干预不良喂养方式对2～6岁厌食症儿童临床疗效的影响

Effect of intervention on clinical efficacy of poor feeding patterns on children aged 2-6 years with anorexia

目的观察干预不良喂养方式对2～6岁厌食症儿童临床疗效的影响。方法选取2016年6月至2017年10月我科门诊确诊为厌食症伴不良喂养方式患儿300例,随机分为干预组155例和非干预组145例。干预组给予不良喂养方式的纠正,非干预组口服山麦健脾口服液治疗。2组均治疗8周后观察并比较临床疗效、中医证候积分、身高和体质量的变化。结果干预组总有效率为86.75%,高于非干预组的76.64%,2组比较,差异有统计学意义(P<0.05)。2组治疗前中医证候积分比较,差异无统计学意义(P>0.05),具有可比性。与治疗前比较,2组治疗后中医证候积分均显著降低(P<0.05),且干预组降幅大于非干预组,差异有统计学意义(P<0.05)。2组治疗前身高、体质量比较,差异无统计学意义(P>0.05),具有可比性。与同组治疗前比较,2组治疗后身高、体质量均显著升高(P<0.05),且干预组体质量增幅高于非干预组,差异有统计学意义(P<0.05),但身高增幅比较,差异无统计学意义(P>0.05)。结论不良的喂养方式是引起小儿厌食症的一个重要原因,正确识别和纠正不良的喂养方式,尤其是纠正过度喂养,是治疗小儿厌食症的一个重要措施。

Objective To observe the effect of intervention on clinical efficacy of poor feeding patterns on children aged 2-6 years with anorexia.Methods Totally 300 cases of children aged 2-6 years with anorexia accompanied with poor feeding patterns were randomly divided into intervention group(155 cases) and non-intervention group(145 cases),with diagnoses confirmed in outpatient service of our department from June 2016 to October 2017.The intervention group was given the correction of poor feeding patterns,and the non-intervention group was given oral Shanmai Jianpi Koufuye(山麦健脾口服液).The clinical efficacy,TCM symptom scores and the changes of height and body mass of the 2 groups were observed after the 2 groups were both treated for 8 weeks.Results The total effective rate of the intervention group was 86.75%,which was higher than 76.64% of the non-intervention group,and there was statistically significant difference between the two groups(P<0.05). There was no statistically significant difference in TCM symptom scores between the two groups before treatment(P>0.05), and they were comparable.Compared with those before treatment,TCM symptom scores of the two groups after treatment decreased significantly(P<0.05),moreover,the decrease extent of the intervention group was higher than that of the non-intervention group,the difference was statistically significant(P<0.05).There was no statistically significant difference in the height and body mass between the two groups before treatment(P>0.05),and they were comparable.Compared with the same group before treatment,the height and body mass of the 2 groups after treatment increased significantly(P<0.05),moreover,the increase extent of body mass in the intervention group was higher than that of the non-intervention group,the difference was statistically significant(P<0.05),but there was no statistically significant difference in increase extent of the height(P>0.05).Conclusion Poor feeding pattern is an important cause of anorexia in children.Correct identification and correction of poor feeding pattern,especially correction of overfeeding,is an important measure to treat anorexia in children.