小儿六味增食膏对厌食症饮食积滞型患儿血清相关因子水平的影响

Effect of Xiaoer Liuwei Zengshi Gao on serum related factors levels in anorexia children with dietary stagnation

  • 摘要:
      目的  观察饮食积滞型厌食症患儿使用小儿六味增食膏对患儿血清瘦素(Leptin)、神经肽Y(NPY)及促人生长激素腺释放肽(Ghrelin)的影响。
      方法  选择72例厌食症患儿为研究对象,采用随机数字表法分为观察组与对照组,每组36例。全部患儿治疗期间均接受饮食及运动指导,在此基础上,对照组使用葡萄糖酸锌口服溶液治疗,观察组使用小儿六味增食膏联合葡萄糖酸锌口服溶液治疗。分别于治疗前、治疗4周时评价2组中医证候积分,记录症状缓解时间和不良反应发生情况,同时检测血清相关因子(Leptin、NPY及Ghrelin)水平。
      结果  治疗4周时,观察组各项目中医证候积分及总分均低于对照组,差异有统计学意义(P < 0.05);观察组腹痛、腹胀及便秘缓解时间均短于对照组,差异有统计学意义(P < 0.05);治疗4周时,观察组血清Leptin水平低于对照组,NPY及Ghrelin水平均高于对照组,差异有统计学意义(P < 0.05);2组治疗期间无不良反应发生。
      结论  饮食积滞型小儿厌食症采用小儿六味增食膏治疗,更有利于患儿症状的缓解和血清指标的改善,且治疗期间无不良反应发生,安全性好,应用价值高。

     

    Abstract:
      Objective  To observe the effects of Xiaoer Liuwei Zengshi Gao on serum leptin (Leptin), neuropeptide Y (NPY) and ghrelin (Ghrelin) in the treatment of anorexia children with dietary stagnation.
      Methods  A total of 72 children with anorexia were selected as study objects, and were divided into observation group and control group by random number table method, with 36 cases in each group. All children received dietary and exercise guidance during the treatment period, the control group was additionally treated with Zinc Gluconate Oral Solution, and the observation group was treated with Xiaoer Liuwei Zengshi Gao combined with Zinc Gluconate Oral Solution. Before treatment and 4 weeks after treatment, the scores of TCM syndromes in the two groups were evaluated, the time of symptom relief and adverse reactions during treatment were recorded, and the levels of serum related factors (Leptin, NPY and Ghrelin) were detected.
      Results  After 4 weeks of treatment, the syndrome score of each item and total score of the observation group were lower than the control group (P < 0.05); the abdominal pain, bloating and constipation relief time of the observation group were shorter than the control group (P < 0.05); at 4 weeks of treatment, the serum Leptin level of the observation group was lower than that of the control group, and the levels of NPY and Ghrelin were higher than the control group (P < 0.05); there were no adverse reactions occurred during treatment.
      Conclusion  Xiaoer Liuwei Zengshi Gao in the treatment of anorexia children with dietary stagnation is more conducive to the relief of symptoms and improvement of related serum indicators of children. Besides, no adverse reactions occur during treatment, and it has higher safety and application value.

     

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