参芪健脾合剂治疗小儿感染后脾虚综合征之厌食临床观察*
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(上海中医药大学附属市中医医院儿科/上海市中医药研究院中医儿科研究所,上海 200071)

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R272.4

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收稿日期: 2020 - 02- 03
* 基金项目: 国家中医重点专科建设项目(ZK0901EK010);国家中医药管理局第六批全国老中医药专家学术经验继承班 人才培养(国中医药人教发〔2017〕29 号);上海市卫健委中医药事业发展三年行动计划项目“海派中医徐氏儿 科流派诊疗中心建设”(ZY(2018-2020)-CCCX-1012);上海市卫健委上海市海派中医流派传承人才培养(沪 卫计中发〔2018〕001号) <


Clinical Study of Using Shenqi Jianpi Decoction in the Treatment of Pediatric Anorexia of the Post-infection Spleen Deficiency Syndrome
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(Department of Pediatrics, Shanghai Municipal Hospital of TCM, Shanghai University of TCM/Pediatric Institute of Shanghai Traditional Chinese Medicine Academy, Shanghai 200071, China)

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    摘要:

    目的观察参芪健脾合剂治疗感染后脾虚综合征之厌食症患儿的临床疗效。方法 用参芪健脾合剂和小培菲康各治疗60例感染后脾虚综合征之厌食患儿,疗程为2周;观察治疗前后2组食欲和食量变化,以及胃电图的变化,判定治疗效果。结果 治疗组治愈率为78.33%,显效率为91.67%;对照组治愈率为55.00%,显效率为76.67%。治疗组临床疗效明显优于对照组(P<0.05)。2组治疗后食欲和食量积分较治疗前均明显减少,差异有统计学意义(P<0.05);治疗后治疗组食欲和食量积分明显低于对照组,差异有统计学意义(P<0.05)。2组治疗后治疗后胃窦部胃电图波形的主频率、平均幅值和反应面积较治疗前均明显增加,差异有统计学意义(P<0.05);治疗后治疗组胃窦部胃电图波形的主频率、平均幅值和反应面积均明显高于对照组,差异有统计学意义(P<0.05)。结论 参芪健脾合剂能明显改善感染后脾虚综合征之厌食患儿的胃动力,增强胃舒缩运动,增进食欲,增加食量,临床疗效肯定。

    Abstract:

    Objective To observe the clinical efficacy of Shenqi Jianpi Decoction in the treatment of Pediatric Anorexia of the Post-infection Spleen Deficiency Syndrome. Methods Two groups consisting 60 cases of Pediatric Anorexia of the Post-infection Spleen Deficiency Syndrome were treated with Shenqi Jianpi Decoction and BIFICO respectively for 2 weeks. Appetite, food intake and Electrogastrography(EGG) of both groups were monitored pre- and post-treatment to assess treatment efficacy. Results The treatment group recorded acure rate of 78.33% and 91.67% effectiveness; the control group recorded a cure rate of 55.00% and 76.67% effectiveness. Clinical efficacy is significantlygreater in the treatment group compared to the control group(P>0.05). The reduction in appetite and food intake in both groups post-treatment is statistically significant(P>0.05), with the treatment group recording significantlygreater reduction compared to the control group(P>0.05). Increases in dominant frequency, average amplitude and waveform response area of EGG for both groups post-treatment is statistically significant(P>0.05), with the treatment group showing significant greater increase in all parameters (P>0.05). Conclusion Shenqi Jianpi Decoction showed significant clinical efficacy in improving gastric mobility, appetite and food intake of patients with Pediatric Anorexia of the Post-infection Spleen Deficiency Syndrome.

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