健脾开胃膏治疗脾虚食积型小儿厌食症的疗效观察*

目的观察健脾开胃膏治疗脾虚食积型小儿厌食症的临床疗效。方法 选取110 例脾虚食积型厌食症患儿，按照随机数字表法分为对照组和试验组，每组各55例。对照组予健胃消食片口服，试验组予健脾开胃膏口服。治疗4周后，比较2组患儿的临床总有效率和治疗前后的临床证候积分及体质量变化情况。结果 对照组有效率为76.92%，试验组有效率为92.45%，2组患儿有效率差异具有统计学意义（P＜0.05）；2组患儿治疗后主、次临床证候积分均低于本组治疗前，且试验组低于对照组（P＜0.05）；试验组患儿体质量在治疗后增加显著，且明显优于对照组（P＜0.05）。结论 健脾开胃膏可有效改善脾虚食积型小儿厌食症患儿的临床症状，增加体质量。

Observation on the Curative Effect of Jianpikaiwei Ointment in the Treatment of Infantile Anorexia with Syndrome of Food Retention Due to Spleen Deficiency

Objective To observe the efficacy of Jianpikaiwei ointment(JPKWO) in the treatment of infantile anorexia with syndrome of food retention due to spleen deficiency. Methods 110 children with infantile anorexia were randomly divided into control group (n=55) and observation group (n=55). The control group was given Jianweixiaoshi tablet, and the observation group was given JPKWO. The curative effect, body mass and clinical symptom scores of the two groups were observed before and after 4 weeks. Results The effective rate of the control group was 76.92%, and that of the observation group was 92.45%. There was significant difference in the effective rate between the two groups(P<0.05). The scores of primary and secondary clinical symptoms in the observation group were lower than those in the control group(P<0.05). The body mass of children in the observation group increased significantly after treatment, which was significantly better than that in the control group(P<0.05). Conclusion JPKWO can effectively improve the clinical symptoms and increase the body mass of infantile anorexia with syndrome of food retention due to spleen deficiency.