雷火灸治疗小儿下元虚寒型遗尿症30例

doi:10.3969/j.issn.1000-8535.2020.06.016

广州医药 ›› 2020, Vol. 51 ›› Issue (6): 75-78.DOI: 10.3969/j.issn.1000-8535.2020.06.016

雷火灸治疗小儿下元虚寒型遗尿症30例

郑小红, 何田田, 马书鸽

广东省妇幼保健院中医科(广州 510010)

收稿日期:2020-05-20 出版日期:2020-11-20 发布日期:2021-11-28
通讯作者: 马书鸽,E-mail:1049995851@qq.com
基金资助:
广东省中医药局陈凤媚名中医传承工作室(2018年)

30 cases of kidney deficiency-cold syndrome enuresis children by thunder-fire moxibustion

ZHENG Xiaohong, HE Tiantian, MA Shuge

Department of Traditional Chinese Medicine of Guangdong Women and Children Hospital,Guangzhou 510010,China

Received:2020-05-20 Online:2020-11-20 Published:2021-11-28

摘要/Abstract

摘要： 目的探讨雷火灸对于小儿下元虚寒型遗尿症的临床疗效。方法采用回顾性分析,将60例遗尿症患儿随机分为治疗组和对照组各30例,对照组给予基础治疗(包括调整作息饮食、膀胱功能锻炼、反射训练等),治疗组则在基础治疗外给予雷火灸温灸小腹部及温阳补肾的相应穴位,两组均连续治疗3周。比较两组治疗前后每周遗尿天数、每天遗尿次数、每天的睡眠深度及中医症候积分变化,观察两组临床疗效及6个月后的复发率。结果治疗组使用雷火灸治疗小儿遗尿症的总有效率96.67%高于对照组的总有效率76.67%,治疗组中医症候积分减少优于对照组,治疗后6个月治疗组的复发率为10.34%,少于对照组,差异均有统计学意义(P<0.05)。结论雷火灸能有效减少下元虚寒型遗尿症患儿的遗尿次数,疗效显著,值得临床推广应用。

关键词: 遗尿, 下元虚寒, 小儿, 雷火灸

Abstract: Objective To investigate the clinical efficacy of treating kidney deficiency-cold syndrome enuresis children with thunder-fire moxibustion. Methods 60 cases were randomly divided into a control group of 30 cases and a treatment group of 30 cases. Patients in the control group were treated with basic treatment (including adjusting diet, bladder function exercise, reflex training and so on); while patients in the treatment group were treated with thunder-fire moxibustion,three weeks for treatment. The research was aimed at assessing the clinical effect of the two groups,observing the number of enuresis days per week, the number of enuresis times per day,the sleep depth per day and the change of TCM symptom score, and recording the recurrence rate after 6 months of treatment. Results The clinical efficacy of treatment group was better than that of the control group,and the efficiency was 96.67%,which was higher than that of the control group 76.67%,and the TCM symptom score of the treatment group decreased than that of the control group, both of the differences were statistically significant (P< 0.05). The recurrence rates at 6 months after treatment was 10.34% respectively,which were lower than those in the control group(P＜0.05). Conclusion The therapy has good effect,it can reduce the number of enuresis times and has low recurrence.

Key words: Enuresis, Kidney deficiency-cold syndrome, Children, Thunder-fire moxibustion

郑小红, 何田田, 马书鸽. 雷火灸治疗小儿下元虚寒型遗尿症30例[J]. 广州医药, 2020, 51(6): 75-78.

ZHENG Xiaohong, HE Tiantian, MA Shuge. 30 cases of kidney deficiency-cold syndrome enuresis children by thunder-fire moxibustion[J]. Guangzhou Medical Journal, 2020, 51(6): 75-78.

参考文献

[1] 汪受传.中医儿科学[M].北京:中国中医药出版社,2004:254-256.
[2] 马融,胡思源,丁樱,等.小儿遗尿症中药新药临床试验设计与评价技术指南[J].药物评价研究,2015,38(4):357-362.
[3] 沈茜,刘小梅,姚勇,等.中国儿童单症状性夜遗尿疾病管理专家共识[J].临床儿科杂志,2014,32(10):970-975.
[4] 王仲易,杜可,李晨,等.中医儿科临床诊疗指南·小儿遗尿症(修订)[J].中医儿科杂志,2018,14(1):4-8.
[5] 胡亚美,江载芳. 诸福棠实用儿科学[M].7版.北京:人民卫生出版社,2002:1604.
[6] 李帅,周朋.中医药治疗小儿遗尿研究进展[J].世界最新医学信息文摘,2019,19(78):47-48.
[7] 中华中医药学会. 中医儿科常见病诊疗指南 [S]. 北京:中国中医药出版社, 2012.
[8] 肖妮蓉,杨华彬,邓会英,等.强化饮食护理干预对儿童夜遗尿康复的影响[J].辽宁医学杂志,2018,32(1):49-51.
[9] 邓会英,高岩,杨华彬,等.儿童原发性夜间遗尿症112例临床特征[J].广东医学,2008(3):443-445.
[10] 赵颖,马艳立,高杨洁,等.生活护理指导对儿童原发性遗尿症的疗效[J].北京医学,2019,41(11):1053-1055.
[11] 石艳红,范文萃,徐丹,等.自拟遗尿方治疗小儿遗尿症脾肾两虚型30 例临床观察[J].中医儿科杂志,2017,13(2):63-66.
[12] TRYGGVE N,ALEXANDER G, PIET H,et al. The standardization of terminology of lower urinary tract function in children and adolescents: report from the Standardisation Committee of the International Children's Continence Society[J].J Urol,2006,26(176):314-324.
[13] 国家中医药管理局.中医病症诊断疗效标准〔M〕.北京:中国医药科技出版社,2014:301.
[14] 吴富甫,林晓燕,李蕙.遗尿方配合耳穴贴敷治疗小儿遗尿肾气不足型临床观察[J].中国中医药现代远程教育,2020,18(1):78-80.
[15] 赵时碧.中国雷火灸疗法[M].1版.上海:上海远东出版社,2008:40.

雷火灸治疗小儿下元虚寒型遗尿症30例

30 cases of kidney deficiency-cold syndrome enuresis children by thunder-fire moxibustion

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