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何露.穴位贴敷联合健脾益气汤治疗小儿迁延性及慢性腹泻脾胃虚弱证的临床研究[J].湖南中医药大学学报英文版,2020,40(12):1504-1507.[Click to copy
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| 穴位贴敷联合健脾益气汤治疗小儿迁延性及慢性腹泻脾胃虚弱证的临床研究 |
| 何露 |
| (益阳医学高等专科学校, 湖南 益阳 413000) |
| 摘要: |
| 目的 观察穴位贴敷联合健脾益气汤治疗小儿迁延性及慢性腹泻（persistent and chronic diarrheal disease，PCDD）脾胃虚弱证的临床疗效。方法 选取PCDD脾胃虚弱证患儿78例，随机分为观察组和对照组，每组39例。两组患儿均继续饮食，但暂时停止添加新辅食，对照组采用蒙脱石散和双歧杆菌乳杆菌三联活菌片治疗，观察组采用穴位贴敷联合健脾益气汤治疗，两组均治疗28 d。比较两组患儿的临床疗效和不良反应情况；观察治疗前后两组患儿的血清特异性抗体IgA、IgG水平和中医证候积分变化。结果 观察组总有效率为94.87%，高于对照组的76.92%（P<0.05）；两组患儿血清IgA、IgG水平均较治疗前升高（P<0.05或P<0.01），且观察组高于对照组（P<0.05）；两组患儿中医证候积分各个项目均较治疗前降低（P<0.05或P<0.01），且观察组均低于对照组（P<0.05）。结论 穴位贴敷联合健脾益气汤治疗小儿PCDD脾胃虚弱证临床疗效显著，能明显提高血清特异性抗体IgA、IgG的水平，降低中医证候积分，值得临床推广应用。 |
| 关键词: 迁延性及慢性腹泻 脾胃虚弱证 穴位贴敷 健脾益气汤 中医证候积分 IgA IgG |
| DOI：10.3969/j.issn.1674-070X.2020.12.013 |
| Received:September 29, 2020 |
| 基金项目:湖南省教育厅科学研究项目（16C1600，16C1599）。 |
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| Clinical Study on Acupoint Application Combined with Jiawei Jianpi Yiqi Decoction in the Treatment of Persistent and Chronic Diarrhea with Syndrome of Spleen and Stomach Deficiency in Children |
| HE Lu |
| (Yiyang Medical College, Yiyang, Hunan 413000, China) |
| Abstract: |
| Objective To observe the clinical efficacy of acupoint application combined with JianpiYiqi Decoction in the treatment of persistent and chronic diarrhea (PCDD) with syndrome of spleen and stomach deficiency in children. Methods A total of 78 children with PCDDwith syndrome of spleen and stomach deficiency were randomly assigned into an observation group and a control group, with 39 cases in each group. Both groups of children continued to eat but temporarily stopped adding new complementary foods. The control group was treated with Montmorillonite Powder and Live Combined Bifidobacterium And Lactobacillus Tablets, while the observation group was treated with acupoint application combined with JianpiYiqi Decoction. After 28 days of treatment, the clinical efficacy and adverse reactions of the 2 groups were compared; the changes of serum specific antibody IgA and IgG levels and the changes of traditional Chinesemedicine (TCM) syndrome scores before and after treatment were observed. Results The total effective rate of the observation group was 94.87%, which was higher than 76.92% of the control group (P<0.05); the serum IgA and IgG levels of the 2 groups were increased than those before treatment (P<0.05 or P<0.01), and the observation group was higher than the control group (P<0.05); the TCM syndrome scores of the 2 groups were decreased than those before treatment (P<0.05 or P<0.01), and the observation group was lower than the control group (P<0.05). Conclusion Acupoint application combined with JianpiYiqi Decoction has significant clinical effect in the treatment of PCDD with syndrome of spleen and stomach deficiency in children. It can significantly improve the level of serum specific antibodies IgA and IgG, and reduce the TCM syndrome score, which is worthy of clinical application. |
| Key words: persistent and chronic diarrhea syndrome of spleen and stomach deficiency acupoint application Jianpi Yiqi Decoction TCM syndrome score IgA IgG |
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