运脾和胃方联合针刺四缝穴治疗小儿厌食症脾失健运证40例临床观察

Clinical observation on 40 cases of anorexia in children with splenic dyskinesis syndrome treated by Yunpi Hewei Fang(运脾和胃方)combined with pricking at Sifeng(EX-UE-10)therapy

目的观察运脾和胃方联合针刺四缝穴治疗小儿厌食症脾失健运证的临床疗效。方法选取2020年1—12月在南通市中医院儿科治疗的厌食症脾失健运证患儿80例,采用随机数字表法分为治疗组和对照组,各40例。治疗组予运脾和胃方口服联合四缝穴针刺,对照组予双歧杆菌三联活菌散口服治疗。2组均4周为1个疗程,治疗3个疗程后统计疗效。结果治疗组总有效率为92.5%(37/40),显著高于对照组的65.0%(26/40),2组比较,差异有统计学意义(P<0.05)。治疗前,2组食欲、进食量、进食时间评分比较,差异无统计学意义(P>0.05),具有可比性;治疗后,2组上述临床症状评分与同组治疗前比较,均显著降低(P<0.05),且治疗组降低更显著(P<0.05)。治疗前,2组血清锌、铁含量和维生素A、D含量比较,差异无统计学意义(P>0.05),具有可比性;治疗后,2组上述指标与同组治疗前比较,均显著升高(P<0.05),且治疗组升高更显著(P<0.05)。结论运脾和胃方联合针刺四缝穴治疗小儿厌食症脾失健运证,疗效确切,不仅能增强食欲、增加摄食量、缩短进食时间,而且提高了患儿体内血清锌、铁以及维生素A和D的含量,临床值得推广应用。

Objective To observe the clinical efficacy of Yunpi Hewei Fang(运脾和胃方) combined with pricking at Sifeng(EX-UE-10) therapy in the treatment of anorexia in children with splenic dyskinesis syndrome.Methods 80 cases of anorexia in children with splenic dyskinesis syndrome treated in the Pediatrics Department of Nantong Hospital of Traditional Chinese Medicine from January to December 2020 were selected and divided into treatment group and control group by random number table method,with 40 cases in each group.The treatment group was given Yunpi Hewei Fang combined with pricking at Sifeng(EX-UE-10) therapy,and the control group was treated with bifidobacterium triple live powder.The two groups were treated for 4 weeks as a course of treatment,and the curative effect was statistically measured after 3 courses of treatment.Results The total effective rate of the treatment group was 92.5%(37/40),which was significantly higher than 65.0% (26/40) of the control group.The difference between the two groups was statistically significant(P<0.05).Before treatment, there was no significant difference in the clinical symptom scores of appetite,food intake and eating time between the two groups (P>0.05),which was comparable.After treatment,the above clinical symptom scores in 2 groups were significantly decreased compared with those of the same group before treatment (P<0.05),and the decrease was more significant in the treatment group(P<0.05).Before treatment,there was no significant difference in serum zinc,iron contents,vitamin A and D contents between the two groups(P>0.05),which was comparable.After treatment,the above contents in the 2 groups were significantly higher than those before treatment (P<0.05),and the increase was more significant in the treatment group(P<0.05).Conclusion The combination of Yunpi Hewei Fang and pricking at Sifeng(EX-UE-10)therapy in the treatment of anorexia in children with splenic dyskinesis syndrome not only increase appetite,increase food intake,shorten eating time, but also improve the serum zinc,iron,vitamin A and D contents in children,which is worthy of clinical promotion and application with definite effect.