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中药穴位敷贴对矮小儿童身高及骨龄的影响与作用

Influence and Effect of Acupoint Application of Chinese Medicine on Height and Bone Age of Children with Short Stature.

作者信息

Wang Weiqun, Sun Hong, Ye Yushuang, Shao Zhengyang, Xiao Yuping

机构信息

Department of Pediatrics, Zhejiang Provincial Integrated Chinese and Western Medicine Hospital, Hangzhou, Zhejiang 310003, China.

Department of Traditional Chinese Medicine, Hangzhou Shangcheng District Caihe Street Community Health Service Center, Hangzhou, Zhejiang 310020, China.

出版信息

Evid Based Complement Alternat Med. 2021 Oct 29;2021:7459593. doi: 10.1155/2021/7459593. eCollection 2021.

Abstract

OBJECTIVE

To explore the effect of acupoint application of Chinese medicine on children's height and bone age.

METHODS

Altogether, 120 children with a short stature treated in our hospital from September 2017 to September 2018 were divided into the control group (CG,  = 60) and the observation group (OG,  = 60) according to the random number table method. The children in CG were given healthy diet and exercise plans and supplemented with daily vitamin intake. The OG was treated with acupoint application of Chinese medicine on the basis of the CG. The clinical efficacy of the CG and the OG of children after treatment was observed. The height increment, growth rate, and bone age of children were compared before and after treatment. The levels of IGF-1 and 25-(OH)D in the serum of children before and after treatment were tested. According to the clinical curative effect after treatment, the children were divided into good curative effect group (markedly effective + effective) and poor curative effect group (ineffective). Logistics regression analysis was applied to analyze the risk factors.

RESULTS

Compared with the CG, the curative effect on the OG was evidently improved ( < 0.05). In addition, the height increment, the growth speed, and the bone age of the OG increased evidently ( < 0.05). Compared with the CG, the expression of IGF-1 and 25-(OH)D of the OG elevated ( < 0.05). Serum IGF-1 and 25-(OH)D concentrations were positively correlated with growth rate and bone age ( < 0.05). Risk factors analysis showed that disease course, IGF-1, 25-(OH)D expression, and heredity were the risk factors affecting the curative effect on children.

CONCLUSION

Acupoint application of Chinese medicine has effect on the height and bone age of children with short stature, which is worthy of clinical promotion. In addition, early treatment should be carried out to improve the clinical efficacy of children.

摘要

目的

探讨中药穴位敷贴对儿童身高及骨龄的影响。

方法

选取2017年9月至2018年9月在我院治疗的120例身材矮小儿童,按照随机数字表法分为对照组(CG,n = 60)和观察组(OG,n = 60)。对照组儿童给予健康饮食和运动计划,并补充每日维生素摄入量。观察组在对照组基础上采用中药穴位敷贴治疗。观察两组儿童治疗后的临床疗效。比较两组儿童治疗前后的身高增加值、生长速率及骨龄。检测两组儿童治疗前后血清中胰岛素样生长因子-1(IGF-1)和25-羟基维生素D[25-(OH)D]水平。根据治疗后的临床疗效,将儿童分为疗效好组(显效 + 有效)和疗效差组(无效)。应用Logistic回归分析影响疗效的危险因素。

结果

与对照组相比,观察组的疗效明显提高(P < 0.05)。此外,观察组的身高增加值、生长速度及骨龄均明显增加(P < 0.05)。与对照组相比,观察组IGF-1和25-(OH)D的表达升高(P < 0.05)。血清IGF-1和25-(OH)D浓度与生长速率和骨龄呈正相关(P < 0.05)。危险因素分析显示,病程、IGF-1、25-(OH)D表达及遗传是影响儿童疗效的危险因素。

结论

中药穴位敷贴对身材矮小儿童的身高及骨龄有影响,值得临床推广。此外,应尽早治疗以提高儿童的临床疗效。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7f99/8570854/e2a8f8fb4cec/ECAM2021-7459593.001.jpg

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