雷火灸联合小建中汤治疗小儿腹痛(腹部中寒证)的临床疗效观察

Efficacy of Thunder-fire Moxibustion combined with Xiaojianzhong Decoction on pediatric abdominal pain of cold in the middle abdomen type

目的观察雷火灸联合小建中汤治疗小儿腹痛(腹部中寒证)的临床疗效。方法将120例小儿腹痛(腹部中寒证)随机分为2组。对照组采用单一的中药配方颗粒治疗,治疗组在中药配方颗粒治疗基础上配合雷火灸特定穴治疗,治疗14 d,随访3个月,分析2组临床疗效。结果对照组总有效率为83.3%,治疗组总有效率为94.0%,2组比较差异具有统计学意义(P<0.01);腹痛评分方面,治疗组较对照组评分降低(P<0.01);治疗前后治疗组最大淋巴结的长径、短径均减小,与对照组治疗后比较具有统计学意义(P<0.01)。在中医证候积分改善方面,治疗组、对照组治疗后均优于治疗前(P<0.01),治疗组治疗后中医主症、次症积分均低于对照组治疗后相应积分(P<0.01)。结论雷火灸联合中药配方颗粒小建中汤治疗小儿腹痛(腹部中寒证)临床疗效肯定,依从性较好。

Objective To analyze the effects of Thunder-fire moxibustion combined with Xiaojianzhong Decoction on pediatric abdominal pain. Methods One hundred and twenty children with abdominal pain were randomly assigned to the control group and treatment group. The control group was treated with Xiaojianzhong Decoction for 14 days, while the treatment group received Chinese decoction combined with Thunder-fire moxibustion for 14 days.Both groups were followed-up for 3 months for clinical efficacy. Results The total effective rate was higher(94%)in the treatment group than in the control group(83.3%), and there were significant differences between these groups(P<0.01). In addition, the overall symptoms. especially the abdominal pain were significantly alleviated in the treatment group than in the control group(P<0.01). Both the longitudinal diameter(L) and the transverse diameter(S) of the biggest mesenteric lymph nodes in the treatment group decreased(P<0.01). There were significant differences between the two groups in L and S(P<0.01). Conclusions Thunder-fire moxibustion combined with the traditional Chinese medicine in treatment of pediatric abdominal pain has remarkable effectsin clinical practice.