| 温振英,吕敏华,曾昭田,李秋英,金敬善,李荫芝.健脾益气法治疗小儿营养缺铁性贫血的临床研究[J].,1987,(8):469-471,453 |
| 健脾益气法治疗小儿营养缺铁性贫血的临床研究 |
| Study on Treatment of Children’s Iron-Deficiency Anemia with Invigorating the Spleen and Replenishing the Qi |
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| DOI： |
| 中文关键词: 健脾益气法 缺铁性贫血 木糖吸收率 托幼儿童 脾虚型 治疗前后 小儿贫血 治疗后 营养性贫血 健脾法 |
| 英文关键词: |
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| 中文摘要: |
| 本文通过对小儿脾虚型贫血的调查,运用健脾益气法治疗托幼儿童营养缺铁性贫血,先后与补血法、铁剂和空白组对照,并观察治疗前后小肠木糖吸收率的变化。结果:健脾组三批548例,显效率分别为38.6%、70.5%、84%,高于和接近补血组(两批140例,显效率分别为56.7%、28.8%)、铁剂组(38.2%)及空白组(28.4%)。治疗前小肠木糖吸收率均值为15.9±3.4%,治疗后为24.84±8.7%。初步说明促进造血营养物质的吸收可能是健脾法疗效的机理之一。 |
| 英文摘要: |
| This paper is an investigation on anemia with spleen deficiency syndrome and treatment with invigorating the spleen and replenishing the Qi(ISRQ),and compared with tonifying the blood,ferrotherapy and blank control separately.The change of xylose excretion rate between pre-and post-treatment was ob- served,and the essence of"spleen is the origin of blood formation"was explored.Result:A group of 3076 children,aged 2～7 years,from 11 nurseries of local municipal and district institutions in Beijing, have their blood examined.They were free from any kind of infectious disease.The Hb of children below 3 years old was less than 11 g/dl,and those over 3 years were 12 g/dl.A total of 967 cases had iron-deficiency anemia (IDA),the incidence was 31.5%,which was irrelevant with age and condition of the nursery.789 of them were spleen deficiency(81.6%),and 178 were blood deficiency(18.4%)in TCM.Therefore,spleen deficiency was the main pathogenic factor of IDA.548 IDA children were treated in 3 batches with ISRQ method comparing with tonifying blood group(140 cases),ferrotherapy group(76 cases)and blank coritrol group(67 cases).The marked effective rates were 84～38.6 % in ISRQ groups which were significantly higher than the 28.4% in blank control(P<0.001),and approached 56.7～28.8% in tonifying the blood and 38.2% in ferrotherapy group.Before the treatment of ISRQ,the average xylose excretion rates were 15.86±3.4%,and after the treatment,21.86±8.7%.It indicated that the reason of those spleen deficiency anemic children were their own spleen deficiency even if they were well nourished.So the ISRQ method is better than tonifying the blood and approach to ferrotherapy.It had no side effect,was easy to take for a long time,could stimulate the appetite and prevent from catching cold.This study suggests that the mechanism of ISRQ improved the intestinal absorption of nutrient substance for blood formation,which elucidate the essence of the theory"spleen is the origin of blood formation". |
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