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1.北京中医药大学东直门医院儿科,北京 100700
2.国家儿童医学中心 首都医科大学附属北京儿童医院 中医科,北京 100045
周兆馨,女,25岁,硕士。研究方向:中医药治疗小儿脾胃系疾病。
穆静,E-mail:mujing256@sina.com
收稿日期:2024-06-03,
纸质出版日期:2025-08-25
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周兆馨,杨燕,潘岩,等.温胃合剂治疗儿童功能性腹痛脾虚气滞证的临床研究[J].北京中医药,2025,44(8):997-1001.
ZHOU Zhaoxin,YANG Yan,PAN Yan,et al.Clinical study of Wenwei Mixture in treating functional abdominal pain (spleen deficiency and qi stagnation syndrome) in children[J]. Beijing Journal of Traditional Chinese Medicine,2025,44(08):997-1001.
周兆馨,杨燕,潘岩,等.温胃合剂治疗儿童功能性腹痛脾虚气滞证的临床研究[J].北京中医药,2025,44(8):997-1001. DOI: 10.16025/j.1674-1307.2025.08.010.
ZHOU Zhaoxin,YANG Yan,PAN Yan,et al.Clinical study of Wenwei Mixture in treating functional abdominal pain (spleen deficiency and qi stagnation syndrome) in children[J]. Beijing Journal of Traditional Chinese Medicine,2025,44(08):997-1001. DOI: 10.16025/j.1674-1307.2025.08.010.
目的
2
观察温胃合剂治疗儿童功能性腹痛脾虚气滞证的临床疗效和安全性。
方法
2
选择2022年7月—2023年12月就诊于首都医科大学附属北京儿童医院门诊的功能性腹痛(脾虚气滞证)患儿72例,采用随机数字表法将患儿分为观察组和对照组。观察组予中药温胃合剂,对照组予奥美拉唑肠溶片,2组均以4周为1个疗程。观察治疗后2组的主要症状(中医证候积分、腹痛频率、腹痛持续时间、腹痛NRS评分)改善情况,比较2组总有效率、复发率和安全性。
结果
2
治疗4周后,2组主要症状及中医证候积分均较治疗前降低(
P
<
0.05),且观察组腹痛持续时间、NRS评分及中医证候积分总分均低于对照组(
P
<
0.05)。治疗2、4周,观察组总有效率均高于对照组(
P
<
0.05);治疗4周,观察组总有效率高于本组治疗2周(
P
<
0.05)。停药4周后,观察组复发10例(28.57%),对照组复发23例(76.67%),停药4周,观察组治疗有效患儿腹痛频率评分、腹痛持续时间、NRS评分均低于对照组(
P
<
0.05)。2组患儿用药和随访期间一般生命体征正常,均未出现药物相关的明显皮疹、恶心、呕吐等不良反应。疗程结束后复查血、尿、便均未见明显异常。
结论
2
温胃合剂治疗儿童功能性腹痛脾虚气滞证疗效显著,可明显改善患儿临床症状,降低复发率,且安全性较高。
Observe To observe the clinical efficacy and safety of
Wenwe
i
Mixture
in the treatment of functional abdominal pain (spleen deficiency and
qi
stagnation syndrome) in children.
Methods
2
A total of 72 children with functional abdominal pain (spleen deficiency and
qi
stagnation syndrome) who visited the outpatient department of Beijing Children's Hospital, Capital Medical University, from July 2022 to December 2023 were selected. The children were randomly divided into an observation group and a control group using a random number table. The observation group was treated with
Wenwe
i
Mixture
, while the control group was treated with omeprazole enteric-coated tablets. Both groups received treatment for 4 weeks. The improvement of the main symptoms, including traditional Chinese medicine (TCM) syndrome score, frequency of abdominal pain, duration of abdominal pain, NRS score, after treat
ment was observed, and the total effective rate, recurrence rate, and safety of the two groups were compared.
Results
2
After 4 weeks of treatment, the main symptom scores and total TCM syndrome scores of both groups were significantly reduced compared to those before treatment (
P
<
0.05), with the observation group showing a greater reduction in the duration of abdominal pain, NRS score, and total TCM syndrome score than the control group (
P
<
0.05). After 2 and 4 weeks of treatment, the total effective rate of the observation group was significantly higher than that of the control group (
P
<
0.05). The total effective rate of the observation group at 4 weeks was higher than that at 2 weeks (
P
<
0.05). The recurrence rate in the observation group was 6.25% (2 cases), while the control group had a recurrence rate of 42.11% (8 cases). The recurrence rate in the observation group was significantly lower than that in the control group (
P
<
0.05). Four weeks after stopping the medication, the observation group showed significantly lower scores for frequency of abdominal pain, duration of abdominal pain, and NRS score compared to the control group (
P
<
0.05). During the medication and follow-up period, both groups showed normal general vital signs, with no significant drug-related adverse reactions such as rashes, nausea, or vomiting. Blood, urine, and stool tests performed after the treatment showed no significant abnormalities.
Conclusion
2
Wenwe
i
Mixture
is highly effective in treating functional abdominal pain (spleen deficiency and
qi
stagnation syndrome) in children. It can significantly improve clinical symptoms, reduce recurrence rates, and has a high safety profile.
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