小儿推拿对厌食症患儿胃蠕动和胃排空的影响  

Effect of Tuina Massage on Gastric Motility and Gastric Emptying in Children with Anorexia Nervosa

作　　者：程娟[1] 高汉媛 杨江霞[1] 赵霞[1] 文娜 岳晶晶 CHENG Juan;GAO Hanyuan;YANG Jiangxia;ZHAO Xia;WEN Na;YUE Jingjing(Gansu Provincial Hospital of Traditional Chinese Medicine,Lanzhou,730050;Gansu Provincial Central Hospital)

机构地区：[1]甘肃省中医院,甘肃省兰州市730050 [2]甘肃省中心医院

出　　处：《中医杂志》2024年第9期915-920,共6页Journal of Traditional Chinese Medicine

基　　金：国家自然科学基金(81960907)。

摘　　要：目的探讨小儿推拿治疗厌食症的可能作用机制。方法将120例厌食症患儿随机分为推拿组和药物组各60例,同时招募健康体检儿童60例设为健康对照组。推拿组患儿给予传统小儿推拿手法治疗,药物组患儿给予健胃消食片嚼服,均7天为1个疗程,每个疗程间隔1天,共治疗4个疗程。健康对照组儿童入组时、推拿组和药物组患儿治疗前后分别运用彩色多普勒超声诊断仪检测胃蠕动次数、胃底面积、30 min后胃底面积、胃窦扩张时前后径、胃窦扩张时面积、胃窦收缩时前后径、胃窦收缩时面积7项指标并进行比较,同时比较胃30 min排空率、胃窦前后径收缩幅度、胃窦面积收缩幅度。结果本研究最终纳入健康对照组儿童60例、推拿组患儿59例、药物组患儿51例。与健康对照组入组时比较,推拿组和药物组入组时30 min后胃底面积、胃窦收缩时前后径及面积均增加,胃30 min排空率、胃蠕动次数、胃窦前后径收缩幅度均减少,胃窦面积收缩幅度仅推拿组减少(P<0.05)。与本组治疗前比较,推拿组治疗后胃30 min排空率、胃蠕动次数、胃窦前后径收缩幅度及面积收缩幅度均增加,30 min后胃底面积、胃窦收缩时面积均减少;药物组治疗后胃蠕动次数、胃窦前后径收缩幅度均增加,胃窦收缩时面积减少(P<0.05或P<0.01)。与药物组治疗后比较,推拿组30 min后胃底面积减少,胃30 min排空率、胃蠕动次数均增加(P<0.05)。结论小儿推拿手法治疗厌食症的可能作用机制是促进胃蠕动和胃排空而改善患儿胃肠功能紊乱。Objective To explore the possible mechanism of pediatric tuina therapy in treating anorexia nervosa.Methods Totally 120 children with anorexia nervosa were randomly divided into a tuina group and a medication group,with 60 cases in each group.Sixty healthy children undergoing physical examinations were recruited as the healthy control group.Children in the tuina group received traditional pediatric tuina therapy,while those in the medication group received orally chewed Jianwei Xiaoshi tablets.Each treatment course lasted for 7 days,with a 1-day interval between courses,and a total of 4 courses were administered.Before and after treatment,seven indicators including gastric motility frequency,gastric area,gastric area 30 minutes after drinking,anterior-posterior diameter and area during gastric fundus dilation,anterior-posterior diameter and area during gastric fundus contraction were measured using a color Doppler ultrasound diagnostic instrument in children from the healthy control group,tuina group,and medication group.Additionally,gastric emptying rate at 30 minutes,changes in anterior-posterior diameter and area during gastric fundus contraction,and changes in gastric area were compared.Results This study ultimately included 60 healthy children in the control group,59 children in the tuina group,and 51 children in the medication group.Compared with the control group at baseline,the gastric area and the anterior-posterior diameter and area during gastric fundus contraction increased,while the gastric emptying rate,gastric motility frequency,and changes in anterior-posterior diameter during gastric fundus contraction decreased in both the tuina group and medication group,with only a decrease in gastric area during gastric fundus contraction observed in the tuina group(P<0.05).Compared with baseline,after treatment,the gastric emptying rate,gastric motility frequency,and changes in anterior-posterior diameter and area during gastric fundus contraction increased in the tuina group,while the gastric area and area

关 键 词：厌食症 小儿推拿 胃蠕动 胃排空 

分 类 号：R244.1[医药卫生—针灸推拿学]