捏脊配合针刺四缝穴治疗小儿厌食症脾失健运证120例临床观察  

Clinical observation on 120 cases of anorexia in children with splenic dyskinesis syndrome treated by chiropractic combined with pricking at Sifeng(EX-UE-10) therapy

作　　者：刘运军 吴超雄 方雪婷 LIU Yunjun;WU Chaoxiong;FANG Xueting(Department of TCM Pediatrics,Wenzhou Hospital of Integrated Traditional Chinese and Western Medicine,Wenzhou,Zhejiang,325000,China;Department of Tuina,Wenzhou Hospital of Integrated Traditional Chinese and Western Medicine,Wenzhou,Zhejiang,325000,China)

机构地区：[1]温州市中西医结合医院中医儿科,浙江温州325000 [2]温州市中西医结合医院推拿科,浙江温州325000

出　　处：《中医儿科杂志》2023年第5期78-82,共5页Journal of Pediatrics of Traditional Chinese Medicine

基　　金：温州市科技计划项目(Y20190738)。

摘　　要：目的观察捏脊配合针刺四缝穴治疗小儿厌食症脾失健运证的临床疗效。方法选取2020年1月至2021年12月在温州市中西医结合医院中医儿科收治的240例厌食症患儿,采用随机数字表法分为对照组和治疗组,各120例。对照组予醒脾养儿颗粒口服,治疗组予捏脊配合针刺四缝穴治疗。2组均以2周为1个疗程,连续治疗2个疗程后统计疗效。结果治疗组总有效率为90.83%(109/120),显著高于对照组的80.00%(96/120),2组比较,差异有统计学意义(P<0.05)。治疗前,2组的中医证候积分比较,差异无统计学意义(P>0.05),具有可比性。治疗2周及4周后,2组的中医证候积分均较同组治疗前明显降低,差异有统计学意义(P<0.05),且治疗组降低更显著(P<0.05)。治疗前,2组的身高、体质量比较,差异无统计学意义(P>0.05),具有可比性。治疗后,对照组的身高及体质量变化不明显,与同组治疗前比较,差异无统计学意义(P>0.05);治疗组的身高及体质量明显增长,与同组治疗前及对照组治疗后比较,差异均有统计学意义(P<0.05)。治疗前,2组的血清胃泌素(GAS)、胃动素(MOT)、瘦素(LEP)、神经肽Y(NPY)水平及尿D-木糖排泄率比较,差异均无统计学意义(P>0.05),具有可比性。治疗后,2组的上述指标水平均较同组治疗前明显升高,差异均有统计学意义(P<0.05),且治疗组升高更显著(P<0.05)。2组治疗期间经血、尿、大便常规,心肌酶、肝肾功能及心电图检查,均未发生不良反应。治疗后随访4周,治疗组的复发率为5.50%(6/109),对照组为13.54%(13/96),2组比较,差异有统计学意义(P<0.05)。结论捏脊配合针刺四缝穴治疗小儿厌食症脾失健运证疗效显著,可有效缓解症状,改善实验室指标水平,促进患儿身高及体质量增长,减少复发率,且安全性高,值得临床推广应用。Objective To observe the clinical efficacy of chiropractic combined with pricking at Sifeng(EX⁃UE⁃10)therapy in the treatment of spleen dyskinesia syndrome in children with anorexia.Methods A total of 240 children with anorexia admitted to the Pediatrics Department of Wenzhou Hospital of Integrated Traditional Chinese and Western Medicine from January 2020 to December 2021 were selected and divided into a control group and a treatment group in a random number table,120 cases in each group.The control group was given Xingpi Yanger Keli orally,and the treatment group was given chiropractic treatment combined with pricking at Sifeng(EX⁃UE⁃10)therapy.Two groups were treated for 2 weeks as a course of treatment.The curative effect was statistically analyzed after 2 consecutive courses of treatment.Results The total effective rate of the treatment group was 90.83%(109/120),which was significantly higher than that of the control group 80.00%(96/120),and the difference was statistically significant(P<0.05).Before treatment,there was no statistical significance in the scores of TCM symp⁃toms between the two groups(P>0.05),which was comparable.After 2 and 4 weeks of treatment,TCM syndrome scores in 2 groups were significantly lower than before treatment,the difference was statistically significant(P<0.05),and the decrease was more significant in the treatment group(P<0.05).Before treatment,there was no significant difference in height and body mass between the two groups(P>0.05),indicating that the two groups were comparable.After treatment,the height and body mass of the control group were not significantly changed,and there was no statistical significance compared with that before treatment(P>0.05).The height and body mass of the treatment group increased significantly,and the differences were statistically significant compared with the same group before treatment and the control group after treatment(P<0.05).Before treatment,there were no significant differences in serum gastrin(GAS),motilin(MOT),leptin(LEP)an

关 键 词：厌食症 小儿 脾失健运证 捏脊 针刺 四缝穴 临床观察 

分 类 号：R256.3[医药卫生—中医内科学]