强脊补脾法配合消食膏穴位贴敷治疗小儿厌食症(脾虚湿热型)的临床研究

Clinical Research on Infantile Anorexia( Spleen Deficiency and Damp Heat Pattern) Treated with Qiangji Bupi Method and Acupoint Application with Xiaoshi Plaster

目的评价强脊补脾法配合消食膏穴位贴敷治疗脾虚湿热型小儿厌食症的临床疗效,并探讨机制。方法将120例脾虚湿热型小儿厌食症患儿随机分为治疗组和对照组(各60例);治疗组给予强脊补脾手法配合消食膏穴位贴敷治疗;对照组给予小儿健胃消食片和复合维生素B治疗,两组均12 d为1个疗程,1个疗程后观察血清微量元素血锌、血钙检测、食欲、食量积分比较;两组症状消失时间比较和临床疗效比较。结果治疗组治疗后食欲症状积分、食量症状积分、厌食消失时间、腹胀消失时间、便秘消失时间及总有效率均优于对照组(P<0.05);治疗2个月后两组患儿血锌(Zn^(2+))、血钙(Ca^(2+))水平均较治疗前升高,且治疗组优于对照组(P<0.05)。结论强脊补脾法配合消食膏穴位贴敷能够明显减轻患儿的临床症状,主要作用机制在于"通督强脊、补脾扶阳、调理脏腑",提高患儿免疫力,增加临床疗效。

Objective To evaluate the clinical therapeutic effects on infantile anorexia（ spleen deficiency and damp heat pattern） treated with qiangji bupi method（ method for strengthening spine and tonifying spleen） and acupoint application with xiaoshi plaster（ herbal medicine plaster for digestion promotion） and explore the mechanism. Methods A total of 120 children of anorexia differentiated as spleen deficiency and damp heat were randomized into a treatment group and a control group（ 60 cases in each one）. In the treatment group,qiangji bupi method and acupoint application with xiaoshi plaster were used. In the control group,xiaoer jianwei xiaoshi tablets and compound vitamin B were given. The treatment for 12 days was as 1 course in the two groups. After 1 course of treatment,the serum trace elements,Zn-（2＋） and Ca-（2＋） were detected. The appetite and appetite score were compared. The disappearance time of symptoms and clinical therapeutic effects were compared between the two groups. Results After treatment,in the treatment group,the appetite symptom score,the disappearance time of anorexia,abdominal distention and constipation,as well as the total effective rate were all better than the control group（ P〈0. 05）. In 2 months of treatment,the levels of blood Zn-（2＋） and Ca-（2＋） were increased as compared with those before treatment in the two groups. The results in the treatment group were superior to the control group（ P〈0. 05）. Conclusion The qiangji bupi method and acupoint application with xiaoshi plaster remarkably alleviate the clinical symptoms in children. It is achieved by strengthening the spine through promoting the circulation of the Governor Vessel,consolidating yang through tonifying the spleen and regulating zangfu organs. Finally,the immunity of children patients and the clinical therapeutic effects are improved.