Clinical observation of Suoquan capsule and Xingpi Yanger granule treatment on infantile enuresis based on the clinical syndromes
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摘要: 目的 小儿遗尿症是临床常见多发病,目前西医治疗遗尿效果欠佳,本研究旨在比较目前广泛使用的中成药缩泉胶囊和醒脾养儿颗粒治疗不同临床症候群的小儿遗尿症的疗效,以指导临床根据临床症候群合理选择药物。 方法 参照中医小儿遗尿症诊疗标准,根据患者临床症状及辅助检查结果等临床症候群的不同,将2017年6月1日-11月31日期间在上海儿童医学中心肾脏风湿科门诊就诊的21例遗尿症患儿分为肾气不足型(10例)和脾肺气虚型(11例)2组,2组均无糖尿病癫痫等基础疾病;其中肾气不足组主要入选症候群为生长发育情况及尿路症状,选用缩泉胶囊进行治疗;而脾肺气虚组则为消化道症状、体重、齿痕及舌苔,选用醒脾养儿颗粒进行治疗;2种药物的治疗总疗程均为3个月,观察药物起效时间以及药物不良反应和复发情况,比较2组的临床疗效。 结果 缩泉胶囊组10例,完全效应4例,部分效应3例,无效3例,总有效率为70.00%(7/10);醒脾养儿颗粒组11例,完全效应4例,部分效应4例,无效3例,有效率为72.72%(8/11),根据临床症候群选药的2组疗效明显,差异无统计学意义(P>0.05),观察3个月无复发,未发生明显的不良反应。 结论 根据患儿的临床症状(遗尿、尿路及消化道疾病)、体重、生长发育情况等进行简单的初步辨证,可以较合理选用缩泉胶囊或醒脾养儿颗粒治疗遗尿症,简单便捷,具有良好的临床实用性。Abstract: Objective Enuresis is a common and frequently occurring disease, and the treatment effect of western medicine is not so satisfied. The purpose of this study is to compare the curative effect of Suoquan and Xingpi Yanger granule in children with different clinical syndromes, so as to guide clinicians to select appropriate drugs according to clinical syndromes. Methods According to the clinical symptoms, auxiliary examination results and therapeutic standards of TCM syndrome for pediatric enuresis, 21 enuresis children without basic diseases, such as diabetes and epilepsy, were divided into deficiency of kidney-qi group (n=10), and deficiency of spleen and lung-qi group (n=11), who were treated in the Department of Rheumatism of Shanghai Children's Medical Center from June 1 to November 31 in 2017. The deficiency of kidney-qi group, with admission syndrome of growing development and urinary symptoms, was treated with Suoquan capsule for 3 months; the deficiency of spleen and lung-qi group, with admission syndrome of gastrointestinal symptoms, body weight, tooth marks and tongue coating, was treated with Xingpi Yanger granule for 3 months. And the therapeutic effects, adverse drug reactions and recurrence rate were observed. Results In the deficiency of kidney-qi group, 4 cases were CR, 3 cases were PR, and 3 cases were PD, with a total effective rate of 70.00% (7/10). In the deficiency of spleen and lung-qi group, 4 cases were CR, 4 cases were PR, and 3 cases were PD, with a total effective rate of 72.72% (8/11). There was no significant difference in the curative effect between the two groups (P>0.05). Three months follow-up did not observed the obvious adverse reaction and recurrence case. Conclusion The rational use of Suoquan capsule or Xingpi Yanger granule in the treatment of infantile enuresis according to the clinical signs (enuresis, urinary and gastrointestinal symptoms), body weight and growth status will achieve the desired result. The method, with good clinical practicality, is simple and convenient.
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Key words:
- Infantile enuresis /
- Clinical syndromes /
- Suoquan capsule /
- Xingpi Yanger granule /
- Children
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