四君子汤加味治疗小儿缺锌50例疗效观察

Treatment of Zinc Deficit in Children by Jiawei Sijunzi Tang:A Clinical Observation of 50 Cases

目的：观察四君子汤加味治疗小儿缺锌的疗效。方法：对５０例缺锌患儿根据中医辨证分为脾胃气虚和肺脾气虚２型，给予四君子汤加味治疗，并与葡萄糖酸锌治疗４０例作疗效对比观察。结果：四君子汤加味治疗组治愈３３例，好转１４例，无效３例，总有效率为９４％；对照组治愈１９例，好转１５例，无效６例，总有效率为８５％。２组治疗后发锌值比较，差异有显著性意义（Ｐ＜０．０５）。结论：四君子汤加味对小儿缺锌有较好疗效。

Objective: To observe the curative effect of Sijunzi Tang Jiawei (STJ) for zinc deficit (ZD) in children. Methods: 50 cases of ZD were classified as qi -deficiency of spleen and stomach and qi -deficiency of lung and spleen based on the syndrome dif- ferentiation of TCM and were treated by STJ, and 40 cases were treated by zinc gluconate as control. Results: In the STJ group. 33 cases were cured , 14 cases improved and 3 cases ineffective, the total effective rate being 94%. In the control grorp, 19 cases were cured, 15 cases inproved and 6 cases ineffective, the total effec- tive rate being 85%. The comparison between two groups showed markedly significant difference in zinc value after treatment (P < 0. 05). Conclusion: STJ possesses a better curative effect for ZD in children and is superior than that of zinc gb- conate.