摘要
Objective:To observe the therapeutic efficacy of pediatric tuina plus Chinese patent medicine for preschool kids with diarrhea due to spleen deficiency.Methods:Ninety-two eligible kids were divided into a tuina plus Chinese patent medicine and a Chinese patent medicine group by the random number table,with 46 cases in each group.The Chinese patent medicine group was intervened by oral administration of Qi Wei Bai Zhu San(Seven-ingredient Atractylodes Macrocepholo Powder);the tuina plus Chinese patent medicine group was additionally given pediatric tuina therapy once a day,20 min each time.Efficacy and safety were evaluated after 7-day treatment in both groups,and a 14-day follow-up was conducted.Results:After treatment,the symptom scores all changed significantly in the two groups(all P<0.05).After intervention,the symptom scores in the tuina plus Chinese patent medicine group were significantly different from those in the Chinese patent medicine group(all P<0.05).The total effective rate was 78.3%in the Chinese patent medicine group,versus 89.1%in the tuina plus Chinese patent medicine group,and the between-group difference was statistically significant(P<0.05).Three cases got a relapse in the Chinese patent medicine group,versus one case in the tuina plus Chinese patent medicine group,and the between-group difference was statistically insignificant(P>0.05).The two groups each had one case of vomiting,which were treated properly and turned better.No other adverse reactions occurred.Conclusion:Tuina plus Chinese patent medicine and Chinese patent medicine alone both are effective for diarrhea due to spleen deficiency in kids,but the combined therapy can produce more significant efficacy.
目的:观察小儿推拿结合中药治疗学龄前儿童脾虚腹泻的疗效。方法:选择符合纳入标准的脾虚腹泻患儿92例,根据随机数字表分为推拿加中药组和中药组,每组46例。中药组采用口服七味白术散治疗;推拿加中药组在服用相同中药的基础上加用小儿推拿治疗。小儿推拿每日1次,每次20 min。两组均治疗7 d后进行疗效观察和安全性评价,治疗14 d后随访复发情况。结果:治疗后,两组各类症状评分与同组治疗前均有统计学差异(均P<0.05)。推拿加中药组治疗后各类症状评分与中药组比较均有统计学差异(均P<0.05)。中药组总有效率78.3%,推拿加中药组总有效率89.1%,组间差异有统计学意义(P<0.05)。中药组复发3例,推拿加中药组复发1例,组间差异无统计学意义(P>0.05)。两组均有1例出现呕吐,经处理后好转,未出现其他明显不良反应。结论:推拿加中药及单独中药治疗对儿童脾虚腹泻均有效,推拿加中药治疗的疗效优于单独中药口服。
作者
Xu Qian-wei
徐前炜(Ningbo Yinzhou People's Hospital,Zhejiang 315000,China)
