小儿脾胃贴对不同证型功能性消化不良患儿的临床研究

Clinical Study on Pediatric Spleen-Stomach Acupoint Patches for Functional Dyspepsia in Children with Different Syndrome Patterns

摘要: 目的：探究小儿脾胃贴应用于不同中医证型功能性消化不良病情的缓解效果，分析脾胃在儿童功能性消化不良发病机制中的关键作用。方法：所纳入的200例对象均为功能性消化不良患儿，依照中医理论展开细致的辨证分型，对各型患儿分别施用小儿脾胃贴，记录治疗前、治疗1个疗程后的症状评分，观察治疗前后各证型患儿的临床疗效及症状评分变化。结果：与贴敷前相比，不同证型功能性消化不良病症评分均下降，差异有统计学意义(P < 0.05)。同时，寒热错杂证型治疗中效果最突出，总有效率高达100%。结论：功能性消化不良的患儿中脾虚气滞证患儿最多，寒热错杂证患儿最少；小儿脾胃贴对各证型功能性消化不良症状改善疗效明确。

Abstract: Objective: To investigate the therapeutic efficacy of pediatric spleen-stomach acupoint patches in alleviating functional dyspepsia (FD) across different TCM syndrome patterns, and to analyze the pivotal role of spleen-stomach dysfunction in FD pathogenesis among children. Methods: A total of 200 pediatric FD patients were enrolled and classified into distinct TCM syndrome patterns through rigorous differentiation. Each subgroup received treatment with pediatric spleen-stomach acupoint patches. Symptom scores were recorded before and after one treatment course, so as to observe the clinical efficacy and score variations before and after treatment of children with different types of FD. Results: Compared with the pre-treatment period, the symptom scores of FD of different types decreased, and the difference was statistically significant (P < 0.05). At the same time, the cold-heat complex syndrome demonstrated the most pronounced improvement, achieving a 100% total efficacy rate. Conclusion: Among FD children, spleen deficiency with qi stagnation was the most prevalent syndrome, while cold-heat complex was the rarest. Pediatric spleen-stomach acupoint patches showed definitive efficacy in ameliorating FD symptoms across all syndrome patterns.