针刺结合中药敷贴治疗小儿功能性消化不良的临床疗效及对血清 5-HT、NO 水平的影响。
Clinical Effect of Acupuncture Combined with Traditional Chinese Medicine Application on the Treatment of Functional Dyspepsia in Children and the Influence on Serum 5-HT and NO Levels.
机构信息
Department of Pediatrics, Yantai Mountain Hospital, Yantai 264000, Shandong Province, China.
Regular Physical Examination Centre, Jinan Municipal Hospital of Traditional Chinese Medicine, Jinan 250014, Shandong Province, China.
出版信息
Comput Intell Neurosci. 2022 Mar 31;2022:6800662. doi: 10.1155/2022/6800662. eCollection 2022.
OBJECTIVE
To explore the clinical effect of acupuncture combined with traditional Chinese medicine (TCM) application on the treatment of functional dyspepsia (FD) in children and the influence on serum 5-HT and NO levels.
METHODS
94 FD children admitted to the pediatric department of our hospital from March 2019 to March 2020 were selected as the research object and divided into the study group ( = 45) and reference group ( = 49) by the number table method. The routine Western medicine therapy was given to the reference group and the combination therapy of acupuncture and TCM application was given to the study group to analyze the effect of different therapies on FD children by detecting their serum 5-hydroxytryptamine (5-HT) and nitric oxide (NO) levels and electrogastrogram (EGG) before and after treatment.
RESULTS
The sex ratio, mean age, mean duration of disease, mean weight, mean BMI value, and residence of children in the two groups were not significantly different ( > 0.05); after treatment, the study group obtained significantly lower symptom scores and shorter disappearance time of clinical symptoms when comparing with the reference group ( < 0.001); the total clinical effective rate of the study group was significantly higher than that of the reference group ( < 0.05); the treated serum 5-HT and NO levels of children in both groups were significantly lower than those before treatment ( < 0.05), and in the between-group comparison, those of the study group were significantly lower ( < 0.05); and the treated AP, FP, and normal slow wave ratio of gastric antrum and body were significantly higher in the study group than in the reference group ( < 0.05).
CONCLUSION
The combination therapy of acupuncture and TCM application is a reliable method for improving the clinical symptoms in FD children. This strategy greatly reduces the levels of serum factors in child patients and shortens the corresponding treatment time. Further research will be conducive to establishing a better solution for such patients.
目的
探讨针刺结合中药应用治疗儿童功能性消化不良(FD)的临床疗效及对血清 5-HT、NO 水平的影响。
方法
选取 2019 年 3 月至 2020 年 3 月我院儿科收治的 94 例 FD 患儿为研究对象,采用数字表法分为研究组(n=45)和对照组(n=49)。对照组给予常规西药治疗,研究组给予针刺结合中药应用联合治疗,分析不同疗法对 FD 患儿的影响,检测其治疗前后血清 5-羟色胺(5-HT)、一氧化氮(NO)水平及胃电图(EGG)。
结果
两组患儿性别比、年龄、平均病程、平均体质量、平均 BMI 值、居住情况比较,差异无统计学意义(>0.05);治疗后,研究组症状评分明显低于对照组,临床症状消失时间明显短于对照组(<0.001);研究组总有效率明显高于对照组(<0.05);两组患儿治疗后血清 5-HT、NO 水平均明显低于治疗前(<0.05),且组间比较,研究组明显更低(<0.05);研究组治疗后胃窦、胃体的 AP、FP 及正常慢波比例均明显高于对照组(<0.05)。
结论
针刺结合中药应用治疗可改善 FD 患儿的临床症状,该方案能显著降低患儿血清因子水平,缩短相应治疗时间,进一步研究有利于为这类患儿建立更好的解决方案。