吉林大学第一医院
纸质出版:2012
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[1]王丽杰,董宇翔.止遗安泉饮联合针刺治疗小儿遗尿症41例临床观察[J].中医杂志,2012,53(02):139-141.
WANG Lijie1, DONG Yuxiang2. Clinical Observation on 41 Cases of Children Nocturnal Enuresis Treated by Zhiyi Anquan Yin Jointed with Acupuncture[J]. Journal of Traditional Chinese Medicine2012, 53(2): 139-141.
[1]王丽杰,董宇翔.止遗安泉饮联合针刺治疗小儿遗尿症41例临床观察[J].中医杂志,2012,53(02):139-141. DOI: 10.13288/j.11-2166/r.2012.02.013.
WANG Lijie1, DONG Yuxiang2. Clinical Observation on 41 Cases of Children Nocturnal Enuresis Treated by Zhiyi Anquan Yin Jointed with Acupuncture[J]. Journal of Traditional Chinese Medicine2012, 53(2): 139-141. DOI: 10.13288/j.11-2166/r.2012.02.013.
目的观察止遗安泉饮联合针刺治疗小儿遗尿症的临床疗效。方法将108例遗尿症患儿随机分为中药组33例、针刺组34例、针药组41例。中药组口服中药汤剂止遗安泉饮水煎剂
早晚各100ml;针刺组取穴(前组):关元、中极、横骨、归来、三阴交(双侧)
取穴(后组):双侧肾俞、腰眼、八髎、委中
前组与后组隔日交替针刺
每次留针20min;针药组口服止遗安泉饮配合针刺治疗。3组患儿均连续治疗20d
观察治疗前后及随访3个月的每周遗尿次数及总体疗效
3个月后随访统计有效病例的巩固率、渐愈率及复发率。结果中药组总有效19例(57.6%)
针刺组总有效20例(58.8%)
针药组总有效40例(97.6%)
针药组总有效率明显高于中药组和针刺组(P<0.05);针药组治疗后较治疗前遗尿次数明显减少(P<0.05);治疗后及随访时遗尿次数针药组亦明显低于中药组和针刺组(P<0.05);3个月后随访针药组巩固率明显高于中药组和针刺组、复发率明显低于中药组和针刺组(P<0.05)。结论止遗安泉饮配合针刺治疗小儿遗尿疗效肯定
并优于单纯口服中药及单纯针刺治疗。
Objective To observe the therapeutic effect of Zhiyi Anquan Yin (Decoction for stopping enuresis) jointed with acupuncture on the infantile nocturnal enuresis (NE). Methods Totally 108 NE children were randomized into Chinese herbal medicine group of 33 cases
acupuncture group of 34 cases
and Chinese herbal medicine plus acupuncture group of 41 cases. The Chinese herbal medicine group was administered decoction of Zhiyi Anquan Yin
100ml in the morning and in the evening respectively. The acupuncture group was treated with acupuncture at acupoints Guanyuan (CV 4)
Zhongji (CV 3)
Henggu (KI 11)
Guilai (ST 29)
Sanyinjiao (SP 6)
Shenshu (BL 23)
Yaoyan (EX-B7)
Shangliao (BL 31)
Ciliao (BL 32)
Zhongliao (BL 33)
Xialiao (BL 34)
Weizhong (BL 40). The acupoints of front side and back side were alternatively used every other day
and the needles were retained for 20min each time. The Chinese herbal medicine plus acupuncture group was administered decoction of Zhiyi Anquan Yin and also treated with acupuncture. All three groups were treated for 20 days in succession. The frequency of NE of each week before and after treatment
during the 3-month follow-up
and the overall effect were observed. After the 3-month follow-up
the consolidation rate
gradually cured rate
and recurrence rate of the effective cases were followed up. Results In the Chinese herbal medicine group
19 cases (57.6%) were effective
in the acupuncture group
20 cases (58.8%) were effective
while in the Chinese herbal medicine plus acupuncture group
40 cases (97.6%) were effective. The total effective rate of Chinese herbal medicine plus acupuncture group was significantly higher than that of the other two groups (P<0.05). The frequency of NE of the Chinese herbal medicine plus acupuncture group after treatment was significantly reduced (P<0.05). After treatment and during the 3-month follow-up
the frequency of NE of the Chinese herbal medicine plus acupuncture group was also significantly lower than that of the other two groups (P<0.05). The consolidation rate of the Chinese herbal medicine + acupuncture group after the 3-month follow-up was significantly higher and the recurrence rate significantly lower than those of the other two groups (P<0.05). Conclusion Zhiyi Anquan Yin jointed with acupuncture is effective for children NE
and superior to the herbal medicine oral taking or acupuncture treatment only in result.
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