中医推拿按摩结合五行健脾汤治疗 小儿功能性消化不良临床疗效
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王士玲,女,住院医师,主要研究方向是小儿消化不良。

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R 725.7

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河南省医学科技攻关项目(LHGJ202001131)


Clinical Effect of Traditional Chinese Massage Combined with Wuxing Jianpi Decoction on Children with Functional Dyspepsia
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    摘要:

    摘 要目的:观察中医推拿按摩结合五行健脾汤加减化裁治疗小儿功能性消化不良(FD)的效果及对胃肠动力的 影响。 方法:选取南阳市第一人民医院 2020 年 10 月至 2023 年 2 月期间收治的 125 例 FD 患儿,以随机数字表法对其进行 分组,分别列为中医组(63 例)和西医组(62 例)。中医组患儿实施推拿按摩结合五行健脾汤加减化裁治疗,西医组患儿 实施常规西医治疗,比较两组患儿治疗前后的中医证候积分,胃动力参数,胃肠激素水平变化情况,及治疗后的不良反应 发生情况。 结果:治疗后中医组患儿的中医主证、次证积分均低于西医组,差异具有统计学意义(P < 0.05)。治疗后中 医组患儿的胃窦收缩幅度、胃窦收缩频率、胃窦运动指数(MI)均高于西医组,差异具有统计学意义(P < 0.05)。治疗 后中医组患儿的血清胃泌素(GAS)、生长抑素(SS)水平均低于西医组,胃动素(MLT)水平高于西医组,差异具有统 计学意义(P < 0.05)。中医组患儿的不良反应发生率为 6.35 %(4/63),低于西医组的 17.74 %(11/62),差异具有统计 学意义(P < 0.05)。 结论:中医推拿按摩结合五行健脾汤加减化裁能有效改善 FD 患儿胃肠功能并促进胃肠动力恢复,且 与常规西药相比,上述中医疗法所致不良反应发生率低,治疗安全性更高。

    Abstract:

    AbstractObjective To observe the effect of traditional Chinese medicine (TCM) massage combined with Wuxing Jianpi decoction on functional dyspepsia (FD) in children and its influence on gastrointestinal motility. Methods A total of 125 children with FD admitted to Nanyang First People's Hospital from October 2020 to February 2023 were selected and divided into Chinese medicine group (63 cases) and Western medicine group (62 cases) according to random number table method. The Chinese medicine group was treated with massage combined with Wuxing Jianpi decoction, and the Western medicine group was treated with conventional Western medicine. The TCM syndrome scores, gastric modynamics parameters, changes in gastrointestinal hormone levels, and the occurrence of adverse reactions after treatment were compared between the two groups. Results After treatment, the scores of TCM main syndrome and secondary syndrome in the Chinese medicine group were lower than those in the western medicine group, and the differences were statistically significant (P < 0.05). After treatment, the magnitude of antrum contraction, frequency of antrum contraction and antrum motilite index (MI) in the Chinese medicine group were lower than those in the Western medicine group, and the differences were statistically significant (P < 0.05). After treatment, the serum levels of gastrin (GAS) and somatostatin (SS) in the Chinese medicine group were lower than those in the Western medicine group, and the level of motilin (MLT) was higher than that in the Western medicine group, with statistical significances (P < 0.05). The incidence of adverse reactions in the Chinese medicine group was 6.35% (4/63), which was lower than that in the western medicine group 17.74% (11/62), and the difference was statistically significant (P < 0.05). Conclusion TCM massage combined with Wuxing Jianpi decoction can effectively improve gastrointestinal function and promote gastrointestinal motivity recovery in children with FD, and compared with conventional Western medicine, the incidence of adverse reactions caused by TCM therapy is lower, and the treatment safety is higher.

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  • 收稿日期:2023-11-28
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  • 在线发布日期: 2024-06-07
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