Koda Erik K
Family Medicine, Uniformed Services University, Bethesda, MD, USA.
Malcolm Grow Medical Clinics and Surgical Center, Banholzer Clinic and U.S. Air Force Acupuncture and Integrative Medicine Center, Joint Base Andrews, MD, USA.
Med Acupunct. 2024 Apr 1;36(2):102-107. doi: 10.1089/acu.2023.0087. Epub 2024 Apr 11.
Failure to thrive (FTT) is a challenging childhood condition that may lead to developmental delays and requires immediate therapeutic strategies. Children are diagnosed with FTT when their weight or rate of weight gain is significantly below that of other children of similar age and sex. A Pub Med literature search revealed no published acupuncture treatments for failure to thrive or faltering growth.
A 2 year, 4 month-old female was presented with FTT and a history of multiple severe congenital medical conditions. Western medical treatment with optimization of tube feeds achieved weight scores in the third-to-fifth percentile range. Acupuncture points were electrically stimulated for the child once monthly for 30 seconds with a Pointer Plus™ at each of 12 traditional Chinese/ points and at several auricular points: Appetite, Stomach, Small Intestine, and Large Intestine bilateral.
The patient gained weight during the treatment, increasing monthly as shown on fully naked weight measurements to the 25th percentile, 28th percentile, 32nd percentile, 40th percentile, 46th percentile, 61st percentile, and 65 percentile. Her treatment was spaced to every 2.5 months after the 46th percentile measurement, and her weight started to level off when it reached the 61st percentile.
In this particular case, electroacupuncture (EA) stimulation may have facilitated a weight gain in this female child. EA (nonneedle) research should be explored for FTT.
生长发育迟缓(FTT)是一种具有挑战性的儿童疾病,可能导致发育延迟,需要立即采取治疗策略。当儿童的体重或体重增加速度明显低于其他年龄和性别的儿童时,就会被诊断为生长发育迟缓。对PubMed文献的检索显示,尚无关于生长发育迟缓或生长缓慢的针灸治疗的报道。
一名2岁4个月大的女性患有生长发育迟缓,并有多种严重先天性疾病史。通过优化管饲进行西医治疗后,其体重得分处于第三至第五百分位范围。使用Pointer Plus™对该儿童每月进行一次电针刺激,每次30秒,针刺12个传统中医穴位及几个耳穴:双侧的食欲、胃、小肠和大肠。
治疗期间患者体重增加,每月全裸体重测量显示体重百分位依次为第25、28、32、40、46、61和65百分位。在第46百分位测量后,治疗间隔延长至每2.5个月一次,当体重达到第61百分位时开始趋于平稳。
在这个特殊病例中,电针刺激可能促进了该女童体重增加。对于生长发育迟缓,应探索电针(非针刺)研究。