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目的观察特色手法(推拿配合冯氏捏积)配合中药内服治疗小儿遗尿病脾肾两虚证的近期、远期疗效。方法将70例患儿随机分成治疗组、对照组各35例。治疗组以特色手法(推拿配合冯氏捏积)联合中药内服,对照组采用单纯中药内服,2组疗程均为4周。比较2组治疗1个月、治疗后3个月的临床疗效。结果治疗1个月、治疗后3个月,治疗组总有效率分别为60%、85.7%,对照组总有效率分别为42.9%、71.4%,2组比较差异均无统计学意义(P>0.05);治疗1个月:治疗组中医证候有效率为34.2%,对照组为25.7%,2组差异无统计学意义(P>0.05);治疗后3个月:治疗组中医证候有效率为85.7%、对照组为62.9%,2组比较差异有统计学意义(P<0.05)。结论特色手法(推拿配合冯氏捏积)配合中药内服治疗小儿遗尿病脾肾两虚证中医证候疗效更优。
Objective To observe the short-term and long-term effects of special techniques (massage combined with Feng’s pinch product) and traditional Chinese medicine oral administration for the treatment of children with enuresis and spleen deficiency syndrome. Methods 70 children were randomly divided into treatment group and control group of 35 cases. The treatment group with special techniques (massage with Feng pinch plot) combined with oral administration of traditional Chinese medicine, the control group with a single oral administration of traditional Chinese medicine, two groups were 4 weeks course of treatment. The clinical effects of 2 months treatment and 3 months after treatment were compared. Results After treatment for 1 month and 3 months after treatment, the total effective rates in the treatment group were 60% and 85.7%, respectively. The total effective rates in the control group were 42.9% and 71.4% respectively. There was no significant difference between the two groups (P> 0.05). One month after treatment, the effective rate of TCM syndromes in the treatment group was 34.2% and in the control group was 25.7%, there was no significant difference between the two groups (P> 0.05); 3 months after treatment: The efficiency was 85.7% in the control group and 62.9% in the control group. There was significant difference between the two groups (P <0.05). Conclusion The special technique (massage combined with Feng pinch plot) with traditional Chinese medicine oral administration of treatment of children with enuresis deficiency syndrome of spleen and kidney deficiency syndrome is more effective.