中药复方精油联合小儿推拿治疗脾虚气滞型儿童FD疗效观察

Curative Effect Observation of Traditional Chinese Medicine Compound Essential Oil Combined with Pediatric Massage in Treatment of FD Children of Spleen Deficiency and Qi Stagnation Type

目的 探讨中药复方精油联合小儿推拿治疗脾虚气滞型儿童功能性消化不良(FD)的临床疗效。方法 选取2021年6月—2022年6月在福建省福州儿童医院中医科就诊治疗的58例脾虚气滞型FD患儿为研究对象,采用随机数字表法分成观察组(n=30)和对照组(n=28),观察组予以中药复方精油配合小儿推拿治疗,对照组仅给予小儿推拿治疗,均为每天推拿1次,连续治疗5d间隔2d为一个疗程,共2个疗程。比较两组的临床疗效、总体症状积分和中医症候评分。结果 观察组临床有效率高于对照组,组间可见统计学差异(P<0.05)。治疗前,两组间的中医症状总体积分与各主要症候评分比较,均未见显著差异性(P>0.05);治疗后,两组各主要中医症候评分均可见显著下降,症状总体积分均较之前显著改善(P<0.01)。观察组治疗后显著优于对照组,组间可见统计学差异(P<0.05或P<0.01)。结论 采用中药复方精油配合小儿推拿治疗脾虚气滞型儿童FD,能显著改善患儿胃脘痞闷或胀痛、纳呆、嗳气、疲乏、便溏等不适症状,且治疗效果显著优于单用小儿推拿手法治疗。

Objective To explore clinical effect of traditional Chinese medicine compound essential oil combined with pediatric massage in treatment of functional dyspepsia(FD) children with spleen deficiency and qi stagnation type.Methods The paper chose 58 FD children with spleen deficiency and qi stagnation type in Traditional Chinese Medicine Department of Fuzhou City Children's Hospital from June 2021 to June 2022 as study subjects,and divided them into observation group(n=30) and control group(n=28) with random number table method.Observation group was treated with traditional Chinese medicine compound essential oil combined with pediatric massage,while control group with pediatric massage treatment only once a day,with a 5-day interval of 2 days as treatment course,for 2 courses.Clinical effect,overall symptom scores,and traditional Chinese medicine symptom scores were compared between two groups.Results Recovery rate of observation group(97%) was significantly higher than control group(82%),with statistical difference between groups(P<0.05).Before treatment,there was no significant difference in overall scores of traditional Chinese medicine symptoms and major symptom scores between two groups(P>0.05).After treatment,scores of major traditional Chinese medicine symptoms showed significant decrease,overall scores of symptoms were significantly higher than before(P< 0.01).After treatment,those of observation group were significantly better than control group,with statistical difference between groups(P<0.05or P<0.01).Conclusion Traditional Chinese medicine compound essential oil combined with pediatric massage can significantly improve discomfort symptoms of FD children with spleen deficiency and qi stagnation,including epigastric distension or pain,dizziness,belching,fatigue,and loose stools,with significantly better treatment effect than pediatric massage only.