运脾开胃手法治疗脾失健运型小儿厌食症的临床疗效观察

Observation on the clinical efficacy of Yunpi Kaiwei massage in the treatment of child anorexia with dysfunction of spleen in transportation

目的 分析脾失健运型小儿厌食症患儿用于运脾开胃手法治疗的临床效果。方法 56例脾失健运型厌食症患儿,运用随机数字表法分为参照组和实验组,各28例。参照组应用醒脾养儿颗粒治疗,实验组在参照组基础上应用运脾开胃手法治疗。对比两组患儿的治疗效果及治疗前后中医证候积分、食欲和食量评分。结果 实验组治疗总有效率为96.43%(27/28),明显高于参照组的71.43%(20/28),差异有统计学意义(P<0.05)。治疗后,实验组中医证候积分(3.45±1.03)分低于参照组的(7.19±2.41)分,差异有统计学意义(P<0.05)。治疗后,实验组食欲评分(1.02±1.23)分、食量评分(1.07±1.47)分均低于参照组的(1.87±1.42)、(1.85±1.44)分,差异有统计学意义(P<0.05)。结论 对脾失健运型小儿厌食症患儿应用运脾开胃手法治疗能够提高临床效果,改善患儿中医症状及食欲、食量,且治疗安全性较高,有较高的临床运用价值。

Objective To analyze the clinical effect of Yunpi Kaiwei massage in the treatment of child anorexia with dysfunction of spleen in transportation.Methods A total of 56 cases of child anorexia with dysfunction of spleen in transportation were divided into reference group and experimental group by random numerical table,with 28 cases in each group.The control group was treated with Xinpi Yanger granules,and the experimental group was treated with Yunpi Kaiwei massage on the basis of the reference group.The therapeutic effect,traditional Chinese medicine symptom score,and appetite and food intake score before and after treatment were compared between the two groups.Results The total effective rate of treatment in the experimental group was 96.43%(27/28),which was significantly higher than 71.43%(20/28)in the reference group,and the difference was statistically significant(P<0.05).After treatment,the traditional Chinese medicine symptom score(3.45±1.03)points of the experimental group was lower than(7.19±2.41)points of the reference group,and the difference was statistically significant(P<0.05).After treatment,the appetite score(1.02±1.23)points and food intake score(1.07±1.47)points of the experimental group were lower than those(1.87±1.42)and(1.85±1.44)points of the reference group,and the differences were all statistically significant(P<0.05).Conclusion Application of Yunpi Kaiwei massage for child anorexia with dysfunction of spleen in transportation can improve the clinical efficacy,traditional Chinese medicine symptom score,appetite and food intake score of children.It is safe and has high clinical application value.