中医推拿减肥治疗肥胖男童阴茎短小的效果观察

Effect of massage in traditional Chinese medicine on short penis in male obese children

目的:观察配合中医推拿减肥对儿童肥胖性性发育不良的典型症状阴茎短小的治疗效果。方法:纳入2001-06/2003-09河南省妇幼保健院小儿遗传内分泌及泌尿外科门诊单纯肥胖男童70例,随机数字表法分为推拿+康复治疗组40例,康复治疗组30例;同时纳入同年龄、同身高体质量正常儿童20例。所有肥胖儿童采用阴茎短小治疗仪治疗,推拿+康复治疗组儿童再加用循经推拿法进行减肥治疗,采用中医推、揉、点、按等推拿手法在患者身上循经络进行按摩,并对胃俞、脾俞、肾俞、上脘、中脘、下脘等重点穴位进行刺激,每天治疗30min。同时对肥胖儿童给予饮食、运动指导。检测两组肥胖儿童治疗前后的身高、体质量、阴茎大小;放免法测定各组儿童的血清黄体生成素、卵泡刺激素、总睾酮、雌二醇。结果:全部进入结果分析。①肥胖儿童血清黄体生成素、卵泡刺激素、雌激素均明显高于正常儿童,血清总睾酮水平明显低于正常儿童(P<0.01)。②推拿+康复治疗组和康复治疗组儿童治疗后,阴茎长度与治疗前相比均有显著增长[(3.31±0.45),(1.64±0.52);(2.93±0.38),(1.61±0.41)cm;P<0.01];推拿+康复治疗组治疗后阴茎长度增长大于康复治疗组儿童(P<0.01)。③推拿+康复治疗组体质量较治疗前下降,差异有显著性意义[(65.32±9.22),(72.78±7.48)kg,P<0.01]。结论:肥胖男童性发育滞后可能于男童性激素分泌紊乱有关,配合中医推拿减肥治疗,可显著降低患者的体质量,增加患儿的阴茎长度。

AIM： To investigate the therapeutic effect of massage along pathway of the channel of traditional Chinese medicine on hypoplastic penis in obese male children. METHODS： Totally 70 simple obesity male children. who were diagnosed at Department of Endocrine Pediatrics. Henan Maternal and Child Health Faculty between June 2001 and September 2003. were enrolled. They were randomly divided into massage plus rehabilitation treatment group （n=40） and rehabilitation treatment group （n=30）. At the same time. 20 normal children of the same age. same height and body mass were involved. All the obese children were treated with microsoma penis therapeutic apparatus. Besides. those in the massage plus rehabilitation treatment group received massage at meridian of patients by pushing. kneading. doting and pressing. and stimulated at points of Weishu （BL 21）. Pishu （BL 20）. Shenshu （BL 23）. Shangwan （RN 13）. Zhongwan （RN 12） and Xiawan （RN 10）. for 30 minutes every day. At the same time. diet and exercise were guided for obese children. Height. body mass. size of penis were measured before and after treatment in the two groups. The levels of luteinizing hormone （LH）. follicle-stimulating hormone （FSH）. total testosterone （TT） and estradiol （E2） in serum were detected by radioimmunological assay. RESULTS： All the children were involved in the result analysis. ①Levels of LH. FSH and E2 in serum of obese children were significantly higher than those in the normal children. The level of TT in serum was obviously lower than that in the normal children （P 〈 0.01 ）.②The penis became longer markedly in the massage plus rehabilitation treatment group and rehabilitation treatment group after treatment [（3.31±0.45）. （1.64±0.52）; （2.93±0.38）. （1.61±0.41） cm;P 〈 0.01]. The increase of penis in the massage plus rehabilitation treatment group was longer than that in the rehabilitation treatment group （P 〈 0.01 ）. ③The body mass decreased in the massage plus rehabilitation treatment group as compared with that before treatment. and there was significant difference [（65.32±9.22）. （72.78 ±7.48） kg.P 〈 0.01]. CONCLUSION： Sexual development hysteresis may be associated with paraseeretion of sexual hormone in obese male children. Combined with traditional Chinese medicine massage. the body mass of patients can be reduced remarkably and the penis of children patients can be lengthened.