小儿捏脊联合针刺四缝穴治疗脾失健运型小儿厌食症临床研究  

Clinical Study on Children Chiropractic Combined with Acupuncture at Sifeng Point for Infantile Anorexia Nervosa of Spleen Failing in Transportation Type

作　　者：于永慧 黄芳[1] 肖海飞 姚卫杰[2] 刘丽平 YU Yonghui;HUANG Fang;XIAO Haifei;YAO Weijie;LIU Liping(Department of Pediatrics,The Fifth Clinical Medical School of Henan University of Chinese Medicine(Peoples Hospital of Zhengzhou),Zhengzhou Henan 450053,China;Department of Acupuncture and Moxibustion,The First Affiliated Hospital of Henan University of Chinese Medicine,Zhengzhou Henan 450000,China;Department of Pediatrics,Zhengzhou Traditional Chinese Medicine Hospital,Zhengzhou Henan 450000,China)

机构地区：[1]河南中医药大学第五临床医学院(郑州人民医院)儿科,河南郑州450053 [2]河南中医药大学第一附属医院针灸科,河南郑州450000 [3]郑州市中医院儿科,河南郑州450000

出　　处：《新中医》2024年第5期153-157,共5页New Chinese Medicine

基　　金：河南省中医药科学研究专项课题(20-21ZY227E8)。

摘　　要：目的:观察小儿捏脊联合针刺四缝穴治疗小儿脾失健运型厌食症的临床疗效。方法:采用区组随机法将100例脾失健运型小儿厌食症患者分为治疗组、对照组各50例。治疗组给予小儿捏脊联合针刺四缝穴治疗,对照组予葡萄糖酸锌口服液治疗,2组均治疗8周。比较2组治疗前后中医证候积分、血清锌、血红蛋白、胆囊收缩素(CCK)、瘦素(LEP)、神经肽Y (NPY)水平,比较2组临床疗效、疾病复发率及不良反应发生情况。结果:治疗组总有效率98.00%,高于对照组82.00%(P<0.05)。治疗后,2组中医证候积分、CCK、LEP水平均较治疗前降低(P<0.05),血清锌、血红蛋白、NPY水平均较治疗前升高(P<0.05);治疗组治疗后中医证候积分、CCK、LEP水平低于对照组(P<0.05),血红蛋白、NPY水平高于对照组(P<0.05)。2组治疗后血清锌水平比较,差异无统计学意义(P>0.05)。治疗组疾病复发率低于对照组(P<0.05)。2组均未发生呕吐、晕针、过敏等不良反应。结论:小儿捏脊联合针刺四缝穴治疗脾失健运型小儿厌食症,可以明显改善小儿临床症状,改善摄食功能,降低疾病复发率。Objective:To observe the clinical effect of the therapy of children chiropractic combined with acupuncture at Sifeng point on infantile anorexia nervosa of spleen failing in transportation type.Methods:A total of 100 cases with infantile anorexia nervosa of spleen failing in transportation type were divided into the treatment group and the control group according to the block randomization method,with 50 cases in each group.The treatment group was given children chiropractic combined with acupuncture at Sifeng point for treatment,and the control group was treated with the oral administration of Zinc Gluconate Oral Solution.The two groups were treated for 8 weeks.The traditional Chines medicine(TCM)syndrome scores,levels of serum zinc,hemoglobin,cholecystokinin(CCK),leptin(LEP)and neuropeptide Y(NPY),clinical effects,recurrence rates of the disease and incidence of adverse reactions were compared before and after treatment between the two groups.Results:The total effective rate was 98.00%in the treatment group,higher than that of 82.00%in the control group(P<0.05).After treatment,the TCM syndrome scores,and the levels of CCK and LEP in the two groups were decreased when compared with those before treatment(P<0.05),and the levels of serum zinc,hemoglobin and NPY were increased when compared with those before treatment(P<0.05);the TCM syndrome scores,and the levels of CCK and LEP in the treatment group were lower than those in the control group(P<0.05),and the levels of hemoglobin and NPY were higher than those in the control group(P<0.05).There was no significant difference being found in the comparison of serum zinc level between the two groups(P>0.05).The recurrence rate of the disease in the treatment group was higher than that in the control group(P<0.05).There were no such adverse reactions as vomiting,fainting during acupuncture treatment or allergy in the two groups.Conclusion:The therapy of children chiropractic combined with acupuncture at Sifeng point can significantly improve the clinical symptoms of inf

关 键 词：小儿厌食症 小儿捏脊 针刺四缝穴 胆囊收缩素 神经肽Y 瘦素 

分 类 号：R272[医药卫生—中医儿科学] R246.4[医药卫生—中医学]