CAJ | 학술논문

目的：观察万年子午流注选穴卡择时选穴艾灸治疗小儿慢性腹泻的临床疗效，以及择时选穴艾灸与非择时选穴艾灸的疗效有无差异。方法运用周铭心教授1986年研创的万年子午流注选穴卡，将60例慢性腹泻患儿随机分为3组：治疗组：子午流注择时选穴艾灸加口服枯草杆菌二联活茵颗粒（妈咪爱）、蒙脱石散（必奇）。对照组：非择时选穴艾灸加口服枯草杆菌二联活茵颗粒（妈咪爱）、蒙脱石散（必奇）。药物组：单纯枯草杆菌二联活茵颗粒（妈咪爱）、蒙脱石散（必奇）。其中子午流注选穴采用纳子法按时循经法，且治疗组与对照组穴位相同，施灸时间不同，连续治疗8 d，于治疗后分别对3组患者的治疗有效率及中医症状体征恢复时间进行比较。结果治疗组总有效率为95％，对照组总有效率为85％，药物组总有效率为70％，3组总有效率比较差异有统计学意义（P ＜0．05～0．01）；与对照组比较治疗组大便恢复时间缩短（P ＜0．05），治疗组与药物组比较差异有统计学意义（P ＜0．01），对照组与药物组比较差异有统计学意义（P ＜0．05）。治疗组与对照组呕吐恢复时间比较差异有统计学意义（P ＜0．01），治疗组与药物组比较差异有统计学意义（P ＜0．01），对照组与药物组比较差异有统计学意义（P ＜0．05）。治疗组与对照组腹胀恢复时间比较差异有统计学意义（P ＜0．05），治疗组与单纯药物组比较差异有统计学意义（P ＜0．01），对照组与单纯药物组比较差异有统计学意义（P ＜0．05）。结论子午流注选穴艾灸对小儿慢性腹泻具有确切疗效。子午流注择时选穴与非择时选穴疗效亦有差异，子午流注选穴卡操作简便，且精确性高，适宜推广及提高临床疗效。
목적：관찰만년자오류주선혈잡택시선혈애구치료소인만성복사적림상료효，이급택시선혈애구여비택시선혈애구적료효유무차이。방법운용주명심교수1986년연창적만년자오류주선혈잡，장60례만성복사환인수궤분위3조：치료조：자오류주택시선혈애구가구복고초간균이련활인과립（마미애）、몽탈석산（필기）。대조조：비택시선혈애구가구복고초간균이련활인과립（마미애）、몽탈석산（필기）。약물조：단순고초간균이련활인과립（마미애）、몽탈석산（필기）。기중자오류주선혈채용납자법안시순경법，차치료조여대조조혈위상동，시구시간불동，련속치료8 d，우치료후분별대3조환자적치료유효솔급중의증상체정회복시간진행비교。결과치료조총유효솔위95％，대조조총유효솔위85％，약물조총유효솔위70％，3조총유효솔비교차이유통계학의의（P ＜0．05～0．01）；여대조조비교치료조대편회복시간축단（P ＜0．05），치료조여약물조비교차이유통계학의의（P ＜0．01），대조조여약물조비교차이유통계학의의（P ＜0．05）。치료조여대조조구토회복시간비교차이유통계학의의（P ＜0．01），치료조여약물조비교차이유통계학의의（P ＜0．01），대조조여약물조비교차이유통계학의의（P ＜0．05）。치료조여대조조복창회복시간비교차이유통계학의의（P ＜0．05），치료조여단순약물조비교차이유통계학의의（P ＜0．01），대조조여단순약물조비교차이유통계학의의（P ＜0．05）。결론자오류주선혈애구대소인만성복사구유학절료효。자오류주택시선혈여비택시선혈료효역유차이，자오류주선혈잡조작간편，차정학성고，괄의추엄급제고림상료효。
Objective To observe the effect of moxibustion treatment according ZIWU acupoint time calen-dar on children with chronic diarrhea.Methods ZIWU acupoint time calendar designed by Professor Zhou Mingxin in 1986 was used.60 cases of children with chronic diarrhea were randomly divided into three groups:group A (the treatment group):moxibustion treatment according ZIWU acupoint time calendar plus Bacillus Subtilis and Enterococcus Faecium Granules with Multivitamines(MAMIAI)and montmoril-lonite (Biqi).group B(the control group):Non-selective time of acupoint moxibustion plus MAMIAI and Biqi.group C (drug group):MAMIAI and Biqi were used.The calculation of ZIWU acupoint time calendar was based on the method of Nazi meridian calculation,and the acupoints of groups of A and B were the same with differed treatment time.,After the treatment with 8 d,traditional chinese medicine (TCM) symptoms and physical signs of recovery time and effective rate were evaluated.Results Total effective rate of group A was 95%,which were 85% and 70% in group B and group C,respectively.Compared with the control group,the treatment group has less time of Fecal recovery (P < 0.05).Compared with the drug group ,control group and the treatment group were significant differences.Vomiting recovery time and bloating recovery time were significant differencesv among three groups (P < 0.05).Conclusion Treatment of children with chronic diarrhea with three methods were all effective ,the moxibustion treat-ment according ZIWU acupoint time calendar of Professor Zhou Mingxin on children with chronic diarrhea has a definite efficacy.