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目的:探讨助胃膏结合推拿对厌食症患儿的体重、体质指数(body mass index,BMI),血清中微量元素钙、铁、锌、血红蛋白,食欲调节因子促食欲激素/瘦素(Ghrelin/Leptin),神经肽Y(NPY),中医临床证候积分的变化及临床疗效。方法:选取1~7岁符合诊断标准的患儿94例,随机分为治疗(助胃膏结合推拿)组与对照(健胃消食口服液)组,各47例。治疗组口服助胃膏3次/日,1丸/次,连续6日为1疗程,共治疗2个疗程;推拿1次/日,连续6日为1疗程,疗程间隔2日,共治疗2个疗程。对照组口服健胃消食口服液,按年龄服用,1岁以下5 m L/次,2次/日;5岁以上每次10 m L,3次/日;余者每次10m L,2次/日。观察两组治疗前后体重,BMI,血清中微量元素钙、铁、锌、血红蛋白,Ghrelin/Leptin,中医临床证候积分变化及临床疗效。结果:治疗组总有效率为87%,高于对照组总有效率的70%(P<0.05),助胃膏结合推拿可有效改善患儿体重,BMI,血清中微量元素,血红蛋白,食欲调节因子Ghrelin/Leptin值,NPY水平,且疗效优于对照组(P<0.05)。结论:助胃膏结合推拿可有效改善患儿的食欲状况,疗效优于常规中成药。
OBJECTIVE: To investigate the effects of Qiwei cream combined with massage on body weight, body mass index (BMI), serum calcium, iron, zinc, hemoglobin and appetite regulating hormone in children with anorexia. Ghrelin / Leptin, Neuropeptide Y (NPY), TCM Clinical Syndrome Integral Changes and Clinical Efficacy. Methods: A total of 94 children aged 1 to 7 who met the diagnostic criteria were randomly divided into treatment group (n = 20) and control group (Jianweixiaoshi oral liquid group), with 47 cases in each group. The treatment group oral gavage 3 times / day, 1 pill / time, 6 consecutive days for a course of treatment, a total of 2 courses of treatment; massage 1 / day, 6 consecutive days for a course of treatment, treatment interval of 2 days, a total of 2 A course of treatment. The control group oral Jianweixiaoshi oral liquid, taking by age, under the age of 5 m L / time, 2 times / day; 5 years old and above each 10 m L, 3 times / day; the remaining 10m L each time, 2 times /day. The changes of body weight, BMI, trace elements calcium, iron, zinc, hemoglobin, Ghrelin / Leptin, TCM clinical syndrome score and clinical curative effect were observed before and after treatment. Results: The total effective rate was 87% in the treatment group, which was higher than 70% of the total effective rate in the control group (P <0.05). Gastrointestinal cream combined with massage can effectively improve the body weight, BMI, serum trace elements, hemoglobin, appetite regulation Factor Ghrelin / Leptin value, NPY level, and the efficacy is better than the control group (P <0.05). Conclusion: Gavage plus massage can effectively improve children’s appetite, the effect is superior to conventional Chinese medicine.