观察导赤温胆汤联合推拿治疗小儿夜啼的临床疗效

Observation of the Clinical Efficacy of Daochi Wendan Tang Combined with Massage in the Treatment of Pediatric Night Cry

目的:观察导赤温胆汤联合推拿治疗小儿夜啼的临床疗效。方法:选取2020年12月至2022年12月山东省济南市济南北城医院收治的夜啼患儿82例作为研究对象,按照随机数字表法分为观察组(n=41)和对照组(n=41),对照组给予推拿治疗,观察组在对照组基础上联合给予导赤温胆汤治疗,治疗1周。采用匹兹堡睡眠质量指数(Pittsburgh Sleep Quality Index, PSQI)比较2组患者干预前后睡眠质量的变化,比较2组患儿治疗前后的夜啼发生次数、夜间清醒时间(h),记录观察组和对照组患儿的晕厥、恶心、皮肤破损等不良反应发生情况。结果:治疗1周后,观察组患儿夜间清醒时间短于对照组,其夜啼发生次数也少于对照组,观察组PSQI评分显著低于对照组,观察组不良反应发生率显著低于对照组,差异均有统计学意义(均P<0.05)。结论:导赤温胆汤联合推拿治疗小儿夜啼可以提高患儿的睡眠质量,有效减少夜啼次数,缩短其夜间清醒时间,且较为安全,值得临床推广应用。

Objective:To observe the clinical efficacy of Daochi Wendan Tang combined with massage in the treatment of pediatric night cry.Methods:A total of 82 children with night cry admitted to Ji′nan Beicheng Hospital in Ji′nan City,Shandong Province from December 2020 to December 2022 were selected as the research subjects.They were randomly divided into an observation group(n=41)and a control group(n=41)using a random number table method.The control group was treated with massage,while the observation group was treated with Daochi Wendan Tang in combination with the control group for one week.The Pittsburgh Sleep Quality Index(PSQI)was used to compare the changes in sleep quality between two groups of patients before and after intervention.The frequency of night crying and nighttime wakefulness(h)before and after treatment were compared between the two groups.The incidence of adverse reactions such as syncope,nausea,and skin damage in the observation group and the control group were recorded.Results:After one week of treatment,the observation group had shorter nighttime wakefulness time and fewer nighttime cries than the control group.The PSQI score of the observation group was significantly lower than that of the control group,and the incidence of adverse reactions in the observation group was significantly lower than that of the control group.The difference between the two groups was statistically significant(P<0.05).Conclusion:The combination of Dao Chi Wen Dan Tang and Tui Na can improve the sleep quality of children with night crying,effectively reduce the frequency of night crying,shorten their nighttime wakefulness time,and is relatively safe,worthy of clinical promotion and application.