基于“肾生髓、髓生血”的中医理论预防儿童营养不良所致贫血的效果

目的探讨基于"肾生髓、髓生血"的中医理论预防儿童营养不良所致贫血的效果。方法选取2017年4月-2018年5月就诊的营养不良儿童110例,根据选取的方案分为观察组(n=54)和对照组(n=56),观察组给予中医调养治疗,对照组给予常规保健指导,观察两组治疗后营养不良、缺铁性贫血发生情况,检测治疗前后血红蛋白(Hb)、红细胞平均体积(MCV)等指标。结果观察组治疗6个月营养不良和缺铁性贫血发生率分别为22.22%和7.41%,明显低于对照组(P<0.05);观察组治疗后Hb、MCV、平均血红蛋白含量(MCH)和平均血红蛋白浓度(MCHC)分别为(126.82±7.81)g/L、(87.20±3.10)fl、(32.20±2.88)pg和(330.26±9.15)g/L,明显高于对照组(P<0.05);观察组治疗后血清铁(SI)和铁蛋白(SF)分别为(19.81±2.20)μmol/L和(21.15±1.92)μg/L,明显高于对照组(P<0.05)。结论基于"肾生髓、髓生血"的中医理论能有效预防儿童营养不良所致贫血的发生,值得推广。

Prevention of Anemia Caused by Malnutrition in Children Based on Theory of Kidney Producing Marrow and Marrow Producing Blood

Objective To explore the effect of preventing anemia caused by malnutrition in children based on the theory of kidney producing marrow and marrow producing blood. Methods A total of 110 malnourished children from April 2017 to May 2018 were selected and divided into observation group(n=54) and control group(n=56) according to the selected scheme. The observation group was given TCM nursing intervention, while the control group was given routine health care guidance. The occurrences of malnutrition and iron deficiency anemia after intervention in the two groups were observed and hemoglobin(Hb) and mean corpuscular volume(MCV) and so on before and after intervention were detected. Results The incidences of malnutrition and iron deficiency anemia in the observation group after intervention were 22.22%(12/54) and 7.41%(4/54), which were significantly lower than those in the control group(P<0.05). After intervention, Hb, MCV, MCH and MCHC in the observation group were(126.82±7.81)g/L,(87.20±3.10)fl,(32.20±2.88)pg and(330.26±9.15)g/L, which were significantly higher than those in the control group(P<0.05). The serum iron(SI) and ferritin(SF) in the observation group were(19.81±2.20)μmol/L and(21.15±1.92)μg/L, which were significantly higher than those in the control group(P<0.05). Conclusion The traditional Chinese medicine theory based on kidney producing marrow and marrow producing blood can effectively prevent the occurrence of anemia caused by malnutrition in children, and it is worthy of popularizing.