[1]吴英,高汉媛,赵霞,等.小儿推拿对厌食症患儿血清D-木糖及中医证候积分的影响[J].西部中医药,2025,38(08):152-155.[doi:10.12174/j.issn.2096-9600.2025.08.29]
　WU Ying,GAO Hanyuan,ZHAO Xia,et al.Influence of Infantile Massage on Serum D-xylitol and TCM Syndrome Integrals in Children with Anorexia[J].Western Journal of Traditional Chinese Medicine,2025,38(08):152-155.[doi:10.12174/j.issn.2096-9600.2025.08.29]
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小儿推拿对厌食症患儿血清D-木糖及中医证候积分的影响

《西部中医药》[ISSN:2096-9600/CN:62-1204/R]

卷:
38
期数:
2025年08期
页码:
152-155
栏目:
特色医疗
出版日期:
2025-08-15

文章信息/Info

Title:
Influence of Infantile Massage on Serum D-xylitol and TCM Syndrome Integrals in Children with Anorexia
作者:
吴英, 高汉媛, 赵霞, 程娟
甘肃省中医院，甘肃 兰州 730050
Author(s):
WU Ying, GAO Hanyuan, ZHAO Xia, CHENG Juan
Gansu Provincial Hospital of Traditional Chinese Medicine, Lanzhou 730050, China
关键词:
厌食症; 推拿; 木糖醇; 临床疗效; 小儿
Keywords:
anorexia; massage; xylitol; clinical effects; infants
分类号:
R272.6
DOI:
10.12174/j.issn.2096-9600.2025.08.29
文献标志码:
B
摘要:
目的观察厌食症患儿血清D-木糖水平和中医证候积分的变化，探究小儿推拿对其血清D-木糖含量、中医证候积分的影响及临床疗效。 方法将招募的60例健康体检儿童纳入空白组，120例厌食症患儿依据随机数字表法分为推拿组和药物组，每组60例。空白组不予干预；推拿组采用小儿推拿疗法；药物组口服江中健胃消食片。推拿组、药物组均以7天为1个疗程，疗程间间隔1天，共治疗4个疗程。3组患儿于治疗前后空腹采血，运用高效液相色谱-蒸发光散射检测法测定血清D-木糖含量。对比推拿组和药物组治疗前后的中医证候积分、临床疗效及不良反应发生情况。 结果治疗前推拿组和药物组血清D-木糖含量均显著低于空白组（P＜0.05）；治疗后推拿组及药物组血清D-木糖含量均较治疗前升高（P＜0.05），且推拿组高于药物组（P＜0.05），；治疗后两组与空白组比较，差异无统计学意义（P＞0.05）。治疗后推拿组和药物组中医证候积分均低于治疗前（P＜0.05），且推拿组低于药物组（P＜0.05）。推拿组临床总有效率［91.5%（55/59）］高于药物组［84.3%（43/51）］（P＜0.05）。推拿组和药物组在治疗过程中均未出现不良反应。 结论小儿推拿可改善厌食症患儿的小肠吸收功能，降低中医证候积分，提升临床疗效，是治疗小儿厌食症的有效方法。
Abstract:
ObjectiveTo survey the influence of infantile massage on the contents of serum D-xylitol and TCM syndrome integrals in children with anorexia and clinical effects by observing the levels of serum D-xylitol and the changes of TCM syndrome integrals. MethodsSixty children undergoing health examination were recruited and included into the blank group, 120 children were allocated to the massage group and the medicine group in light of random number table method with 60 cases in each group. The blank group was left unhandled, the massage group adopted infantile massage, and the medicine group took Jiangzhong Jianwei Xiaoshi (stomach-strengthening digestion-promoting) tablets orally. Seven days were one course of the treatment, and the interval was one day, the massage group and the medicine group were treated for four courses. Blood samples were taken from the children on an empty stomach before and after treatment in three groups, HPLC-evaporative light scattering detection (HPLC-ELSD) was applied to detect the contents of serum D-xylitol. To compare TCM syndrome integrals, clinical effects and the incidence of adverse reactions before and after treatment between the massage group and the medicine group. ResultsBefore the treatment, the contents of serum D-xylitol in the massage group and the medicine group were noticeably lower than these of the blank group (P<0.05). After the treatment, the contents of serum D-xylitol in the massage group and the medicine group were elevated than before the treatment (P<0.05), and the massage group was higher than the medicine group (P<0.05); after the treatment, the difference had no statistical meaning when the massage group and the medicine group were compared with the blank group (P>0.05). After the treatment, TCM syndrome integrals of the massage group and the medicine group were lower than these before the treatment (P<0.05), and the massage group was lower than the medicine group (P<0.05). Clinical total effective rate of the massage group was [91.5%(55/59)], higher than [84.3%(43/51)] of the medicine group (P<0.05). No adverse reaction occurred in the massage group and the medicine group during the therapeutic process. ConclusionInfantile massage could improve the absorption from the small intesetines, reduce TCM syndrome integrals and lift clinical effects, and it's an effective method for treating children with anorexia.

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备注/Memo

备注/Memo:
吴英（1977—），女，主管护师。研究方向：针灸推拿护理。国家自然科学基金（81960907）；甘肃省自然科学基金（24JRRA576）。
更新日期/Last Update: 2025-08-15