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 ›› 2009, Vol. 1 ›› Issue (2): 136-139.

• 教学研究 • 上一篇    下一篇

清热化滞颗粒治疗小儿积滞兼风热证905例临床观察

  

  1. 430074 武汉,湖北省中医院(刘建忠,肖明中);067000 河北 承德,承德颈复康药业集团有限公司(刘书堂);210029 南京,南京中医药大学附属医院(汪受传,赵霞)
  • 出版日期:2009-04-25 发布日期:2019-06-20
  • 作者简介:刘建忠(1968-),男,医学博士,副主任医师。研究方向:中医药治疗小儿病毒性、免疫性疾病,Email:ljzwd@163.com。

Qingre Huazhi granule for retention of food belonging to windheat syndrome in children: an observation of 905 cases

  1. Hospital of TCM,Wuhan 430074,China
  • Online:2009-04-25 Published:2019-06-20

摘要: 目的观察清热化滞颗粒治疗小儿积滞兼风热证的临床疗效和对动物实验的胃肠激素影响。方法临床观察将患儿905例随机分为观察组和对照组,观察组口服清热化滞颗粒,对照组口服健儿清解液;动物实验用食积小鼠模型对胃肠相关激素进行研究。结果多期临床试验研究显示清热化滞颗粒的痊愈率和显效率分别为63.31%,23.79%,总有效率为87.10%;健儿清解液的痊愈和显效率分别为46.07%,28.57%,总有效率为74.64%。清热化滞颗粒治疗小儿积滞兼风热证综合疗效,痊愈率和总有效率均优于对照组,差异有统计学意义。动物实验结果显示,清热化滞颗粒能提高小鼠血和小肠组织中胃动素、胃泌素含量,降低生长抑素水平,但对血管活性肠肽作用不明显。结论清热化滞颗粒治疗小儿积滞兼风热证疗效安全、可靠,并且有促进胃肠蠕动的作用。

关键词: 清热化滞颗粒/治疗应用, 积滞/中医药疗法, 儿童, 辨证论治, 证侯

Abstract: ObjectiveTo observe the clinical efficacy of Qingre Huazhi granule to cure the children retention of food belonging to windheat syndrome, and investigate its effects on the level of animals gastrointestinal hormones. MethodsTotally 905 cases of retention of food were randomly divided into observation group and the control group in clinical research. The children of observation group orally took the Qingre Huazhi granule;the children of control group orally took Jianer Qingjie liquid. The gastrointestinal hormones of dyspeptic disease mice were researched in animal experiment. ResultsMany clinical studies had shown that the rate of cure, the rate of significance and the total effective rate of Qingre Huazhi granule was 63.31%, 23.79% and 87.10%,respectively. The rate of cure, the rate of significance and the total effective rate of Jianer Qingjie liquid was 46.07%, 28.57% and 74.64%,respectively. The comprehensive efficacy, cure rate and total effective rate in the observation group were better than those of the control group, which had significant differences in statistics.Animal experiments showed that particles could improve the content of motilin (MOT) and gastrin (GAS) in blood and small intestine tissue of mice, and could reduce the level of somatostatin (SS), but the effect on vasoactive intestinal peptide was not obvious. ConclusionIn our study, the Qingre Huazhi granule's clinical efficacy is safe and reliable, and can obviously improve the gastrointestinal peristalsis of the children retention of food belonging to windheat syndrome.

Key words: Qingre Huazhi granule/Therapeutic use, Retention of food/ Chinese medical therapy, Children, Treatment based on differentiation of symptomcomplex, Symptomcomplex