摘要
目的观察五倍子敷脐治疗小儿急性腹泻的临床疗效。方法收集2015年7月—2018年5月就诊于上海中医药大学附属曙光医院、宝山中西医结合医院、松江方塔医院的腹泻患儿160例,按随机数字表将其化分为观察组和对照组(每组各80例)。治疗组给予中药神阙穴外敷+基础治疗,对照组予赋形剂神阙穴外敷+基础治疗,3 d为1个治疗周期,随访观察7 d。比较两组大便次数、止泻时间、退热时间、生活质量问卷评分、中医证候积分等临床症状。结果治疗前两组每日腹泻次数、生活质量评分、中医证候积分比较,差异均无统计学意义(P>0.05);治疗后,治疗组每日大便次数、止泻时间、生活质量评分、中医证候积分均低于对照组,差异均有统计学意义(P<0.05);两组退热时间比较,差异无统计学意义(P>0.05)。结论中药脐疗方法治疗小儿急性腹泻临床疗效明显,能明显缩短患儿止泻时间,减少排便次数,改善腹泻患儿生活质量,且无明显不良反应发生。
Objective To observe the clinical effect of Wubeizi(Gallnut)umbilicus application on children with acute diarrhea.Methods A total of 160 cases of diarrhea children admitted to Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine,Baoshan Integrated Chinese and Western Medicine Hospital of Shanghai and Fangta TCM Hospital of Songjiang District Shanghai from July 2015 to May 2018 were collected and divided into observation group and control group according to the random number table(80 cases in each group).The treatment group was given external application of traditional Chinese medicine at Shenque(RN8)+basic treatment,while the control group was given the external application of excipient at Shenque(RN8)+basic treatment,3 days for a treatment cycle,follow-up observation for 7 days.The number of stools,anti-diarrhea time,anti-febrile time,quality of life questionnaire score,TCM syndrome score and other clinical symptoms were compared between the two groups.Results Before treatment,there were no statistically significant differences between the two groups in the number of daily diarrhea,quality of life score or TCM syndrome score(P>0.05).After treatment,the daily number of stools,anti-diarrhea time,quality of life score and TCM syndrome score in the treatment group were all lower than those in the control group,and the differences were statistically significant(P<0.05).Comparison of antipyretic time between the two groups showed no statistically significant difference(P>0.05).Conclusion Umbilical therapy with traditional Chinese medicine has obvious clinical efficacy in treating children with acute diarrhea.It can shorten the time of diarrhea,reduce the frequency of defecation,and improve the quality of life of children with diarrhea.
作者
马春艳
沈健
何逸潇
蒲晓伟
张孝文
郑贤辉
蓝玉
MA Chunyan;SHEN Jian;HE Yixiao;PU Xiaowei;ZHANG Xiaowen;ZHEN Xianhui;LAN Yu(Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine,Shanghai 201203,China;Shanghai University of Traditional Chinese Medicine,Shanghai 201203,China)
出处
《辽宁中医杂志》
CAS
2021年第12期161-164,共4页
Liaoning Journal of Traditional Chinese Medicine
基金
中医药传承与创新“百千万”人才工程全国中医药创新骨干人才培训项目(19Z-1-18)
上海市科委基金(15401971100)
上海市卫生计生系统重要薄弱学科建设-中西医结合儿科学(2016ZB0104-02)
国家十三五科技重大专项-腹泻证候群中医和中西医结合诊疗方案研究(2017ZX10305501-007)
关键词
小儿腹泻
脐疗
五倍子
中医外治法
infantile diarrhea
umbilicus therapy
Wubeizi(Gallnut)
external treatment of traditional Chinese medicine
作者简介
马春艳(1988-),女,上海人,主治医师,硕士,研究方向:中医儿科临床研究工作;通讯作者:沈健(1978-),女,浙江绍兴人,副主任医师,硕士研究生导师,博士,研究方向:中医儿科腹泻、厌食、复感、性早熟矮小症的临床与基础研究,E-mail:shenj_78@126.com。
