加味黄芽汤治疗小儿胃热湿阻型肥胖临床观察
Clinical Observation on Modified Huangya Decoction in the Treatment of Infantile Obesity of Stomach Heat Dampness Resistance Type
摘要: 目的：观察黄芽汤治疗小儿单纯性肥胖症胃热湿阻型肥胖的临床疗效。方法：选取单纯性肥胖患儿70例，随机分为观察组和对照组，每组各35例。观察组口服加味黄芽汤配合运动治疗，对照组采用单纯运动治疗，疗程均为8周。治疗结束后，对比观察患儿治疗前后相关指标的变化。运用SPSS26.0统计软件对相关数据进行对比分析。结果：观察组脱落3例，对照组脱落5例。治疗后观察组中医证候积分、BMI值较对照组降低，差异有统计学意义(P < 0.05)；观察组治疗总有效率为90.6% (29/32)高于对照组60% (18/30)，差异有统计学意义(P < 0.05)。结论：加味黄芽汤结合运动治疗的方法对单纯性肥胖症胃热湿阻证患儿具有一定的疗效，疗效明显优于单纯运动治疗。
Abstract: Objective: To observe the clinical effect of Huangya decoction on simple obesity in children with stomach heat dampness resistance type. Methods: 70 children with simple obesity were randomly divided into observation group and control group, 35 cases in each group. The observation group was treated with modified Huangya decoction and exercise therapy, while the control group was treated with exercise therapy alone. The course of treatment was 8 weeks. After the treatment, the changes of related indexes were observed before and after the treatment. SPSS26.0 statistical soft-ware was used to compare and analyze the related data. Results: 3 cases in the observation group and 5 cases in the control group fell off. The difference is statistically significant (P < 0.05). After treatment, the observation group showed a statistically significant decrease in traditional Chinese medicine syndrome scores and BMI values compared to the control group. The difference is statis-tically significant (P < 0.05). The total effective rate was 90.6% (29/32) in the observation group and 60% (18/30) in the control group, the difference is statistically significant. Conclusion: Modified Huangya decoction combined with exercise therapy has a certain therapeutic effect on simple obe-sity with stomach heat dampness resistance type, and the therapeutic effect is obviously better than that of simple exercise therapy.
文章引用：张米欣. 加味黄芽汤治疗小儿胃热湿阻型肥胖临床观察[J]. 中医学, 2023, 12(11): 3363-3369. https://doi.org/10.12677/TCM.2023.1211501

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