Clinical observation of pediatric Tuina plus oral Chinese medication for pediatric anorexia due to spleen failing in transportation  

小儿推拿加中药口服治疗脾失健运型儿童厌食的临床观察

作　　者：XIE Tao JIANG Hua ZHANG Chengyan 解涛;江华;张成燕(Jimo District Qingdao Hospital of Traditional Chinese Medicine,Shandong,266200,Chin)

机构地区：[1]Jimo District Qingdao Hospital of Traditional Chinese Medicine,Shandong,266200,China

出　　处：《Journal of Acupuncture and Tuina Science》2022年第2期119-125,共7页针灸推拿医学（英文版）

摘　　要：Objective To observe the clinical efficacy of pediatric Tuina(Chinese therapeutic massage)plus oral administration of Chinese medication for pediatric anorexia due to spleen failing in transportation.Methods A total of 94 children with anorexia due to spleen failing in transportation were randomized into an observation group and a control group by the random number table method at a ratio of 1:1,with 47 cases in each group.The control group was treated with modified Bu Huan Jin Zheng Qi San,and the observation group was treated with additional Tuina manipulation of Yun Shui Ru Tu based on the treatment in the control group.After 4 weeks of treatment,the clinical efficacy of the two groups was observed,and the traditional Chinese medicine(TCM)symptom score,serum leptin,neuropeptide Y,and serum zinc and calcium levels were compared.Results After 4 weeks of treatment,the total effective rate of the observation group was 87.2%,and that of the control group was 74.5%.The difference between the two groups was statistically significant( P<0.05).After treatment,the TCM symptom scores in both groups decreased significantly(P<0.05),and the scores in the observation group were lower than those in the control group(P<0.05).After treatment,the serum leptin level in both groups decreased,and the level in the observation group was lower than that in the control group(P<0.05).The serum neuropeptide Y,zinc,and calcium levels in both groups increased after treatment,and the levels in the observation group were higher than those in the control group(P<0.05).Conclusion Tuina manipulation of Yun Shui Ru Tu plus oral administration of Chinese medication is significantly effective in treating pediatric anorexia due to spleen failing in transportation,which can improve the appetite of children and improve the symptoms of anorexia,and the curative effect is better than that of oral administration of Chinese medication alone.目的观察小儿推拿加中药口服治疗脾失健运型儿童厌食的临床疗效。方法将94例脾失健运型厌食患儿根据随机数字表法按1:1分为观察组与对照组,每组47例。对照组给予不换金正气散加减治疗,观察组在对照组治疗基础上加用运水入土推拿手法治疗。治疗4周后,观察两组临床疗效,比较中医症状评分、血清瘦素、神经肽Y及血锌、血钙水平变化。结果治疗4周后,观察组总有效率为87.2%,对照组总有效率为74.5%,两组差异具有统计学意义(P<0.05)。治疗后两组中医症状评分均较治疗前显著下降(P<0.05),且观察组评分低于对照组(P<0.05)。治疗后两组血清瘦素水平较治疗前下降,且观察组低于对照组(P<0.05)。治疗后两组血清神经肽Y、血锌和血钙水平均较治疗前升高,且观察组高于对照组(P<0.05)。结论运水入土推拿手法结合中药口服治疗脾失健运型厌食患儿疗效显著,可提高患儿食欲,改善患儿厌食症状,疗效优于单独中药口服。

关 键 词：Pediatric Tuina Massage Yun Shui Ru Tu Drugs Chinese Herbal ANOREXIA Spleen Failing in Transportation 

分 类 号：R244.1[医药卫生—针灸推拿学]