首页|运脾止泻汤联合艾灸治疗小儿慢性腹泻脾胃虚弱证的临床效果

运脾止泻汤联合艾灸治疗小儿慢性腹泻脾胃虚弱证的临床效果

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目的:探讨运脾止泻汤联合艾灸治疗小儿慢性腹泻脾胃虚弱证的临床效果。方法:选取 2020 年 1 月—2022 年12 月北京中医药大学附属护国寺中医医院门诊收治的 100 例慢性腹泻脾胃虚弱证患儿。根据随机数表法将其分为研究组(n=50)与对照组(n=50)。对照组给予艾灸治疗,研究组给予运脾止泻汤联合艾灸治疗。比较两组临床疗效,症状消失时间,治疗前、治疗 2 周后胃肠激素、肠道菌群及不良反应。结果:研究组治疗总有效率高于对照组,差异有统计学意义(P<0。05)。研究组腹痛、腹泻、大便稀薄症状消失时间均早于对照组,差异有统计学意义(P<0。05)。治疗 2 周后,两组胃动素(MTL)、胃泌素(GAS)水平均降低,前列腺素E2(PGE2)水平提高,研究组MTL、GAS水平均低于对照组,PGE2水平高于对照组,差异有统计学意义(P<0。05)。治疗 2 周后,两组乳酸杆菌数量增加,肠球菌数量减少,研究组乳酸杆菌数量多于对照组,肠球菌数量少于对照组,差异有统计学意义(P<0。05)。两组不良反应发生率比较,差异无统计学意义(P>0。05)。结论:运脾止泻汤联合艾灸治疗慢性腹泻脾胃虚弱证患儿,能够提高临床疗效,促进患儿症状消失,改善胃肠激素、肠道菌群,安全性较好。
Clinical Effect of Yunpi Zhixie Decoction Combined with Moxibustion in the Treatment of Chronic Diarrhea in Children with Spleen and Stomach Weakness Syndrome
Objective:To explore the clinical effect of Yunpi Zhixie Decoction combined with moxibustion in the treatment of chronic diarrhea in children with spleen and stomach weakness syndrome.Method:A total of 100 children with chronic diarrhea with spleen and stomach weakness syndrome admitted to the Outpatient Department of Huguosi Traditional Chinese Medicine Hospital Affiliated to Beijing University of Traditional Chinese Medicine from January 2020 to December 2022 were selected.They were divided into study group(n=50)and control group(n=50)according to random number table method.The control group was given moxibustion treatment,and the study group was given Yunpi Zhixie Decoction combined moxibustion treatment.The clinical efficacy,symptom disappearance time,gastrointestinal hormones,intestinal flora before treatment and after 2 weeks of treatment and adverse reactions were compared between the two groups.Result:The total effective rate of the study group was higher than that of the control group,and the difference was statistically significant(P<0.05).The disappearance time of abdominal pain,diarrhea and thin stool in the study group were earlier than those in the control group,and the differences were statistically significant(P<0.05).After 2 weeks of treatment,the levels of motilin(MTL)and gastrin(GAS)were decreased in both groups,while the levels of prostaglandin E2(PGE2)were increased,the levels of MTL and GAS in the study group were lower than those in the control group,and the levels of PGE2 were higher than those in the control group,and the differences were statistically significant(P<0.05).After 2 weeks of treatment,the number of lactobacillus increased and the number of enterococcus decreased in the two groups,and the number of lactobacillus in the study group was more than that in the control group,while the number of enterococcus was less than that in the control group,and the differences were statistically significant(P<0.05).There was no significant difference in the incidence of adverse reactions between the two groups(P>0.05).Conclusion:The treatment of Yunpi Zhixie Decoction combined with moxibustion in the treatment of chronic diarrhea in children with spleen and stomach weakness syndrome can improve clinical efficacy,promote the disappearance of symptoms,improve gastrointestinal hormones and intestinal flora,and have good safety.

Chronic diarrhea in childrenSpleen and stomach weakness syndromeYunpi Zhixie DecoctionMoxibustionClinical efficacy

李佳、杜碧荷

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北京中医药大学附属护国寺中医医院 北京 100035

小儿慢性腹泻 脾胃虚弱证 运脾止泻汤 艾灸 临床疗效

2024

中外医学研究
中国医院管理杂志社

中外医学研究

影响因子:1.149
ISSN:1674-6805
年,卷(期):2024.22(8)
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