首页|春季助长贴联合耳穴贴压治疗特发性矮身材脾肾两虚证40例临床观察

春季助长贴联合耳穴贴压治疗特发性矮身材脾肾两虚证40例临床观察

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目的 观察春季助长贴联合耳穴贴压治疗特发性矮身材脾肾两虚证的临床疗效。方法 选取2020年11月至2022年3月浙江萧山医院儿科就诊的特发性矮身材脾肾两虚证患儿80例,采用随机数字表法分为治疗组和对照组,各40例。对照组接受生活方式干预治疗,治疗组在对照组干预的基础上予春季助长贴联合耳穴贴压治疗,2组均治疗3个月。比较治疗前后患儿身高、体质量、食欲等中医证候积分情况,患儿身高标准差数值(Ht-SD)、身高年增长速度(GV)、预测终身高差值(△PAH)及血清胰岛素样生长因子-1(IGF-1)、胰岛素样生长因子结合蛋白3(IGFBP-3)水平变化。结果 治疗组身高增长值、体质量增长值均显著高于对照组,2组比较,差异有统计学意义(P<0。05)。治疗前2组Ht-SD、GV、△PAH和血清IGF-1、IGFBP-3水平比较,差异无统计学意义(P>0。05),具有可比性;治疗后2组上述指标值均显著升高,与同组治疗前比较,差异有统计学意义(P<0。05),且治疗组升高更显著(P<0。05)。治疗前2组身高、体质量、食欲积分比较,差异无统计学意义(P>0。05),具有可比性;治疗后2组上述积分均显著下降,与同组治疗前比较,差异有统计学意义(P<0。05),且治疗组下降更显著(P<0。05)。结论 春季助长贴联合耳穴贴压治疗特发性矮身材脾肾两虚证可有效改善患儿身高、体质量、食欲等中医证候积分,显著升高血清IGF-1、IGFBP-3水平,有效促进患儿生长发育,值得临床推广应用。
Clinical observation on 40 cases of idiopathic short stature with deficiency of spleen and kidney treated with spring growth-boosting patch and auricular acupoints pressure
Objective To observe the clinical efficacy of spring growth-boosting patch combined with auricular acupoints pressure in the treatment of idiopathic short stature with spleen and kidney deficiency.Methods 80 cases of children with idiopathic short stature with spleen and kidney deficiency syndrome in the Department of Paediat-rics of Zhejiang Xiaoshan Hospital were selected from November 2020 to March 2022,and were divided into a treat-ment group and a control group of 40 cases each using the random number table method.The control group was trea-ted with lifestyle intervention,and the treatment group was treated with spring growth-boosting patch combined with auricular acupoints pressure therapy on the basis of the control group's intervention.After 3 months of treatment,the height,body mass,appetite,and other traditional Chinese medicine syndrome scores of the two groups were com-pared before and after treatment.The standard deviation of height(Ht-SD),annual growth rate of height(GV),pre-dicted final height difference(△PAH),and changes in serum levels of insulin-like growth factor 1(IGF-1)and insulin-like growth factor binding protein 3(IGFBP-3)were also compared.Results The height growth value and body mass growth value of the treatment group were significantly higher than those of the control group,and the difference between the 2 groups was statistically significant(P<0.05).Comparison of Ht-SD,GV,△PAH and ser-um IGF-1,IGFBP-3 levels between the 2 groups before treatment,the difference was not statistically significant(P>0.05),and is comparable;after treatment,the values of the above indexes of the 2 groups were significantly higher than those of the control group,and the difference was statistically significant compared with that of the same group before treatment(P<0.05),and the treatment group had a more significant increase(P<0.05).Comparison of height,body mass and appetite points of the 2 groups before treatment,the difference was not statistically significant(P>0.05),and was comparable;after treatment,the above points of the 2 groups decreased significantly,compared with the same group before treatment,the difference was statistically significant(P<0.05),and the decrease was more significant in the treatment group(P<0.05).Conclusion Spring growth-boosting patch combined with auric-ular acupoints pressure for idiopathic short stature with spleen and kidney deficiency can effectively improve the children's height,body mass,appetite and Chinese medicine syndrome points,significantly increase serum IGF-1 and IGFBP-3 levels,effectively promote the growth and development of the children,which is worthy of clinical pro-motion and application.

idiopathic short staturechildrenspleen and kidney deficiencyspring growth-boosting patchauric-ular acupoints pressureclinical observation

周红、韩光玺、崔芬芬、陈爽、蒋群

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浙江萧山医院儿科,浙江 杭州 311200

特发性矮身材 儿童 脾肾两虚证 春季助长贴 耳穴贴压 临床观察

杭州市萧山区科技计划引导项目

2020316

2024

中医儿科杂志
甘肃中医学院,中华中医药学会

中医儿科杂志

影响因子:0.82
ISSN:1673-4297
年,卷(期):2024.20(2)
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