儿保门诊婴幼儿吐乳症915例发病调查和疗效探究.doc

儿保门诊婴幼儿吐乳症915例发病调查和疗效探究 　　[摘要] 目的 了解上海市虹口区婴幼儿吐乳症发病情况及治疗疗效观察。 方法 通过门诊915例婴幼儿常规查体检出吐乳症患儿，并通过“董氏指压法”治疗，间隔1周重复1次，3次1个疗程。 结果 发病578例，发病率为63.17%，男女发病率相近，无显著差异，主要表现为溢乳和呕吐，占93.08%。治疗后痊愈347例，占60.03%；显效130例，占22.49%；有效85例，占14.71%；无效16例，占2.77%。治疗总有效率达97.23%。 结论 吐乳症在婴幼儿十分普遍，运用董氏指压法治疗，预后良好。 [关键词] 婴幼儿；婴幼儿吐乳症；发病率；指压法 [中图分类号] R179 [文献标识码] A [文章编号] 2095-0616（2013）24-47-03 Incidence investigation and efficacy study on infant functional vomiting in 915 infants of child health care outpatient HAN Haiqiong CHEN Weibin Yueyang Hospital of Integrated Traditional Chinese and Western Medicine，Shanghai University of Traditional Chinese Medicine，Shanghai 200437，China [Abstract] Objective To understand and observe the incidence and efficacy on infant functional vomiting in hongkou district of Shanghai city. Methods The infants with functional vomiting were examined in outpatient routine examination for 915 infants，and the infants with functional vomiting were treated with “Dong acupressure”every other week，three times was a period of treatment. Results There were 578 infants with functional vomiting and the incidence rate was 63.17%.The incidence rate of men was similar to women，the difference was not significant.The main symptoms of patients were galactorrhea and vomiting，which accounted for 93.08%.There were cure in 347 cases（60.03%）， markedly effective in 130 cases（22.49%），effective in 85 cases（14.71%），invalid in 16 cases（2.77%）.The total effective rate was 97.23%. Conclusion Infant functional vomiting is widespread，which treated with “Dong acupressure” has good prognosis. [Key words] Infant；Infant functional vomiting；Incidence rate；Acupressure 婴幼儿吐乳症十分常见， 有生理性和病理性不同，生理性呕吐随着年龄增长一般到6个月左右呕吐可以自愈[1]。持续性呕吐伴有吞咽困难、便血、呼吸道感染，可引起喂养不耐受、体重不增，生长发育迟缓、低血糖、吸入综合征、水和电解质紊乱、部分患儿表现为不安、易激惹、夜惊、婴儿鬼脸及神经系统疾病，可出现呼吸暂停， 甚至窒息死亡[2]。笔者于2012年9月～ 2013年1月在上海市虹口区妇幼保健所、广中路社区卫生服务中心和嘉兴路街道卫生服务中心三家虹口区重点社区医院，通过婴幼儿生后常规体检共收集病例915例，对本病发病及治疗情况谨作浅析，现报道如下。 1 资料与方法 1.1 一般资料 2012年9月～2013年1月，共收集前来体检的4～9个月龄的婴幼儿