经外奇穴“四缝”疳积挑治法对维持性血液透析患者脾胃虚弱症的疗效研究

探讨"四缝穴疳积挑治法"对维持性血液透析(MHD)患者脾胃虚弱症的临床疗效。方法 选取100例MHD脾胃虚弱症患者,随机分为中医组和常规组,每组50例。两组均接受常规透析治疗,常规组额外接受西药对症治疗,中医组在此基础上实施"四缝穴疳积挑治法"。治疗3个月后比较两组营养状况(MQSGA量表评分)、中医症状积分、实验室指标水平及临床疗效。结果 治疗后,中医组MQSGA量表评分、中医症状积分低于常规组(P<0.05);中医组IL-6、hs-CRP、HGB、TRF等实验室指标水平优于常规组(P<0.05);中医组临床疗效总有效率为100%,高于常规组的86%(P<0.05)。结论 "四缝穴疳积挑治法"能够有效改善MHD患者的脾胃虚弱症状,提高营养状况和生活质量,值得临床推广应用。

Clinical observation on pricking at Sìfèng (四缝 EX-UE 10) combined with Chinese herbs for infantile malnutrition

Objective To explore the best clinical treatment for infantile malnutrition. Methods Three hundred and forty-three patients were randomly divided into a pricking at Sìfèng （四缝 EX-UE 10） group （priking group, n=105）, a Chinese herbs group （n=85） and a pricking and Chinese herbs group （n=153）. The improvements of the clinical symptoms of all three groups were evaluated after the treatment. Results The results of these treatments for all the patients were satisfying. The effective rate of the pricking and Chinese herbs group, which was 98.7 % （151/153）, was superior to that of 94.3 % （99/105） （P0.05） in the pricking group and 91.8% （78/85） in the Chinese herbs group （P0.01）, while no differences in effective rate were found between the pricking group and the Chinese herbs group （P0.05）. Conclusion The pricking at Sìfèng （四缝 EX-UE 10） combined with Chinese herbs is the best treatment for infantile malnutrition.