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詹加,陈丁丁,张静.健脾补肾膏方治疗脾肾气虚型小儿神经性尿频临床疗效总结[J].湖南中医药大学学报,2019,39(3):417-420[点击复制] |
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| 健脾补肾膏方治疗脾肾气虚型小儿神经性尿频临床疗效总结 |
| 詹加,陈丁丁,张静 |
| (荆州市中医医院, 湖北 荆州 434000) |
| 摘要: |
| 目的 回顾性研究健脾补肾膏方治疗脾肾气虚型小儿神经性尿频的安全性和有效性。方法 使用电子病历检索工具筛选出2016年1月至2018年2月荆州市中医医院收住符合脾肾气虚型小儿神经性尿频诊断且治疗方案以谷维素、维生素B1为基础用药的患儿84例，对照组42例给予谷维素和维生素B1口服治疗，观察组42例在对照组治疗的基础上给予健脾补肾膏方治疗，观察两组治疗20 d的疗效、用药的安全性及3个月内的复发率。结果 观察组总有效率为95.23%，对照组总有效率为70.00%，两组差异有统计学意义（P<0.05）；观察组尿频、尿急症状改善时间优于对照组，差异具有统计学意义（P<0.05），且尿频、尿急症状消失时间明显短于对照组，差异具有统计学意义（P<0.01）；观察组复发率（3.45%）明显低于对照组（35.00%），差异具有统计学意义（P<0.01）； 两组患儿在治疗过程中均未出现药物不良反应。结论 健脾补肾膏方治疗小儿神经性尿频，取得了良好临床效果，服药方便，安全可靠，远期疗效好，值得推广应用。 |
| 关键词: 神经性尿频 脾肾气虚型 健脾补肾膏方 谷维素片 维生素B1片 |
| DOI：10.3969/j.issn.1674-070X.2019.03.029 |
| 投稿时间：2018-05-06 |
| 基金项目:荆州市科技局项目（2013AE43） |
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| Clinical Effect of Jianpi Bushen Paste Prescription in the Treatment of Children with Neurogenic Urinary Frequency Due to Spleen-Kidney Qi Deficiency |
| ZHAN Jia,CHEN Dingding,ZHANG Jing |
| (Jingzhou Hospital of Traditional Chinese Medicine, Jingzhou, Hubei 434000, China) |
| Abstract: |
| Objective To retrospectively study the safety and efficacy of Jianpi Bushen paste prescription in the treatment of children with neurogenic urinary frequency due to spleen-kidney Qi deficiency. Methods An electronic medical record retrieval tool was used to screen out 84 children who were diagnosed with neurogenic urinary frequency due to spleen-kidney Qi deficiency and treated with oryzanol and vitamin B1-based regimen in Jingzhou Hospital of Traditional Chinese Medicine from January 2016 to February 2018; 42 cases in the control group were treated with oral oryzanol and vitamin B1, and 42 cases in the observation group were treated with Jianpi Bushen paste prescription on the basis of the treatment for the control group; after 20 days of treatment, both groups were observed for the outcome, safety, and 3-month recurrence rate. Results There was a significant difference in the overall response rate between the observation group and the control group (95.23% vs 70.00%, P<0.05); the observation group had significantly superior time to improvements in urinary frequency and urgency symptoms (P<0.05) and significantly shorter time to remission of both symptoms compared with the control group (P<0.01); the recurrence rate of the observation group was significantly lower than that of the control group (3.45% vs 35.00%, P<0.01). There were no adverse drug reactions in either group during the treatment. Conclusion Bushen Jianpi paste prescription has a good clinical effect in treating neurogenic urinary frequency in children, and shows promise for wide application due to its ease of use, safety and reliability, and long-term efficacy. |
| Key words: neurogenic urinary frequency spleen-kidney Qi deficiency Bushen Jianpi paste prescription oryzanol tablet vitamin B1 tablet |
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