揿针联合中药穴位贴敷治疗肝郁脾虚型小儿肠系膜淋巴结炎的疗效观察OA
Therapeutic efficacy observation of thumbtack needles plus acupoint application with Chinese medicine for mesenteric lymphadenitis of liver depression and spleen deficiency pattern in children
目的 观察揿针联合四逆散加减穴位贴敷治疗肝郁脾虚型小儿肠系膜淋巴结炎的临床疗效.方法 将70 例肠系膜淋巴结炎患者采用随机数字表法分成常规组和联合组,每组 35 例.两组均予基础治疗,常规组采用揿针治疗,联合组采用四逆散加减穴位贴敷联合揿针治疗.比较两组治疗前后中医证候积分、肠系膜淋巴结状态、症状消失时间及血炎症因子[白细胞计数、白细胞介素-6(interleukin-6,IL-6)、降钙素原(procalcitonin,PCT)、C 反应蛋白(C-reactive protein,CRP)]水平,并比较两组临床疗效及不良反应发生情况.结果 治疗后,两组肠系膜淋巴结横径和纵径、中医证候积分、炎症因子水平均降低(P＜0.05),且联合组低于常规组(P＜0.05);联合组治疗后体温恢复正常时间、腹痛消失时间、大便恢复正常时间短于常规组(P＜0.05);联合组的总有效率为 94.3%,高于常规组的 74.3%(P＜0.05);联合组不良反应发生率为 11.4%,常规组为 5.7%,两组比较差异有统计学意义(P＜0.05).结论 在基础治疗的基础上,揿针联合四逆散加减穴位贴敷治疗肝郁脾虚型小儿肠系膜淋巴结炎疗效显著,能够有效改善患者的中医证候积分及相关症状.
Objective To observe the clinical efficacy of thumbtack needles combined with acupoint application with modified Si Ni San in treating children's mesenteric lymphadenitis due to liver depression and spleen deficiency.Method Seventy patients with mesenteric lymphadenitis were assigned to a conventional group and a combined group using the random number table method,with 35 cases in each group.Both groups received basic intervention.In addition,the conventional group was administered thumbtack needle treatment,and the combined group received acupoint application with modified Si Ni San plus thumbtack needle treatment.Before and after treatment,the symptom scores of traditional Chinese medicine(TCM),the status of mesenteric lymph nodes,symptom relief time,and the levels of blood inflammatory factors[white blood cell(WBC)count,interleukin-6(IL-6),procalcitonin(PCT),and C-reactive protein(CRP)]were compared.The two groups were also compared in terms of clinical efficacy and adverse reactions.Result After treatment,both groups demonstrated decreases in the transverse and longitudinal diameters of mesenteric lymph nodes,TCM symptom scores,and inflammatory factor levels(P＜0.05),and the combined group showed lower values than the conventional group(P＜0.05).Compared to the conventional group,the combined group took less time to restore normal body temperature,relieve abdominal pain,and resume normal bowel movements(P＜0.05).The combined group achieved a total effective rate of 94.3%,higher than 74.3%in the conventional group(P＜0.05).The adverse reaction rate was 11.4%in the combined group,versus 5.7%in the conventional group;the between-group difference was statistically significant(P＜0.05).Conclusion Based on basic intervention,thumbtack needle therapy combined with acupoint application with modified Si Ni San produces significant efficacy in treating children's mesenteric lymphadenitis due to liver depression and spleen deficiency,effectively improving TCM symptom scores and related symptoms.
沙丽超;王金凤;肖倩;边伟平;张冲;王艳红
遵化市人民医院,遵化 064200遵化市人民医院,遵化 064200遵化市人民医院,遵化 064200任丘市人民医院,任丘 062550河北省安国市医院,安国 071200遵化市人民医院,遵化 064200
医药卫生
穴位贴敷法四逆散皮内针疗法揿针肝郁脾虚肠系膜淋巴结炎儿童
Acupoint application therapySi Ni SanIntradermal needle therapyThumbtack needleLiver depression and spleen deficiencyMesenteric lymphadenitisChild
《上海针灸杂志》 2026 (5)
522-527,6
河北省中医药管理局项目(2023215)
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