经穴疏导加痛点揉拨推拿辅助治疗脾失健运型小儿厌食的临床观察

摘要/Abstract

摘要： 目的探讨与观察经穴疏导加痛点揉拨推拿辅助治疗脾失健运型小儿厌食的临床效果。方法选择2020年12月—2022年9月在南京市中医院诊治的78例脾失健运型小儿厌食患儿作为研究对象,根据随机数表法把患儿分为研究组与对照组,各39例。对照组给予葡萄糖酸锌治疗,研究组在对照组治疗的基础上给予经穴疏导加痛点揉拨推拿治疗,两组均治疗观察4周,观察两组治疗效果、食量和食欲中医证候评分、胃排空1/2时间、血清锌与瘦素含量变化情况。结果治疗后研究组的总有效率略高于对照组,但差异无统计学意义（P>0.05）。治疗后两组的胃排空1/2时间均明显短于治疗前（P<0.05）,治疗后研究组的胃排空1/2时间明显短于对照组（P<0.05）。治疗后两组的血清锌与瘦素含量均明显高于治疗前（P<0.05）,治疗后研究组的血清锌与瘦素含量明显高于对照组（P<0.05）。治疗后两组的食量、食欲中医证候评分均明显低于治疗前（P<0.05）,治疗后研究组的食量、食欲中医证候评分明显低于对照组（P<0.05）。结论经穴疏导加痛点揉拨推拿辅助治疗脾失健运型小儿厌食能提高血清锌与瘦素含量,缩短胃排空1/2时间,缓解患儿临床症状,提高治疗效果。

关键词: 经穴疏导, 痛点揉拨推拿, 脾失健运型, 小儿, 厌食, 胃排空

Abstract: Objective To explore and observe the clinical effect of meridian point dredging combined with pain point rubbing and tuina in the adjuvant treatment of anorexia in children with spleen dysfunction. Methods From December 2020 to September 2022, 78 cases of anorexia in children with spleen insufficiency diagnosed and treated in our hospital were selected as the research objects, and the children were divided into the study group and the control group with 39 cases in each group accorded to the principle of random number table method. The control group was given zinc gluconate treatment, and the study group was given meridian point dredging and pain point rubbing and tuina treatment on the basis of the treatment of the control group. Both groups were treated and observed for 4 weeks. The therapeutic effects, clinical symptoms, 1/2 gastric emptying time, serum zinc and leptin content were observed in the two groups. Results After treatment, the total effective rate of the study group was slightly higher than that of the control group, but there was no difference between the two groups (P>0.05). The 1/2 gastric emptying time of the two groups after treatment was significantly lower than that before treatment (P<0.05). The serum zinc and leptin contents of the two groups after treatment were significantly higher than those before treatment (P<0.05). After treatment, the serum zinc and leptin contents of the study group were significantly higher than those of the control group (P<0.05). The food intake and appetite TCM syndrome scores of the two groups after treatment were significantly lower than those before treatment (P<0.05), and the food intake and appetite TCM syndrome scores of study group was also significantly lower than the control group after treatment (P<0.05). Conclusion The adjuvant therapy of meridian point dredging and pain point rubbing and tuina in the treatment of anorexia in children with spleen insufficiency can improve serum zinc and leptin levels, it can shorten 1/2 gastric emptying time, promote the relief of clinical symptoms in children, improve the therapeutic effect.

Key words: meridian point dredging, pain point rubbing and tuina, spleen dysfunction, children, anorexia, gastric emptying

中图分类号:

R272

武祎文. 经穴疏导加痛点揉拨推拿辅助治疗脾失健运型小儿厌食的临床观察[J]. 中华养生保健, 2023, 41(4): 29-33.

WU Yi-wen. Clinical Observation on the Treatment of Anorexia in Children with Spleen Dysfunction Type by Acupuncture Point Dredging and Pain Point Massage[J]. ZHONGHUA YANGSHENG BAOJIAN, 2023, 41(4): 29-33.

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