益气健脾化湿法治疗小儿疳证及其微量元素变化

作者	单位
时毓民	上海医科大学中西医结合研究所儿科研究室
蔡德培	上海医科大学中西医结合研究所儿科研究室
傅美娣	上海医科大学儿科医院中医科
沈雅娟	上海医科大学儿科医院中医科
史菊妹	上海医科大学放射医学研究所
邹孝芳	上海医科大学放射医学研究所

摘要点击次数: 1410

全文下载次数: 969

中文摘要:

应用益气健脾化湿法为主的中药治疗小儿疳证52例,平均疗程8.6周,并对部分患儿检测了治疗前后血清微量元素。结果:显效33例,好转18例,无效1例,总有效率98%。治疗前后测定血清微量元素表明:治疗后血锌明显增高,铜/锌比值下降,血铜、锰无明显改变。

英文摘要:

This paper reports that 52 cases of infantile Gan Zheng(malnutrition)were treated with the method of replenishing the Qi,invigorating the spleen and resolving the dampness.24 were male and 28 female,5 months to 5 years in age.The chief symptoms were emaciated and pale,anorexia,susceptible to cold, constipation or diarrhea,their weight and height were below normal in average,with only one exception in height.The Hb of 49 cases has been measured,with 29 cases lower than 11 g/dl,and 15 of them associated with dampness-heat.These cases were treated with clearing up the heat and eliminating the dampness at first,after disappearance of dampness-heat,the treatment of replenishing the Qi and invigorating the spleen was added.The average course of treatment was 8.6 weeks.It was encouraging that 50 cases improved in apetite,the rate of weight and height growth in 45 and 40 cases surpassed that of normal.Hb was re-examined and it reached normal value in 18 out of 27 cases.After treatment,33 cases improved markedly, 18 cases improved with 1 patient failing to answer.The rate of marked improvement was 63.5%,the total effective rate reached 98%.Using the method of atomic absorption spectrophotometry,the mean difference ±SE(μg/dl)of the plasma Zn,Cu in 33 cases and plasma Mn in 26 cases pre-and post-treatment were Zn 27.88±4.89(P<0.001),Cu 22.5±2.82(P>0.05),Mn 0.0029±0.001(P>0.05)respectively.It showed that a marked elevation in plasma Zn was obtained with few changes in Cu and Mn.The above results showed that the Chinese drugs might yield better effects in infantile Gan Zheng,in terms of the acceleration of the growth rate,disapperance of anemia,increase in plasma Zn and improvement in other symptoms.

关闭