作　　者： ;

机构地区： 广州中医药大学

出　　处： 《中国针灸》 2019年第8期832-836,848共6页

摘　　要： 目的:观察艾灸配合脐疗与口服蒙脱石散(思密达)对不同年龄段患儿腹泻的疗效差异。方法:将120例患儿随机分为观察组与对照组,每组60例。观察组3岁以下患儿艾灸神阙、中脘、天枢穴,每穴在3min以内,总时间不超过10min;3~7岁加灸关元、足三里、脾俞、肾俞、大肠俞,每穴在3min以内,总时间不超过20 min。每次艾灸结束后,给予中药(取丁香、肉桂、干姜、吴茱萸、山楂、苍术各等份烘干)于神阙穴贴敷,1岁以下幼儿取约30 g药粉装入特制纱袋内加热至50℃,敷约30 min;1岁以上患儿,取2~5 g药粉与老陈醋调和成糊状,每次敷4~8 h。均每日1次,3次为一疗程,共1个疗程。对照组口服蒙脱石散治疗,1岁以下患儿每天3 g,1~2岁患儿每天3~6 g,2岁以上每天6~9 g,分3次口服,3 d为一疗程,共1个疗程。观察两组患儿治疗前后腹泻症状评分变化,并评价临床疗效。自第1次治疗后开始计时,统计两组患儿恢复例数及恢复时间,分别比较不同年龄段急性期、慢性期的恢复例数及恢复时间。随访观察治疗后3个月的复发情况。结果:治疗后,观察组腹泻症状评分较治疗前降低(P<0.05),对照组治疗前后比较差异无统计学意义(P>0.05),观察组治疗后腹泻症状评分低于对照组(P<0.05)。观察组总有效率为95.0%(57/60),优于对照组的76.7%(46/60,P<0.05)。观察组急性期≤1岁和>5岁且≤7岁、慢性期不同年龄段患儿恢复例数多于对照组,但差异无统计学意义(P>0.05)。观察组不同年龄段恢复时间及平均恢复时间均短于对照组(P<0.05)。观察组>1岁且≤5岁年龄段急性期患儿恢复时间及平均恢复时间均短于对照组(P<0.05),观察组慢性期患儿平均恢复时间短于对照组(P<0.05)。治疗后随访3个月,观察组急性期复发率为0%(0/36),慢性期复发率为4.8%(1/21);对照组急性期复发率为9.7%(3/31),慢性期复发率为46.7%(7/15),观察组均低于对照组(P<0.05)。结论:� Objective To observe the efficacy differences between moxibustion combined with umbilical therapy and oral administration of montmorillonite powder(smecta) on diarrhea symptoms in children of different ages. Methods A total of 120 children were randomly divided into an observation group and a control group, 60 cases in each group. In the observation group, the children aged under 3 years old were treated with moxibustion at Shenque(CV 8), Zhongwan(CV 12) and Tianshu(ST 25), and each acupoint was treated for less than 3 min, and the total treatment duration was no more than 10 min;the children aged between 3 to 7 years old were treated with moxibustion at Shenque(CV 8), Zhongwan(CV 12), Tianshu(ST 25), Guanyuan(CV 4), Zusanli(ST 36), Pishu(BL 20), Shenshu(BL 23) and Dachangshu(BL 25), each acupoint was treated for less than 3 min, and the total treatment duration was no more than 20 min. After moxibustion, traditional Chinese medicine patch(clove, cinnamon, rhizoma zingiberis, fructus evodiae, hawthorn, rhizoma atractylodis) was applied at Shenque(CV 8). For the children under 1 year old, the medical bag with 30 g powder was heated to 50 ℃ and used for about 30 min;for children over 1 year old, 2-5 g powder was mixed with vinegar and used for 4-8 h each time. The treatment was given once a day, three times as a course of treatment, and a total of one course of treatment was given. The children in the control group were treated with oral administration of montmorillonite powder, 3 g per day for children under 1 year old, 3-6 g per day for children aged 1-2 years old and 6-9 g per day for children over 2 years old. The montmorillonite powder was taken three times a day for 3 days. The diarrhea symptom scores before and after treatment were observed and the clinical efficacy was evaluated. From the first treatment, the recovery cases and recovery time in the two groups were recorded, the recovery cases and recovery time in acute and chronic stages were compared between different age groups. The recurrence was obser

关 键 词： 小儿腹泻,秋季 泄泻 艾灸 脐疗 穴,神阙

分 类 号： [R246.4]

领　　域： []