首页|小儿消食颗粒对小儿厌食症相关因子影响及效果研究

小儿消食颗粒对小儿厌食症相关因子影响及效果研究

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目的 分析小儿消食颗粒对小儿厌食症的有效性,并探讨其对患儿血清微量元素、血红蛋白的影响。方法 选择2022年1月—2022年7月到海南医学院附属儋州市人民医院就诊的60例厌食症患儿,按照自愿原则分为常规治疗组和小儿消食颗粒组各30例,常规治疗组予以多酶片联合赖氨葡锌颗粒治疗;小儿消食颗粒组在常规治疗组的基础上予以小儿消食颗粒治疗。观察两组的临床疗效、中医证候积分和体质量变化,比较干预前、后血清中胃肠激素、微量元素和血红蛋白水平的改变。结果 常规治疗组的有效率为73。33%(22/30),小儿消食颗粒组的有效率为93。33%(28/30),小儿消食颗粒组的有效率明显优于常规治疗组(P<0。05)。给药完成后,小儿消食颗粒组的食欲不振、腹胀以及恶心等主要症候积分水平相较于常规治疗组显著下降(P<0。01,P<0。05);与给药前比较,小儿消食颗粒组给药后的食欲不振、食量减少、口臭、恶心、呕吐、大便干结、臭秽、倦怠、口渴的积分均明显降低(P<0。05)。给药完成后,小儿消食颗粒组的胃蛋白酶原Ⅰ、胃蛋白酶原Ⅱ、胃泌素水平相较于常规治疗组均明显升高,而胃泌素释放肽前体水平明显降低(P<0。01)。给药完成后,与常规治疗组比较,小儿消食颗粒组的血清Zn2+、Ca2+含量明显增加(P<0。05,P<0。01)。给药前两组的血红蛋白和体质量水平无明显差异(P>0。05)。给药完成后,相较于常规治疗组,小儿消食颗粒组的HGB和体质量指数(BMI)均明显升高(P<0。01)。结论 小儿消食颗粒联合常规治疗能够提高厌食症患儿的临床疗效,减轻中医症候,提升体质量和血清中血红蛋白、微量元素含量,并对患儿的胃肠激素水平具有调节作用。
Influence and Effect of Xiaoer Xiaoshi Granule(小儿消食颗粒)on Related Factors in Children with Infantile Anorexia
Objective To analyze the effectiveness of Xiaoer Xiaoshi Granule(小儿消食颗粒)on infantile anorexia in chil-dren and explore its effect on serum trace elements and hemoglobin in children.Methods A total of 60 children with anorexia who visited Danzhou People's Hospital from January 2022 to July 2022 were selected and divided into conventional treatment group and Xiaoer Xiaoshi Granule group,with 30 cases in each group.The children in the conventional treatment group were treated with multi-enzyme tablets combined with ledextran zinc granules.The children in the Xiaoer Xiaoshi Granule group were treated with Xiaoer Xiaoshi Granule on the basis of the conventional treatment group.The clinical efficacy,TCM syndrome score and body weight of the two groups were observed,and the changes of gastrointestinal hormones,trace elements and hemoglobin levels in ser-um were compared before and after intervention.Results The effective rate of the conventional treatment group was 73.33%,and that of the Xiaoer Xiaoshi Granule group was 93.33%.The effective rate of the Xiaoer Xiaoshi Granule group was significantly better than that of the conventional treatment group(P<0.05).After drug administration,the scores of major symptoms such as loss of appetite,abdominal distension and nausea in the Xiaoer Xiaoshi Granule group were significantly lower than those in the conventional treatment group(P<0.01,P<0.05).Compared with those before administration,the scores of loss of appetite,de-creased food intake,halitosis,nausea,vomiting,dry stool,foul odor,tiredness and thirst in Xiaoer Xiaoshi Granule group after ad-ministration were significantly decreased(P<0.05).After drug administration,the levels of pepsinogen Ⅰ,pepsinogen Ⅱ and gastrin were significantly increased,while the pro-gastrin-releasing peptide was significantly decreased in the Xiaoer Xiaoshi Granule group compared with those of the conventional treatment group(P<0.01).After drug administration,compared with those of the conventional treatment group,the contents of serum Zn2+and Ca2+in the Xiaoer Xiaoshi Granule group were signifi-cantly increased(P<0.05,P<0.01).Before administration,there were no significant differences in hemoglobin or body weight between the two groups(P>0.05).After drug administration,the values of hemoglobin(HGB)and body mass index(BMI)of children in the Xiaoer Xiaoshi Granule group were significantly increased compared with those in conventional treatment group(P<0.01).Conclusion Xiaoer Xiaoshi Granule combined with conventional treatment can improve the clinical efficacy of chil-dren with anorexia,reduce the symptoms of traditional Chinese medicine,improve the body weight and serum hemoglobin and trace elements content and regulate the levels of gastrointestinal hormones in children.

anorexiaXiaoer Xiaoshi Granule(小儿消食颗粒)clinical efficacytrace elementshemoglobin

白飏、李海平、李恒、张杰

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海南医学院附属儋州市人民医院,海南儋州 571799

海南西部中心医院,海南儋州 571799

宁波市妇女儿童医院,浙江宁波 315000

厌食症 小儿消食颗粒 临床疗效 微量元素 血红蛋白

国家中医药管理局全国名老中医药专家传承工作室项目海南省卫生健康行业科研项目

国中医药人教发[2016]42号20A200318

2024

中华中医药学刊
中华中医药学会 ,辽宁中医药大学

中华中医药学刊

CSTPCD北大核心
影响因子:1.007
ISSN:1673-7717
年,卷(期):2024.42(2)
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