自拟加味四神汤治疗小儿脾胃阴虚型厌食症的效果分析

The Effect of Self-made Modified Sishen Decoction on the Treatment of Anorexia Syndrome of Spleen and Stomach Yin Deficiency in Children

目的探讨自拟加味四神汤治疗小儿脾胃阴虚型厌食证的临床疗效。方法选取2021年1月—2023年1月在石塘社区卫生服务中心治疗的厌食症患儿60例为研究对象,所有患儿按随机数字表法分为观察组和对照组各30例,对照组给予赖氨肌醇维B_(12)口服溶液治疗,观察组在对照组治疗方案基础上联合自拟加味四神汤治疗。比较两组临床疗效及治疗前后的平均身高、平均体质量和食欲、食量、中医证候评分。结果治疗后观察组临床疗效优于对照组,差异有统计学意义(P<0.05)。治疗后两组食欲、食量评分和中医证候各项评分均低于治疗前,且治疗后观察组上述各项评分均低于对照组,差异有统计学意义(P<0.05)。两组平均身高治疗前后差异无统计学意义(P>0.05);治疗后两组平均体质量均高于治疗前,且观察组平均体质量高于对照组,差异有统计学意义(P<0.05)。结论赖氨肌醇维B_(12)口服溶液联合自拟加味四神汤治疗脾胃阴虚型厌食证小儿,较单独使用赖氨肌醇维B_(12)口服溶液治疗具有更好的疗效,可进一步改善患儿的食欲和临床症状,提高食量和体质量,值得推广使用。

Objective To explore the clinical efficacy of self-made modified Sishen Decoction in treating anorexia syndrome of spleen and stomach yin deficiency in children.Methods Sixty children with anorexia who were treated at the Shitang Community Health Service Center from January 2021 to January 2023 were selected.All children were randomly divided into an observation group and a control group,with 30 cases in each group using a random number table method.The control group was treated with oral solution of lysine inositol and vitamin B12,while the observation group was treated with self-maded modified Sishen decoction on the basis of the control group’s treatment plan.Compare the clinical efficacy of two groups,as well as the average height,average body mass,appetite,food intake,and traditional Chinese medicine syndrome scores before and after treatment.Results The clinical efficacy of the observation group after treatment was significantly better than that of the control group(P<0.05).After treatment,the appetite,food intake scores,and traditional Chinese medicine syndrome scores of the two groups were significantly lower than before treatment,and the above scores of the observation group were significantly lower than those of the control group after treatment(P<0.05).There was no significant difference in average height between the two groups before and after treatment(P>0.05).After treatment,the average body weight of both groups was significantly higher than before treatment,and the average body weight of the observation group was significantly higher than that of the control group(P<0.05).Conclusion The combination of Lysine Inositol Vitamin B_(12)oral solution and self-made Modified Sishen decoction is more effective in treating children with spleen and stomach yin deficiency type anorexia than using Lysine Inositol Vitamin B_(12)oral solution alone.It can further improve the appetite and clinical symptoms of children,increase food intake and body weight,and is worth promoting and using.