中药健脾贴敷联合推拿治疗脾胃虚弱型小儿厌食症的疗效观察

目的 分析与探讨采用中药健脾贴敷联合推拿治疗脾胃虚弱型小儿厌食症的临床疗效,并研究其对患儿胃肠激素的影响。 方法 选择2015年11月-2017年11月杭州市红十字会医院诊疗的92例脾胃虚弱型小儿厌食症患儿为研究对象,根据治疗方案不同分成2组,每组46例。对照组给予推拿方案进行治疗,观察组给予中药健脾贴敷及推拿联合治疗。观察2组疾病相关症状评分、胃动素、生长抑素、5-羟色胺,唾液淀粉酶水平、血锌、血钙含量、不良反应以及临床治疗效果等情况。 结果 观察组治疗总有效率、胃动素、生长抑素、5-羟色胺、唾液淀粉酶、血Zn2+和血Ca2+水平均优于对照组(均P<0.05)。观察组治疗后食欲不振、腹部不适、食量减少、反酸以及恶心呕吐等临床症状各项评分结果均优于对照组(均P<0.05)。2组不良反应发生情况比较差异无统计学意义(P>0.05)。 结论 采用中药健脾贴敷联合推拿治疗脾胃虚弱型小儿厌食症,能够显著改善其疾病相关食欲不振、腹部不适、食量减少、反酸以及恶心呕吐临床症状,促进患儿胃动素、生长抑素、5-羟色胺等胃肠激素水平恢复,能够明显提升临床疗效,改善患儿食欲,同时实施起来较为方便,患儿依从性较好,有助于疾病预后。 

Clinical observation on treating anorexia in children with spleen and stomach deficiency with Chinese herbal medicine combined with massage

Objective To analyze and discuss the clinical efficacy of Chinese medicine invigorating spleen and massage combined with massage for the treatment of anorexia of children with weak spleen and stomach, and to study the effect on gastrointestinal hormones. Methods A total of 92 cases of asthenia of spleen and stomach treated in our hospital from November 2015 to November 2017 were divided into two groups according to the treatments, with 46 cases in each group. The control group was treated with massage, while the observation group was treated with Jianpi plaster combined with massage. The scores of two groups of disease related symptoms, motilin, somatostatin, 5-serotonin, changes in saliva amylase level, blood zinc, blood calcium content, adverse reaction and clinical therapeutic effect were observed. Results The total effective rate, motilin, somatostatin, 5-serotonin, salivary amylase, blood Zn2+ and blood Ca2+ in the observation group were better than those in the control group (P<0.05). The scores of the clinical symptoms including loss of appetite, the abdominal discomfort, the decrease of food, the reacid, and the nausea and vomiting of the observation group were superior to those in the control group (P<0.05) after the treatment. There was no difference in the incidence of adverse reactions between the two groups (P>0.05). Conclusion The treatment of anorexia in children with weak spleen and stomach with Chinese medicine Jianpi sticking combined with massage can significantly improve the clinical symptoms of disease related loss of appetite, abdominal discomfort, reduced appetite, antiemesis, nausea and vomiting, and promote the recovery of gastrointestinal hormones such as motilin, somatostatin and 5-HT in patients with disease. It can significantly improve the clinical curative effect and improve the appetite of patients, and it is convenient to implement, and the compliance of patients is better, which is helpful for the prognosis of patients.