Guo Chun-Hua, Zhang Xue-Qing, Qu Le, Hu Pei-Duo
Department of Pediatrics, Traditional Chinese Medicine Hospital of Xinjiang Uygur Autonomous Region, Urumqi 830000, China.
Zhen Ci Yan Jiu. 2019 Jun 25;44(6):451-3. doi: 10.13702/j.1000-0607.190007.
To investigate the clinical effect of acupuncture at Sifeng (EX-UE10) combined with Wang's Baochi Pills in the treatment of pediatric malnutrition, so as to provide a more effective method for pediatric malnutrition.
A total of 201 children with malnutrition were randomly divided into combined treatment group (＝102) and control (Baochi Pill) group (＝99). The children in the combined treatment group were treated by acupuncture stimulation of Sifeng (EX-UE10, till no more yellowish-white effusion out) and oral administration of Wang's Baochi Pills, and those in the control group treated by oral administration of Wang's Baochi Pills only. The course of treatment was one month for both groups. The integral score of symptom was assessed according to the main symptoms as body weight and height and food-intake, and to the secondary symptoms including mentality, agitation, sleep, hair gloss, susceptibility to cold, hydrosis, abdominal distension, and susceptibility to diarrhea or constipation. The therapeutic effect was assessed by consulting the "Criteria for Diagnosis and Therapeutic Effect Evaluation of Syndromes/Illnesses of Traditional Chinese Medicine (TCM)" and "TCM Professional Criteria of the People's Republic of China for Diagnosis and Therapeutic Effect Evaluation of Syndromes/Diseases of TCM Pediatric".
After the treatment, the total symptom scores of both groups were significantly decreased in comparison with their own pre-treatment (<0.05), and the scores of total symptom after the treatment and the 1, 2 and 3 follow-up surveys were obviously lower in the combined treatment group than in the control group (<0.05). Of the 99 and 102 cases in the control and combined treatment groups, 47 and 59 were cured, 39 and 37 experienced improvement in their symptoms, and 13 and 6 failed, with the effective rate being 86.87% (86/99) and 94.11%(96/102), respectively. The effective rate of the combined treatment was evidently higher than that of the simple medication (<0.05).
Acupuncture of Sifeng (EX-UE10) combined with Wang's Baochi Pills is better than administration of Wang's Baochi Pills alone in the therapeutic effect for pediatric malnutrition.
观察针刺四缝（EX - UE10）配合王氏保赤丸治疗小儿营养不良的临床疗效，为小儿营养不良提供更有效的治疗方法。
将201例营养不良患儿随机分为联合治疗组（102例）和对照组（保赤丸组，99例）。联合治疗组采用针刺四缝（EX - UE10，至无黄白色液体流出）配合口服王氏保赤丸治疗，对照组仅口服王氏保赤丸治疗。两组疗程均为1个月。根据体重、身高、食量等主要症状及精神状态、烦躁、睡眠、毛发光泽、易感冒、多汗、腹胀、易腹泻或便秘等次要症状进行症状积分评定。参照《中医病证诊断疗效标准》及《中华人民共和国中医药行业标准·中医儿科病证诊断疗效标准》评定疗效。
治疗后，两组总症状积分较治疗前均显著降低（P<0.05），且联合治疗组治疗后及治疗后1、2、3个月随访时的总症状积分均明显低于对照组（P<0.05）。对照组99例、联合治疗组102例中，治愈分别为47例、59例，好转分别为39例、37例，无效分别为13例、6例，有效率分别为86.87%（86/99）、94.11%（96/102）。联合治疗组有效率明显高于单纯药物治疗组（P<0.05）。
针刺四缝（EX - UE10）配合王氏保赤丸治疗小儿营养不良的疗效优于单纯服用王氏保赤丸。
