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[目的]观察补肾阴法治疗小儿食积便秘疗效。[方法]使用随机平行对照方法,将80例门诊患者按就诊先后顺序简单随机为两组。对照组40例枳实导滞汤(大黄6g,枳实9g,黄芩、黄连、茯苓各6g,泽泻4g,白术6g,神曲10g),虚加太子参、黄芪,伴口渴者加天花粉、麦冬,伴大便干结加芒硝,伴呕吐加旋覆花,唇干燥加火麻仁、郁李仁,伴腹痛加元胡,大便转稀去大黄;1个月~1岁,1/3剂/d;>1~4岁,1/2剂/d;>4~7岁,1剂/d;水煎100 mL,2~3次/d,开水冲,温服。治疗组40例补肾阴法,在对照组治疗基础上,加补肾阴药女贞子、枸杞子各10g。连续治疗10d为1疗程。观测临床症状、粪便性状、排便时间、腹痛腹胀、小便颜色、舌象、不良反应。治疗1疗程,判定疗效。随访2个月观测停药2周和2个月复发情况。[结果]治疗组痊愈32例,有效8例,无效0例,总有效率100%。对照组痊愈22例,有效14例,无效4例,总有效率90.00%。治疗组疗效优于对照组(P<0.05)。临床症状两组均有改善(P<0.01),治疗组改善优于对照组(P<0.05)。复发情况治疗组低于对照组(P<0.01)。[结论]补肾阴法治疗小儿食积便秘,疗效满意,无副作用,值得推广。
[Objective] To observe the effect of tonifying kidney and yin treating constipation in children. [Methods] Using randomized parallel control method, 80 outpatients were randomly divided into two groups according to the order of their visits. The control group 40 cases of Zhishi Zhizhitang (rhubarb 6g, citrus aurantium 9g, skullcap, berberine, Poria each 6g, Alisma 4g, Atractylodes 6g, Divine Comedy 10g) Ophiopogon, with dry stool plus Glauber’s salt, with vomiting and Inula, dry lips plus hemp seed, Yuli Ren, with abdominal pain plus Yuan Hu, stool to dilute the rhubarb; 1 month to 1 year old, 1/3 / d ; 1 to 4 years old, 1/2 doses / d;> 4 to 7 years old, 1 dose / d; decoction 100 mL, 2 to 3 times / d, boiled water, warm clothes. Treatment group 40 cases of yin and yang method, in the control group based on the treatment, add kidney yin medicine Ligustrum lucidum, medlar 10g each. Continuous treatment of 10d for a course of treatment. Observed clinical symptoms, stool characteristics, defecation time, abdominal pain, abdominal pain, urine color, tongue, adverse reactions. Treatment of a course of treatment to determine the efficacy. Follow-up 2 months observed withdrawal 2 weeks and 2 months recurrence. [Results] The treatment group cured 32 cases, effective in 8 cases, 0 cases, the total efficiency of 100%. The control group recovered 22 cases, effective in 14 cases, 4 cases, the total effective rate 90.00%. The treatment group was better than the control group (P <0.05). The clinical symptoms were improved in both groups (P <0.01), and the treatment group improved better than the control group (P <0.05). The relapse situation was lower in the treatment group than in the control group (P <0.01). [Conclusion] Kidney-yin-yin treatment of constipation in children with food, satisfactory efficacy, no side effects, it is worth promoting.