| 王树霞,陈伟斌,乐瓅琳,姚 敏,韩 群,赵 萍,徐 钢.董氏指压法治疗积滞患儿的临床疗效及对血清Ghrelin水平和胃肠动力的影响[J].,2018,(3):500-503 |
| 董氏指压法治疗积滞患儿的临床疗效及对血清Ghrelin水平和胃肠动力的影响 |
| Clinical Efficacy of Dong's Finger-Pressure Method on Children with Stagnation and Its effect on Serum Ghrelin Level and Gastrointestinal Motility |
| 投稿时间：2017-10-06 修订日期：2017-10-30 |
| DOI：10.13241/j.cnki.pmb.2018.03.022 |
| 中文关键词: 积滞 董氏指压法 Ghrelin 胃肠动力 疗效 |
| 英文关键词: Stagnation Dong acupressure Ghrelin Gastrointestinal motility Curative effect |
| 基金项目:上海市卫生和计划生育委员会中医药科研基金项目（2014LP102A） |
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| 中文摘要: |
| 摘要 目的：探讨董氏指压法治疗积滞患儿临床疗效及对血清Ghrelin水平和胃肠动力的影响。方法：选取2015年12月-2016年12月上海中医药大学附属岳阳中西医结合医院儿科收治的积滞乳食内积证患儿120例作为研究对象，按随机数字表法分为两组，其中治疗组60例予以董氏指压法，对照组60例予以针刺四缝，两组均治疗8周。比较两组治疗前后血清Ghrelin水平以及胃半排空时间、胃窦收缩频次，并对比两组的临床疗效。结果：治疗组总有效率为98.33%（59/60），与对照组的95.00%（57/60）比较无统计学差异（P>0.05）。两组治疗4周后、8周后胃半排空时间均显著低于治疗前，而胃窦收缩频次以及血清Ghrelin水平均显著高于治疗前（均P＜0.05），且治疗组治疗4周后、8周后胃半排空时间显著低于对照组（均P＜0.05），治疗8周后治疗组胃窦收缩频次和血清Ghrelin水平显著高于对照组，差异均有统计学意义（均P＜0.05）。结论：董氏指压法治疗小儿积滞的疗效良好，可显著升高血清Ghrelin水平，增进食欲，改善胃肠蠕动，值得临床推广。 |
| 英文摘要: |
| ABSTRACT Objective: To investigate the clinical efficacy of Dong's finger-pressure method on children with stagnation and its ef- fect on serum Ghrelin level and gastrointestinal motility. Methods: A total of 120 children with indigestion with syndrome of milk and food stagnation, who were treated in Paediatrics of Yueyang Traditional Chinese and Western Medicine Hospital Affiliated to Shanghai University of Traditional Chinese Medicine from December 2015 to December 2016, were selected and randomly divided into treatment group(n=60) and control group(n=60). The treatment group was treated with "Dong Acupressure", while the control group was given acupuncture four joints. The two groups were treated for 8 weeks. The level of serum Ghrelin, gastric emptying time and frequency of gastric antrum contraction were compared between the two groups before and after treatment, and the clinical efficacy of the two groups was compared. Results: The total effective rate of the treatment group was 98.33% (59/60), the total effective rate of the control group was 95% (57/60), there was no statistical difference between the two groups(P>0.05). After 4 and 8 weeks of treatment, the gastric emptying time of the two groups was significantly lower than those before treatment, while the frequency of gastric antrum contraction and serum Ghrelin level were significantly higher than that before treatment (P<0.05); After 4 and 8 weeks of treatment, gastric emptying time in the treatment group was significantly shorter than that in the control group (P<0.05). After 8 weeks of treatment, the frequency of gastric antrum contraction and serum Ghrelin level were significantly higher than those of the control group, the differences were statistically significant (P<0.05). Conclusion: The curative effect of Dong's finger-pressure method for children with stagnation is good. It can signifi- cantly increase the level of Ghrelin and appetite, and improve gastrointestinal motility, which is worthy of clinical application. |
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