首页|醒脾滋肾法在学龄期特发性矮小症中的应用

醒脾滋肾法在学龄期特发性矮小症中的应用

扫码查看
目的 探究醒脾滋肾法对学龄期特发性矮小(ISS)患儿的治疗疗效.方法 2021年8月-2022年8月期间在该院随机选取120例学龄期ISS患儿,采用随机数表法分为治疗组(57例)和对照组(63例).治疗组给予醒脾滋肾法辅助生长激素治疗,对照组给予单纯生长激素治疗.比较两组治疗前后中医证候评分、骨龄[骨龄指数(BAI)、骨龄差(BAD)]、体格、生长速率(GV)变化,并检测患儿治疗前后外周血胰岛素样生长因子1(IGF-1)/IGF-1结合蛋白3(IG-FBP-3)、25羟基维生素D[25(OH)D]、促甲状腺激素(TSH)和空腹血糖(FBG)变化.结果 观察组患儿治疗后体型瘦小、乏力少言、头发稀疏和面色姜黄证候得分均低于对照组,身高、体质量和GV均高于对照组,差异具有统计学意义(P<0.05).治疗后,观察组患儿骨龄指标BAI、BAD和成年身高(PAH)均高于对照组,差异具有统计学意义(P<0.05).治疗后,观察组外周血IGF-1、IGFBP-3、25(OH)D浓度均高于对照组(P<0.05),两组间TSH、FBG外周血浓度比较无差异(P>0.05).结论 醒脾滋肾法辅助生长激素治疗学龄期ISS患儿具有显著疗效,可促进生长发育,改善骨代谢,同时对碳水化合物代谢以及甲状腺功能无显著影响.
Application of Activating Spleen and Nourishing Kidney Method in School-Age Idiopathic Nanosomia
Objective To explore the activating spleen and nourishing kidney method on school-age children with idiopathic nanosomia(ISS).Methods Between August 2021 and August 2022,120 school-age children with ISS were randomly selected and divided into treatment group(57 cases)and control group(63 cases)by random number table method.The treatment group was treated with growth hormone assisted by activating spleen and nourishing kidney method,while the control group was treated with growth hormone alone.The changes of TCM syndrome scores,bone age[bone age index(BAI),bone age difference(BAD)],body size and growth rate(GV)were compared between the two groups before and after treatment,and the changes of insulin-like growth factor 1(IGF-1),IGF-1-binding protein 3(IGFBP-3),25 hydroxyvitamin D[25(OH)D],thyroid stimulating hormone(TSH)and fasting blood glucose(FBG)in peripheral blood were detected before and after treatment.Results After treat-ment,the scores of turmeric syndrome in the observation group were lower than those in the control group,and the height,weight and GV were higher than those in the control group,and the difference was statistically significant(P<0.05).After treatment,bone age indexes[BAI,BAD and predicted adult height(PAH)]in the observation group were higher than those in the control group,and the difference was statistically significant(P<0.05).After treatment,the concentrations of IGF-1,IGFBP-3 and 25(OH)D in the peripheral blood of the observation group were higher than those of the control group(P<0.05),and there was no difference in the concentrations of TSH and FBG in the peripheral blood between the two groups(P>0.05).Conclusion The method of activating spleen and nourishing kidney method assisting growth hormone in the treatment of school-age children with ISS has a significant effect,and can promote the growth and development and improve the bone metabolism,without significant effect on carbohydrate metabolism and thyroid function.

school-age idiopathic nanosomiaactivating spleen and nourishing kidney methodgrowth hormoneinsulin-like growth factorinsulin-like growth factor binding protein 3thyroid stimulating hormonefasting blood glucose

吴佳妮、徐群明、王敏华、丁海燕、叶琛琛

展开 >

宜兴市中医医院,江苏宜兴 214200

学龄期特发性矮小 醒脾滋肾法 生长激素 胰岛素样生长因子 胰岛素样生长因子结合蛋白3 促甲状腺激素 空腹血糖

2025

辽宁中医杂志
辽宁中医药大学,辽宁省中医药学会

辽宁中医杂志

北大核心
影响因子:0.815
ISSN:1000-1719
年,卷(期):2025.52(1)