生长贴联合子午流注开穴法治疗身高超矮儿童脾肾亏虚型32例近期临床观察

Short-term clinical observation on 32 cases of children of abnormally short stature with consumption of spleen and kidney type treated by Shengzhang Tie(生长贴)combined with selection points by midnight-noon ebb-flowing manipulation

目的观察生长贴联合子午流注开穴法治疗身高超矮儿童脾肾亏虚型的近期临床疗效。方法选取2019年3—5月在武汉市中西医结合医院儿科就诊的身高超矮儿童脾肾亏虚型62例,采用随机数字表法分为对照组30例和治疗组32例,对照组予赖氨酸维B;颗粒口服治疗,治疗组使用生长贴联合子午流注开穴法治疗,2组均连续治疗3个月,并于治疗后及治疗后第3个月统计疗效。结果治疗组总有效率为78.13%(25/32),明显高于对照组的43.33%(13/30),2组比较,差异有统计学意义(P<0.05)。治疗前2组症状、体征积分比较,差异无统计学意义(P>0.05),具有可比性;治疗后及治疗后第3个月2组的症状、体征积分均较同组治疗前明显降低,差异均有统计学意义(P<0.05或P<0.01),且治疗组与对照组同期比较,降低更显著(P<0.01)。治疗前2组的生长速度(GV)、身高标准差(SDS)、骨龄(BA)比较,差异无统计学意义(P>0.05),具有可比性;治疗后2组的BA及治疗组的GV和身高SDS均较同组治疗前明显升高,差异有统计学意义(P<0.05);治疗后第3个月2组的GV、身高SDS及BA均较同组治疗前明显升高,差异均有统计学意义(P<0.05),且治疗组的GV和身高SDS升高更显著(P<0.05)。结论生长贴联合子午流注开穴法治疗身高超矮儿童脾肾亏虚型疗效显著,可明显改善症状、体征,显著提高儿童GV、身高SDS及BA,值得临床推广应用。

Objective To observe short-term clinical efficacy on children of abnormally short stature with consumption of spleen and kidney type treated by Shengzhang Tie(生长贴)combined with selection points by midnight-noon ebb-flowing manipulation.Methods From March to May in 2019,62 cases of children of abnormally short stature with consumption of spleen and kidney type consulted in pediatrics department of Wuhan Integrated Traditional Chinese and Western Medicine Hospital were divided into control group with 30 cases and treatment group with 32 cases according to random number table method.The control group was given oral administration of Lai’aisuan WeiB12 Keli(赖氨酸维B12颗粒),while the treatment group was given Shengzhang Tie combined with selection points by midnight-noon ebb-flowing manipulation.After the 2 groups were continuously treated for 3 months,we kept statistics about the efficacy between the 2 groups before treatment and on the third month after treatment.Results The total effective rate of the treatment group was 78.13%(25/32),which was significantly higher than 43.33%(13/30)of the control group,and the difference was statistically significant between the 2 groups(P<0.05).Before treatment,the differences were not statistically significant in scores of symptoms and signs between the 2 groups(P>0.05),indicating comparability.After treatment and on the third month after treatment,the scores of symptoms and signs in the 2 groups significantly decreased than those in the same group before treatment,and the differences were statistically significant(P<0.05 or P<0.01),moreover,the treatment decreased more significantly compared with those of the control group in the corresponding period(P<0.01).Before treatment,there was no significant differences in growth velocity(GV),height standard deviation scores(SDS)and bone age(BA)between the 2 groups(P>0.05),indicating comparability.After treatment,BA of the 2 groups,GV and height SDS of the treatment group all significantly increased than those of the same group before treatment,and the differences were statistically significant(P<0.05).On the third month after treatment,GV,height SDS and BA in the 2 groups significantly increased than those in the same group before treatment,and the differences were statistically significant(P<0.05),moreover,the increase of GV and height SDS in the treatment group was more significant(P<0.05).Conclusion It has marked efficacy,can markedly alleviate the symptoms and signs and increase children’s GV,height SDS and BA to use Shengzhang Tie combined with selection points by midnight-noon ebb-flowing manipulation for treating children of abnormally short stature with consumption of spleen and kidney type,which deserves clinical promotion and application.