ISSN 1674-3865  CN 21-1569/R
主管：国家卫生健康委员会
主办：中国医师协会
　　　辽宁省基础医学研究所
　　　辽宁中医药大学附属医院
中国中西医结合儿科学

中国中西医结合儿科学 ›› 2020, Vol. 12 ›› Issue (6): 537-.

• 教学研究 • 上一篇    下一篇

黄芪桂枝五物汤合枳术姜汤治疗小儿便秘临床疗效观察

胡营杰，韩雪，孙风平   

  1. 450000 郑州，郑州大学附属儿童医院，河南省儿童医院，郑州儿童医院中医科
  • 出版日期:2020-12-25 发布日期:2021-05-14
  • 通讯作者: 韩雪，E-mail：hanxuezyk@126.com
  • 作者简介:胡营杰（1989-），女，医师。研究方向：小儿肺系、脾系疾病的诊治
  • 基金资助:
    2019年度河南省中医药科学研究专项课题（2019ZY3012）；韩雪名中医学术经验研究工作室（zsmzy201810）

Clinical effect of Huangqi Guizhi Wuwu decoction and Zhizhujiang decoction in the treatment of constipation in children

HU Yingjie,HAN Xue, SUN Fengping   

  1. Children's Hospital Affiliated to Zhengzhou University, Henan Children's Hospital, TCM Department of Zhengzhou Children's Hospital,Zhengzhou 450000,China
  • Online:2020-12-25 Published:2021-05-14

PDF (PC)

26

摘要： 目的：观察黄芪桂枝五物汤合枳术姜汤治疗小儿脾胃虚弱型虚秘的临床疗效。
方法：选取2017年9月至2018年10月河南省儿童医院中医科门诊收治的便秘患儿80例，随机分为对照组与观察组各40例。对照组给予乳果糖口服溶液，观察组给予黄芪桂枝五物汤合枳术姜汤加味，2周为1个疗程。治疗后观察两组临床总有效率及中医证候积分的变化。
结果：观察组临床总有效率为87.5%（35/40），显著高于对照组67.5%（27/40），差异有统计学意义（P<0.05）。观察组患儿治疗后主症积分、次症积分及总积分明显降低，与对照组比较差异均有统计学意义（P<0.5）。
结论：黄芪桂枝五物汤合枳术姜汤加味能有效改善脾胃虚弱型患儿的临床症状，提高临床疗效，具有一定临床使用价值。

关键词: 便秘, 黄芪桂枝五物汤, 枳术姜汤, 儿童

Abstract: Objective：To observe the clinical effect of Huangqi Guizhi Wuwu decoction and Zhizhujiang decoction in the treatment of constipation in children with weakness of the spleen and stomach.
Methods：A total of 80 children with constipation were selected, who were treated in the outpatient department of Henan Children's Hospital from Sep. 2017 to Oct. 2018, and they were divided into control group and observation group, 40 in each group. The control group was given lactulose oral liquid, and the observation group received Huangqi Guizhi Wuwu decoction and Zhizhujiang decoction with addition of some medicinal herbs; the treatment lasted for two weeks as a course. After treatment, the changes in clinical total effective rate and TCM symptom score were compared between the two groups.
Results：The clinical total effective rate of observation group was 87.5%(35/40), significantly higher than that of control group(67.5%,27/40), and the difference was of statistical significance(P<0.05).The major symptom score, minor symptom score and the total score of observation group were significantly reduced after treatment, and compared with those of control group, there was statistical differencee(P<0.05).
Conclusion：Huangqi Guizhi Wuwu decotion and Zhizhujiang decoction with addition of some medicinal herbs can effectively improve the clinical symptoms of constipation in children with weakness of spleen and stomach and increase the clinical effect, which has some clinical application value.

Key words: Constipation, Huangqi Guizhi Wuwu decoction, Zhizhujiang decotion, Child