艾灸脾俞穴治疗小儿慢性腹泻疗效观察_张玲璐

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1、•临床研宄•文章编号：1005-0957(2016)06-0697-03艾灸脾俞穴治疗小儿慢性腹泻疗效观察张玲璐(浙江省舟山医院，舟山316000)【摘要】目的观察艾灸脾俞穴治疗小儿慢性腹泻的临床疗效，为艾灸治疗小儿慢性腹泻提供临床证据。方法选取87例慢性腹泻患者，随机分为治疗组和对照组，对照组予以常规治疗，治疗组在对照组基础上予以艾灸脾俞穴治疗，对比两组患者治疗前后血清免疫球蛋白(IgA、IgM、IgG)及肠道分泌型免疫球蛋白(slgA)和临床疗效。结果两组患者治疗后IgA、IgM,TgG、sTgA比较差异均有统计学意义(戸<0.05

2、);治疗组愈显率为58.1%,对照组愈显率为34.1%,治疗组愈显率高于对照组，差异具有统计学意义(/<0.05):治疗组总有效率为100.0%，对照组总有效率为88.6%，治疗组总有效率高于对照组，差异具有统计学意义(/、<0.05)。结论艾灸脾俞穴治疗小儿慢性腹泻,可调整脾胃功能，提高机体抗病能力,达到较好的临床疗效。【关键词】腹泻;艾条灸;穴，脾俞;免疫球蛋白；肠道分泌型免疫球蛋白【中图分类号】R246.4【文献标志码】AD01:10.13460/j.issn.1005-0957.2016.06.0697TherapeuticOb

3、servationofMoxibustionatPishu(BL20)forChronicDiarrheainKidsZHANGLing-lu.ZhejiangZhoushanHospital,Zhoushan316000，C/n>2“[Abstract]ObjectiveToobservetheclinicalefficacyofmoxibustionatPishu(BL20)intreatingchronicdiarrheainkids，andtoprovideclinicalevidenceforthetreatmentofkid

4、’schronicdiarrhea.MethodEighty-sevenpatientswithchronicdiarrheawererandomizedintoatreatmentgroupandacontrolgroup.Thecontrolgroupwasintervenedbyregulartreatment，whilethetreatmentgroupwasbymoxibustionatPishuinadditiontotheinterventiongiventothecontrolgroup.Theserumimmunogl

5、obulin(Ig)A,IgM，IgG，andsecretiveimmunoglobulin(slgA)werecomparedbeforeandafterintervention.ResultAfterintervention,thereweresignificantdifferencesincomparingIgA,IgM,IgG，andslgAbetweenthetwogroups(尸<0.05);therecoveryplusmarkedly-effectiveratewas58.1%inthetreatmentgroupver

6、sus34.1%inthecontrolgroup，andthedifferencewasstatisticallysignificant(P<0.05);thetotaleffectiveratewas100.0%inthetreatmentgroupversus88.6%inthecontrolgroup,andthedifferencewasstatisticallysignificant(P<0.05).ConclusionMoxibustionatPishucanregulatethefunctionofspleenandst

7、omach,enhancethebodyresistancetodisease,andproduceasatisfactoryefficacyintreatingkid’schronicdiarrhea.[Keywords]Diarrhea;Moxastickmoxibustion;Point，Pishu(BL20);Immunoglobulins;Secretiveimmunoglobulins小儿腹泻是儿科常见病种之一。患者年纪尚小,消化系统发育尚未成熟，机体防御功能差，易受病毒、细菌、真菌等致病微生物感染而加重腹泻。慢性腹泻病多由

8、于腹泻治疗不彻底，营养状况差或乳糖酶缺乏及长期滥用抗生素引起肠道菌群失调所致［1］。患者长期腹泻易发生脱水、酸中毒及电解质紊乱，持续时间过长可导致营养不良，生长发育障碍甚至导致死亡［2］。现代医学多以营养治