外治三联疗法治疗小儿厌食疗效观察

目的观察采用脐腹温灸、捏脊与针刺四缝穴外治三联疗法治疗小儿厌食的疗效。方法 2012年5月到2014年2月辽宁中医药大学附属医院儿科收治厌食症患儿60例,随机分为对照组与观察组各30例。对照组予甘草锌颗粒口服,观察组在此基础上,予中医外治三联疗法,均治疗4周。观察两组疗效、主次症状评分、尿淀粉酶变化等情况。结果观察组总有效率为93.33%(28/30),高于对照组73.33%(22/30),差异有统计学意义(P0.05);治疗后观察组主症评分、次症评分及尿淀粉酶量分别为(5.28±2.92)分、(3.08±1.52)分、(263.42±26.38)U/L,均优于对照组(9.82±2.36)分、(5.64±2.02)分、(202.52±39.26)U/L,差异有统计学意义(P0.05)。结论采用外治三联疗法可有效治疗小儿厌食症,改善患儿厌食症状,增加食欲,疗效确切,值得推广。

Clinical study on infantile anorexia treated by external triple therapy

Objective To observe the clinical effect of the external triple therapy (umbilical abdominal warm moxibustion,chiropractic therapy and acupuncture of Sifeng acupoint)for children with anorexia. Methods A total of 60 children with anorexia were admitted to the Affiliated Hospital of Liaoning TCM U-niversity from May 2012 to Feb.2014.They were randomly divided into two groups:control group (30 ca-ses)and observation group (30 cases).The control group was given Gancao Xin granules for orally taking;the observation group was given the external triple therapy with Chinese medicine in addition to the treat-ment for the control group.The treatment lasted for 4 weeks for both groups.Observe the effect,scores of major and minor symptoms and changes of urine amylase in the two groups.Results The total effective rate of the observation group was 93.33%(28/30),higher than that of the control group(73.33%,22/30),the difference being statistical(P <0.05).After treatment,the scores of major symptoms and minor symptoms and level of urine amylase were (5.28±2.92)points,(3.08±1.52)points and (263.42±26.38)U/L,which were better than those of control group[(9.82±2.36)points,(5.64±2.02)points,(202.52±39.26)U/L],and the difference was statistical(P <0.05).Conclusion The external triple therapy is effective in the treatment of infantile anorexia,which can improve symptoms and increase appetite,so it is worthy of popularization.