of fever,poor appetite,abdominal pain and diarrhea in the study group were shorter,and the difference was statistically significant(all P<0.05).The total effective rate of treatment in the study group was 98.84%(597/604),which was higher than 96.69%(584/604)in the control group,and the difference was statistically significant(χ^(2)=6.402,P<0.05).After treatment,the longitudinal and transverse diameter of lymph nodes in the study group were smaller,and the differences were statistically significant(both P<0.05).The incidence of adverse reactions in the study group was lower,the difference was statistically significant(P<0.05).Conclusion The treatment of mesenteric lymphadenitis in children with traditional Chinese medicine Abdominal Pain Prescription combined with pediatric massage can promote the disappearance of symptoms and reduce the size of mesenteric lymph n

关 键 词：中药腹痛方 小儿推拿 肠系膜淋巴结炎 临床疗效 

分 类 号：R453[医药卫生—治疗学]