本文選題：開(kāi)胃進(jìn)食湯 + 小兒厭食癥�。� 參考：《長(zhǎng)春中醫(yī)藥大學(xué)》2014年碩士論文

【摘要】：目的：觀察清代名方開(kāi)胃進(jìn)食湯治療脾胃氣虛型小兒厭食癥的療效，為臨床治療小兒厭食癥提供科學(xué)依據(jù)。 方法：收集符合脾胃氣虛型的小兒厭食癥患者60例，隨機(jī)分為2組，即為治療組和對(duì)照組，兩組均為30例，分別給予開(kāi)胃進(jìn)食湯和健胃消食片治療，用藥前詳細(xì)記錄患者的癥狀、體征，然后分別給藥14天后，記錄患者癥狀、體征改善情況，觀察結(jié)束后，對(duì)各項(xiàng)指標(biāo)進(jìn)行統(tǒng)計(jì)學(xué)處理。 結(jié)果：經(jīng)過(guò)兩周的治療后，給予開(kāi)胃進(jìn)食湯的治療組30例患兒中,痊愈13，顯效14例，有效2例，無(wú)效1例，總有效率為96.7%,給予健胃消食片的對(duì)照組30例患兒中,痊愈8例，顯效10例，有效3例，無(wú)效9例，總有效率70%。兩組總有效率經(jīng)精確概率法比較，有明顯的差異(P0.05)，說(shuō)明給予開(kāi)胃進(jìn)食湯治療的治療組有效率優(yōu)于給予健胃消食片為治療的對(duì)照組。治療后，兩組癥狀總積分比較，，經(jīng)方差性t檢驗(yàn)，P=0.007＜0.01，有明顯差異，說(shuō)明以開(kāi)胃進(jìn)食湯為治療的治療組的在癥狀總積分方面優(yōu)于以健胃消食片為治療的對(duì)照組。治療后，兩組面色積分比較， P0.05，兩組食欲、食量、流汗、精神、大便積分相比較，P0.01，有明顯差異，說(shuō)明以開(kāi)胃進(jìn)食湯為治療的治療組在改善食欲、食量、流汗、精神、大便等癥狀明顯優(yōu)于以健胃消食片為治療的對(duì)照組。 結(jié)論：開(kāi)胃進(jìn)食湯是治療小兒厭食癥脾胃氣虛型的有效方劑，具有顯著的增加食欲、食量，改善臨床癥狀的作用，臨床運(yùn)用方便、經(jīng)濟(jì)和安全，值得推廣。
[Abstract]:Objective: to observe the curative effect of Kaiwei food decoction in Qing Dynasty on children anorexia with deficiency of spleen and stomach qi, and to provide scientific basis for clinical treatment of infantile anorexia. Methods: sixty children with anorexia of spleen and stomach qi deficiency type were randomly divided into two groups: treatment group and control group. 30 cases in both groups were treated with Kaiwei decoction and Jianwei Xiaoshi tablet respectively. The symptoms and signs of the patients were recorded in detail before the treatment. After 14 days of administration, the symptoms and signs of the patients were recorded. After observation, the indexes were treated statistically. Results: after two weeks of treatment, there were 13 cases cured, 14 cases effective, 2 cases effective, 1 case ineffective, and the total effective rate was 96.7% in the treatment group with Kaiwei decoction, 8 cases were cured in the control group of 30 cases who were given Jianwei Xiaoshi tablet. There were 10 cases of remarkable effect, 3 cases of effective and 9 cases of ineffective. The total effective rate was 70%. Compared with the accurate probability method, the total effective rate of the two groups was significantly different (P 0.05), which indicated that the effective rate of the treatment group was better than that of the control group treated with Jianwei Xiaoshi tablet. After treatment, the total score of symptoms of the two groups was compared, the variance t test (P < 0. 007 < 0. 01) showed that the treatment group treated with Kaiwei food decoction was better than the control group treated with Jianwei Xiaoshi tablet in the total symptom integral. After treatment, there was a significant difference in the score of facial color between the two groups, P0.05, appetite, food quantity, sweating, mental and stool scores, indicating that the treatment group treated with the appetizer diet decoction was improving appetite, food intake, perspiration, and spirit. Stool and other symptoms were significantly better than the control group treated with Jianwei Xiaoshi tablet. Conclusion: Kaiwei decoction is an effective prescription for the treatment of deficiency of spleen and stomach qi in children with anorexia. It can significantly increase appetite, food consumption and improve clinical symptoms. It is convenient, economical and safe in clinical application and is worth popularizing.
【學(xué)位授予單位】：長(zhǎng)春中醫(yī)藥大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2014
【分類號(hào)】：R272

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本文編號(hào)：1939108