疏肝健脾汤联合西医疗法治疗儿童厌食症临床研究
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Clinical Study on Shugan Jianpi Tang Combined with Western Medicine Therapy for Children Anorexia Nervosa
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    摘要:

    目的:观察自拟疏肝健脾汤联合西医疗法治疗儿童厌食症(AN) 的临床疗效。方法:选取AN 患儿72 例,按随机数字表法分为西医组与中西医组各36 例。西医组口服葡萄糖酸锌口服液及妈咪爱等治疗,中西医组在西医组的基础上加用自拟疏肝健脾汤,2 组均连续治疗4 周。比较2 组临床疗效及治疗前后血清微量元素水平、中医证候积分。结果:中西医组患儿临床总有效率为94.44%,明显优于西医组的77.78%(P<0.05)。与同组治疗前比较,治疗后2 组血清钙、铁、锌水平均上升(P<0.05,P<0.01),萎黄、神疲、厌食中医证候积分均降低(P<0.05,P<0.01);与西医组治疗后比较,中西医组治疗后血清钙、铁、锌水平均较高(P<0.05),面色萎黄、神疲、厌食中医证候积分均较低(P<0.05)。结论:自拟疏肝健脾汤联合西医疗法治疗AN 患儿疗效确切,能明显加快微量元素的吸收,改善临床症状。

    Abstract:

    Abstract: Objective: To observe the clinical effect of modified Shugan Jianpi tang combined with western medicine therapy for children anorexia nervosa(AN). Methods: A total of 72 cases of AN children were selected and divided into the western medicine group and the integrated Chinese medicine and western medicine group according to the random number table method, 36 cases in each group. The western medicine group was given the oral administration of zinc gluconate solution and Medilac-Vita,and integrated Chinese medicine and western medicine group was additionally given self-made Shugan Jianpi tang based on the treatment of the control group. Both groups were continuously treated for four weeks. Levels of trace elements in serum and Chinese medicine syndrome scores before and after treatment,as well as the clinical effect were compared between the two groups. Results: The total clinical effective rate was 94.44% in the integrated Chinese medicine and western medicine group, significantly better than that of 77.78% in the western medicine group(P<0.05). When compared with those in the same group before treatment, levels of calcium, iron, and zinc in serum in the two groups were increased after treatment(P<0.05, P<0.01); Chinese medicine syndrome scores of sallow complexion, lassitude of spirit, and anorexia were decreased(P<0.05, P<0.01). After treatment, when compared with those in the western medicine group, levels of calcium, iron, and zinc in serum in the integrated Chinese medicine and western medicine group were higher(P<0.05),and Chinese medicine syndrome scores of sallow complexion,lassitude of spirit,and anorexia were lower(P<0.05). Conclusion: The therapy of modified Shugan Jianpi tang combined with western medicine therapy is effective in the treatment of AN children,which can significantly accelerate the absorption of trace elements and improve clinical symptoms.

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黄艳艳,姚奏英.疏肝健脾汤联合西医疗法治疗儿童厌食症临床研究[J].新中医,2021,53(17):123-125

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  • 在线发布日期: 2021-09-09
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