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目的:探讨四君子合剂结合捏脊治疗脾虚型小儿厌食症的疗效。方法:将脾虚型小儿厌食症患者88例随机分成治疗组44例(予四君子合剂配合捏脊治疗),对照组44例(服用四君子合剂)。两组疗程均为1个月,3个月后随访。比较两组患者的治疗效果、唾液淀粉酶(AMS)、血清锌(Zn)及铅(Pb)水平及两组症状积分变化。结果:治疗组有效率为90.9%,对照组为72.7%,治疗组疗效优于对照组,差异有统计学意义(P<0.05);治疗组AMS和血清Zn水平明显高于对照组,血清Pb水平低于对照组,差异有统计学意义(P<0.05);两组症状积分治疗前后组内比较及治疗后组间比较,差异均有统计学意义(P<0.05)。结论:四君子合剂结合捏脊治疗脾虚型小儿厌食症能增强治疗效果,且穴位操作简便、患儿依从性好,疗效确切,安全有效。
Objective: To investigate the effect of Sijunzi combined with chiropractic treatment of children with anorexia of spleen deficiency syndrome. Methods: Eighty-eight children with anorexia of spleen deficiency syndrome were randomly divided into treatment group (44 cases) and control group (44 cases). Two groups of treatment are 1 month, 3 months after follow-up. The therapeutic effect, salivary amylase (AMS), serum zinc (Zn) and lead (Pb) levels and symptom scores of two groups were compared. Results: The effective rate was 90.9% in the treatment group and 72.7% in the control group. The curative effect in the treatment group was better than that in the control group (P <0.05). The levels of AMS and serum Zn in the treatment group were significantly higher than those in the control group (P <0.05). There was a significant difference between the two groups in symptom score before and after treatment and between two groups after treatment (P <0.05). Conclusion: Sijunzi combined with chiropractic treatment of pediatric anorexia in spleen deficiency can enhance the therapeutic effect, and acupoints easy to operate, children with good compliance, effective, safe and effective.