目的 观察肉桂散配合推拿手法治疗小儿厌食症的临床效果。方法 80例患儿,按随机原则分为对照组和实验组,每组40例。对照组以滑石粉为介质实施推拿;实验组以肉桂散为介质涂抹于推拿局部皮肤表面后实施推拿。以5 d为一疗程,共两个疗程。结果 第一疗程后对照组和治疗组两组患儿的进食液体食物增加量分别为(144.75±70.21)ml、(164.75±76.37)ml,对照组的进食液体量大于对照组(P＜0.05);两组患儿进食固体食物增加量分别为(39.75±50.66)g、(34.50±41.01)g,体重变化为(151.25±225.15)g、(160.25±178.52)g,第一疗程后进食固体食物增加量、体重变化量差异均无统计学意义(P＞0.05)。第二疗程后,两组患儿进食液体量分别为(77.38±51.87)ml、(139.75±67.74)ml,治疗组患儿进食液体的增加量显著大于对照组(P＜0.01);进食固体食物增加量分别为(19.75±21.18)g、(27.25±46.35)g,两组比较差异无统计学意义(P＞0.05);体重增加量分别是(300.75±321.44)g、(390.50±219.44)g,治疗组患儿的体重增加大于对照组(P＜0.05)。结论 肉桂散配合推拿手法治疗脾胃气虚型小儿厌食疗效确切,值得推广。

Objective To observe clinical therapeutic effect of the Chinese medical massage with cinnamon powder for infantile anorexia. Methods Eighty children with anorexia were divided into two groups, control group and therapy group. The control group used talcum powder as medium to implement massage; therapy group used cinnamon powder. It included two sessions, five days as a session. Liquid and solid food intake and body weight changes after treatment were observed after two sessions and differences of therapeutic effect among different patterns were compared. Results After one session, the liquid food intake in control and therapy group were (144.75±70.21)ml、(164.75±76.37)ml, solid food intake were (39.75±50.66)g、(34.50±41.01)g, and body weight changes were (151.25±225.151)g、(160.25±178.52)g. Compared with control group after one session, solid food intake and body weight changes had no obvious differences between the two groups (P>0.05).While after two sessions, after one session, the liquid food intake in control and therapy group were (77.38±51.87)ml、(139.75±67.74)ml, solid food intake were (19.75±21.18)g、(27.25±46.35)g, body weight changes were (300.75±321.44)g、(390.50±219.44)g. Both liquid food intake and body weight changes had obvious differences after two sessions (P<0.05), but there were no changes in solid food intake (P>0.05). Conclusions The Chinese medical massage with cinnamon powder has satisfactory clinical therapeutic effect in treating spleen stomach qi-deficiency type infantile anorexia, worthy of the clinical promotion.