Objective To observe the clinical efficacy of"Shenlingbaizhu San combined with Xiaoyao San"( SScwXS) and zinc gluco-nate for the treatment of left-behind children′s anorexia. Methods Children in accordance with the criteria of diagnosis were random-ized into groups A,B and C. Group A was treated with Jianwei Xiaoshi tablets and zinc gluconate granules,group B was treated with SS-cwXS and Jianwei Xiaoshi tablets,and group C was treated with SScwXS and zinc gluconate granules. All groups were treated in the course of 14 days. Appetite and food consumption of children were observed and compared before and after treatment. Results ( 1 ) There were statistically significant differences in scores between pretreatment and posttreatment in all the groups (P<0. 05). The total effective rates of groups A,B and C were 77. 42％,93. 75％ and 97. 22％,respectively. The clinical effects of groups B and C were sig-nificantly better than that of group A (P<0. 05). And the clinical symptom scores of groups B and C were also significantly lower than that in group A. (2) Follow-up showed that the recurrence rate of group C was the lowest,which was significantly different from that of group A (P<0. 05). Conclusions Combined SScwXS and zinc gluconate can achieve satisfaction effects in the treatment of left-be-hind children′s anorexia.%目的 观察参苓白术散合逍遥散加减联合葡萄糖酸锌治疗留守儿童厌食症的临床疗效.方法 选择符合诊断标准的患儿随机分组,A组口服健胃消食片联合葡萄糖酸锌颗粒,B组口服参苓白术散合逍遥散加减联合健胃消食片,C组口服参苓白术散合逍遥散加减联合葡萄糖酸锌颗粒,各组均连续应用14 d,观察治疗前后各组患儿食欲、食量等症状变化情况.结果(1)临床疗效:各组治疗前后评分比较差异有统计学意义(P<0.05).A、B、C三组总有效率分别为77.42％、93.75％及97.22％.B、C两组临床疗效明显优于A组(P<0.05);B、C两组治疗后临床症状评分也明显低于A组(P<0.05).(2)跟踪随访:C组复发结局率最低,与A组比较差异有统计学意义(P<0.05).结论 参苓白术散合逍遥散加减对儿童厌食症疗效确切,联合葡萄糖酸锌治疗效果更好.
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