针药结合治疗脾肾两虚型小儿遗尿症的临床研究-《西部中医药》

文章信息/Info

Title:: Clinical Study on the Combination of Acupuncture and Medicine in Treating Children with Enuresis of Spleen and Kidney Deficiency Pattern

Author(s):: DU Ke, WANG Zhongyi△; Beijing Hospital of TCM Affiliated to Capital Medical University, Beijing 100010, China

Keywords:: enuresis; spina bifida occulta; TCM treatment; acupuncture therapy; the combination of acupuncture and medicine; children

摘要:: 目的：观察针药结合治疗脾肾两虚型小儿遗尿症的临床疗效。方法：将87例患儿按有无脊柱裂分为无脊柱裂组(NORM)53例与有脊柱裂组(SBO)34例，两组均给予温肾健脾、开窍醒神、固摄缩尿之针药结合法治疗。观察两组临床疗效及中医症候减分值结果：总有效率NORM组为62.26%（33/53），SBO组为47.06%（16/34），两组比较差异无统计学意义(P＞0.05)。中医证候积分减分值NORM组为（1.43±0.91）分，SBO组为（0.94±0.98）分，两组比较差异有统计学意义(P＜0.05)。结论：采用温肾健脾、开窍醒神、固摄缩尿之针药结合法治疗脾肾两虚型小儿遗尿症，短期临床疗效显著。

Abstract:: Objective: To survey clinical effects of the combination of acupuncture and medicine in the treatment of children with enuresis of spleen and kidney deficiency pattern. Methods: All 87 children were divided into 53 cases of the normal group (NORM) and 34 cases of spina bifida occulta (SBO) group according to whether there is SBO, both groups were treated by acupuncture and medicine to warm kidney, invigorate spleen, open the orifices and induce the resuscitation, conslidate and contract the urine. To observe clinical effects and TCM syndrume integrals between both groups. Results: Total effective rate of NORM group was 62.26% (33/53), higher than 47.06% (16/34) of SBO group, and the difference had no statistical meaning between both groups (P＞0.05). Decreased scores of TCM syndrome integrals of NORM group was (1.43±0.91) points, higher than (0.94±0.98) points of SBO group, and the difference had statistical meaning beween both groups (P＜0.05). Conclusion: The combination of acupuncture and medicine of warming spleen and invigorating spleen, openning the orifices and inducing the resuscitation, conslidating and contracting the urine could gain notable clinical effects in the treatment of children with enuresis of spleen and kidney deficiency pattern shortly.