中西医结合护理 (Jan 2024)
Effect of Traditional Chinese Medicine umbilical moxibustion combined with diet nursing in the treatment of diarrhea of spleen and stomach Qi deficiency type in children (中医脐灸联合饮食调护辅助治疗小儿脾胃气虚型泄泻的效果研究)
Abstract
Objective To investigate the effect of Traditional Chinese Medicine (TCM) umbilical moxibustion combined with diet nursing in the treatment of diarrhea of spleen and stomach Qi deficiency type in children. Methods Totally 72 pediatric patients with diarrhea of spleen and stomach qi deficiency type were divided into the control group(n=36) and study group(n=36) by coin tossing method. All pediatric patients received acupoint application treatment, and those in the study group were given TCM umbilical moxibustion combined with diet nursing. The effect of interventions was evaluated. The scores of main symptoms (stool characters and defecation frequency), secondary symptoms (bloated stomach after eating, loss of appetite, physical and mental fatigue) and negative conversion ratio of abnormal index (fat globules) of microscopy of two groups were compared. Results The total effective rate in the study group was higher than that in the control group (94. 44% vs. 72. 22%, P＜0. 05). The scores of main symptoms (Stool characters and defecation frequency )in the study group were lower than those in the control group after treatment(P0. 05). Conclusion The TCM umbilical moxibustion combined with diet nursing is effective to relive the clinical symptoms of pediatric patients with diarrhea of spleen and stomach qi deficiency type (目的 探讨中医脐灸联合饮食调护辅助治疗小儿脾胃气虚型泄泻的效果。方法 选取2020年2月—2022年11月医院收治的72例小儿脾胃气虚型泄泻患儿为研究对象, 采用投掷硬币法分成对照组(n=36)和研究组(n=36)。对照组接受穴位贴敷治疗, 研究组在对照组基础上增加中医脐灸联合基于辨证的饮食调护。评价治疗效果, 对比两组中医主症分级量化表积分(粪便性状积分、大便次数积分)、中医次症分级量化表积分(食后腹胀、食欲不振、倦怠乏力、神疲懒言)、粪便镜检中异常理化指标(脂肪球)的转阴率。结果 研究组总有效率94. 44%(34/36), 高于对照组的72. 22%(26/36), 差异有统计学意义(P0. 05)。结论 中医脐灸联合饮食调护辅助治疗小儿脾胃气虚型泄泻效果明确, 能有效改善患儿临床症状, 促进康复。)
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