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七味白术散加减治疗小儿厌食症临床观察

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目的 观察七味白术散加减治疗小儿厌食症的治疗效果.方法 将 54 例小儿厌食症患者按照随机数字表法分为2 组,对照组27 例予常规西医治疗,治疗组27 例在对照组基础上联合七味白术散加减治疗.2 组均治疗1 个月.比较2 组治疗前后中医症状评分、主食食量、体质量、血清锌浓度,并统计 2 组的临床疗效、不良反应情况、治疗后 6个月的复发情况.结果 2 组治疗后主症、次症评分及总分均较本组治疗前降低(P<0.05),且治疗组治疗后均低于对照组(P<0.05).2 组治疗后主食食量、体质量均较本组治疗前升高(P<0.05),且治疗组治疗后均高于对照组(P<0.05).2 组治疗后血清锌浓度均较本组治疗前升高(P<0.05),且治疗组治疗后高于对照组(P<0.05).治疗组临床疗效优于对照组(P<0.05).2 组治疗期间均未出现严重不良反应.治疗组复发率低于对照组(P<0.05).结论 针对厌食症患儿,采用七味白术散加减联合西药治疗,可有效改善患儿症状,提升主食食量及体质量,改善血清锌浓度,降低复发率,具有良好的安全性.
Therapeutic effect of modified Qiwei Baizhu Powder on anorexia in children
Objective To analyze the therapeutic effect of modified Qiwei Baizhu Powder on anorexia in children.Methods A total of 54 children with anorexia were randomlyassigned to control group(n=27)or treatment group(n=27).All patients were treated with routine Western medicine(RWM),and those in the treatment group were treated with modified Qi-weiBaizhu Powder plus RWM.A 1-month treatment was performed in both groups.The aim was to compare traditional Chinese medicine(TCM)symptom score,staple food intake,body mass index(BMI),and serum zinc concentration before and after treatment.The therapeutic effect,adverse reactions and 6-month recurrence were assessed between groups.Results After treatment,the scoresof main symptoms and secondary symptomswere significantly lower than those before treatment(P<0.05),and which in the treatment group were significantly lower than those in the control group(P<0.05).After treatment,staple food intake,BMI and serum zinc concentration in the both groups were significantly increased than those before treatment(P<0.05),andthe increases were more pronounced in treatment group(P<0.05).After treatment,the therapeutic effectin the treatment group was better than that of the control group(P<0.05).No serious adverse reactions occurred in the two groups.The recurrence rate in the treatment group was significantly lower than that of the control group(P<0.05).Conclusion Forthe children with anorexia,the combination of modifiedQiwei Baizhu Powder and RWM can effectively improve their symptoms,in-crease staple food intake and BMI,improve serum zinc concentration level,and reduce recurrence rate.It has a good safety.

Qiwei Baizhu PowderAnorexiaIntegrated traditional Chinese and Western medicine therapy

齐春燕

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北京市大兴区中西医结合医院儿科,北京 100076

七味白术散 厌食症 中西医结合疗法

2024

河北中医
河北省医学情报研究所,河北省中医药学会

河北中医

CSTPCD
影响因子:0.951
ISSN:1002-2619
年,卷(期):2024.46(5)