小儿感染后脾虚综合征临床探讨

Discussion on treating Pi deficiency syndrome after children infection

目的：探讨小儿感染后脾虚综合征的诊断标准及临床处理。方法：对404例婴幼儿在重症感染后出现的厌食、多汗、口渴、便通失常（包括便溏、干结、便秘）、夜啼、磨牙、异嗜、腹痛为特征的，可归属于“感染后脾虚综合征”者，分为脾弱气虚型；脾肺两亏型；脾虚气阴不足型；脾胃阴虚型；湿邪蕴结型；气机失调型；给予中医辨证施治。结果：痊愈128例，显效76例，好转158例，总有效率为89．60％。结论：小儿感染后脾虚综合征一旦形成，采用以健脾为主的中医辨证施治，常能获得良好效果，可以弥补西医在这方面的不足。

Objective： To investigate diagnostic criteria and clinical management of treating Pi deficiency syndrome after children infection. Methods： 404 cases are divide into Piruo Qixu type, Pifei Liangkui type, Pixu Qiyin shortage type, Piwei Yinxu type, Shixie Yunjie type, Qiji Shitiao type, treating in differentiation. 404 patients features are anorexia, sweating, thirst, they pass disorders （including loose stools, dry, constipation）, Yeti, molar, pica, abdominal pain. Resutls： Cure are 128 cases, effective are 76 cases, improving are 158 cases, the total effective rate is 89.60%. Conclusion： Treating Pi deficiency syndrome after children infection in TCM has a good effects, can make up the shortfall of western medicine.