针刺四缝穴对厌食症患儿血清瘦素水平的影响

Effect of acupuncture at Sifeng(EX-UE 10) on serum leptin in the child of anorexia

目的：观察针刺四缝穴对厌食症患儿血清瘦素水平的影响，揭示血清瘦素水平变化与小儿厌食之间的关系。方法：42名患儿随机分为治疗A组（15例），针刺四缝穴治疗，每周1次，3次为一疗程；治疗B组（15例），针刺四缝穴治疗，2周1次，3次为一疗程；药物组（12例），口服乳酸菌素片，每次1～2片，每天3次，4周为一疗程。结果：治疗A组有效率为93。3％，治疗B组有效率为93．3％，均高于药物组75．0％，差异具有非常显著性意义（P〈0.01）；治疗后3组患儿血清瘦素水平与治疗前比较都有非常显著性变化（P〈0．01）；A、B两组血清瘦素水平的改善均优于药物组（P〈0．05）。结论：针刺四缝穴能促进患儿血清瘦素分泌，改善患儿厌食症状。

Objective To observe effect of acupuncture at Sifeng （EX-UE 10） on serum leptin level in the child of anorexia, so as to reveal relation between changes of blood leptin level and anorexia of child. Methods Forty-two cases were randomly divided into 3 groups. The treatment group A （n = 15） were treated with acupuncture at Sifeng （EX-UE 10）, once each week, 3 consecutive sessions constituting one course; the treatment group B （n = 15） were treated with acupuncture at Sifeng （EX-UE 10）, once two weeks, 3 consecutive sessions constituting one courses the medication group （n = 12） were treated with oral administration of Lactein tablets, 1-2 tablets each time, 3 times each day, 4 weeks constituting one course. Results The effective rate was 93.3% in the treatment group A and 93.3% in the treatment group B, which were higher than that in the medication group, with a very significant differences （P〈0. 01）s after treatment, the serum leptin levels in the 3 groups had very significant changes （P〈0. 01） s the improvement of serum leptin levels in the treatment group A and B were better than that in the medication group （P〈0. 05）. Conclusion Acupuncture at Sifeng （EX-UE 10） can promote secretion of serum leptin in the child of anorexia, and improve anorexia.