标题：辨证取穴推拿治疗小儿厌食症的效果及对患儿胃肠动力、免疫功能的影响

      作者：乔文善，孟亚梅    岐山县医院儿科，陕西 宝鸡 722400

      卷次： 2022年33卷4期

      【摘要】 目的 观察辨证取穴推拿治疗小儿厌食症的疗效及对患儿胃肠动力和免疫功能的影响。方法 选取2020年6月至2021年2月于岐山县医院就诊的厌食症患儿196例作为研究对象，按随机数表法将其分为对照组和观察组，每组98例。对照组采用常规穴位推拿治疗，观察组采用辨证取穴推拿治疗，均治疗14 d。比较两组患儿的治疗效果，治疗前后的主要症状积分、胃排空1/2时间、血锌和血红蛋白水平、D-木糖吸收排泄率和T淋巴细胞亚群变化，以及治疗期间不良反应发生情况。结果 观察组患儿的治疗总有效率为 94.79%，明显高于对照组的83.33%，差异有统计学意义(P<0.05)；治疗后，观察组患儿的食欲不振、食量减少、面色少华的症状积分分别为(4.20±1.13)分、(3.46±0.98)分、(2.33±0.80)分，明显低于对照组的(5.36±1.42)分、(4.29±1.31)分、(3.55±1.16)分，差异均有统计学意义(P<0.05)；治疗后，观察组患儿的CD4+、CD4+/CD8+、血锌、血红蛋白水平和D-木糖吸收排泄率分别为(39.45±6.43)%、1.49±0.12、(88.64±9.16) μmol/L、(117.49±10.65) g/L和(28.15±3.46)%，明显高于对照组的(34.37±5.86)%、1.32±0.15、(84.02±8.57) μmol/L、(113.62±10.12) g/L和(24.46±3.25)%，胃排空1/2时间为(26.13±5.02) min，明显短于对照组的(29.49±5.18) min，差异均有统计学意义(P<0.05)；两组患儿治疗期间均无不良反应发生。结论 采用辨证取穴推拿治疗小儿厌食症可有效改善患儿临床症状，促进胃肠动力并提升免疫功能，临床疗效较好。
      【关键词】 小儿厌食症；推拿治疗；辨证取穴；疗效；胃肠动力；免疫功能
      【中图分类号】 R729 【文献标识码】 A 【文章编号】 1003—6350（2022）04—0475—04

Curative effect of dialectical acupoint massage in the treatment of infantile anorexia and its influences ongastrointestinal motility and immune function.
QIAO Wen-shan, MENG Ya-mei. Department of Pediatrics, QishanCounty Hospital, Baoji 722400, Shaanxi, CHINA
【Abstract】 Objective To observe the curative effect of dialectical acupoint massage in the treatment of infan-tile anorexia and its influences on gastrointestinal motility and immune function. Methods A total of 196 children withanorexia treated in Qishan County Hospital between June 2020 and February 2021were enrolled as the research objects.They were divided into a control group and an observation group by random number table method, with 98 children ineach group. The control group underwent routine acupoint massage, while the observation group underwent dialecticalacupoint massage for 14 d. The curative effect, changes in the scores of main symptoms, 1/2 gastric emptying time, levelsof serum zinc and hemoglobin, absorption and excretion rate of D-xylose, and T lymphocyte subsets before and after treat-ment, and the occurrence of adverse reactions during treatment were compared between the two groups. Results The to-