针刺治疗小儿慢性肠系膜淋巴结炎近远期疗效观察

目的]评价针刺治疗小儿慢性肠系膜淋巴结炎的临床疗效。方法]将120例慢性肠系膜淋巴结炎患儿随机分为两组，每组60例。对照组予头孢呋辛钠抗感染治疗，治疗组穴取四缝穴、内关、中脘、足三里等，予针刺治疗。1周为1疗程，1个疗程后评定疗效。结果]治疗组愈显率与总有效率分别为91.7%、98.3%，对照组分别为86.7%、95%，两组疗效有显著性差异（均P〈0.05），两组患儿治疗前后症状体征积分比较治疗前均有下降，差异均有非常显著性意义（P〈0.01）；治疗组治疗后症状体征积分低于对照组，差异有显著性意义（P〈0.05）。治疗后三个月，治疗组复发率为3.6%，治疗后六个月，治疗组复发率为1.9%，分别显著低于对照组的57.7%，54%（P〈0.01）。结论]针刺法治疗小儿慢性肠系膜淋巴结炎不但具有确切的近期临床疗效，而且远期疗效稳定，复发率低,值得临床推广。

Observation on Long-term and Short-term Therapeutic Effect of Acupuncture Therapy to Chronic Mesenteric Lymphadenitis

Objective] To assess the curative effect of acupuncture therapy to chronic mesenteric lymphadenitis. Methods] Al 120 children patients are ran-domly divided into two groups, 60 cases each. Control group is treated with cefuroxime sodium for infections, and treatment group with acupuncture at Sifeng（EX-UE 10）, Neiguan （PC06）, Zhongwan（RN 12）,Zusanli（ST 36） and etc. Results] Markedly effective rate of treatment group was 91.7%,and total effective rate was 98.3%; markedly effective rate of control group was 86.7%, and total effective rate was 95%, which showed significant difference in curative effects.The two groups symptoms were decreased compared with before treatment, the difference was significant（ P〈0.01）;after treatment, symptom scores were lower than the control group, with significant difference. The recurrence rate of treatment group after three months was 3.6%. The recurrence rate of treatment group after six months was 1.9%, evidently lower than control group ’s 57.7%,54% respectively. Conclusion] Acupuncture therapy to chronic mesenteric lymphadenitis has unequivocal short-term effect, a stable long-term effect, and low recurrence rate,deservers clinical applications.