Effect of Tuina Massage on Gastric Motility and Gastric Emptying in Children with Anorexia Nervosa

CHENG Juan; GAO Hanyuan; YANG Jiangxia; ZHAO Xia; WEN Na; YUE Jingjing

doi:10.13288/j.11-2166/r.2024.09.008

您当前的位置：

首页 >

文章列表页 >

Effect of Tuina Massage on Gastric Motility and Gastric Emptying in Children with Anorexia Nervosa

更新时间：2024-04-25

- Effect of Tuina Massage on Gastric Motility and Gastric Emptying in Children with Anorexia Nervosa
- Journal of Traditional Chinese Medicine Vol. 65, Issue 9, Pages: 915-920(2024)
- 作者机构：
  
  1.甘肃省中医院，甘肃省兰州市七里河区瓜州路418号，730050
  2.甘肃省中心医院
- 作者简介：
- 基金信息：
- DOI：10.13288/j.11-2166/r.2024.09.008
  CLC：
- Received：20 November 2023，
  
  Revised：2024-01-29，
  
  Published：02 May 2024
- 稿件说明：
移动端阅览
程娟,高汉媛,杨江霞等.小儿推拿对厌食症患儿胃蠕动和胃排空的影响[J].中医杂志,2024,65(09):915-920.

CHENG Juan,GAO Hanyuan,YANG Jiangxia,et al.Effect of Tuina Massage on Gastric Motility and Gastric Emptying in Children with Anorexia Nervosa[J].Journal of Traditional Chinese Medicine,2024,65(09):915-920.
程娟,高汉媛,杨江霞等.小儿推拿对厌食症患儿胃蠕动和胃排空的影响[J].中医杂志,2024,65(09):915-920. DOI： 10.13288/j.11-2166/r.2024.09.008.

CHENG Juan,GAO Hanyuan,YANG Jiangxia,et al.Effect of Tuina Massage on Gastric Motility and Gastric Emptying in Children with Anorexia Nervosa[J].Journal of Traditional Chinese Medicine,2024,65(09):915-920. DOI： 10.13288/j.11-2166/r.2024.09.008.

摘要

目的

探讨小儿推拿治疗厌食症的可能作用机制。

方法

将120例厌食症患儿随机分为推拿组和药物组各60例，同时招募健康体检儿童60例设为健康对照组。推拿组患儿给予传统小儿推拿手法治疗，药物组患儿给予健胃消食片嚼服，均7天为1个疗程，每个疗程间隔1天，共治疗4个疗程。健康对照组儿童入组时、推拿组和药物组患儿治疗前后分别运用彩色多普勒超声诊断仪检测胃蠕动次数、胃底面积、30 min后胃底面积、胃窦扩张时前后径、胃窦扩张时面积、胃窦收缩时前后径、胃窦收缩时面积7项指标并进行比较，同时比较胃30 min排空率、胃窦前后径收缩幅度、胃窦面积收缩幅度。

结果

本研究最终纳入健康对照组儿童60例、推拿组患儿59例、药物组患儿51例。与健康对照组入组时比较，推拿组和药物组入组时30 min后胃底面积、胃窦收缩时前后径及面积均增加，胃30 min排空率、胃蠕动次数、胃窦前后径收缩幅度均减少，胃窦面积收缩幅度仅推拿组减少（

＜0.05）。与本组治疗前比较，推拿组治疗后胃30 min排空率、胃蠕动次数、胃窦前后径收缩幅度及面积收缩幅度均增加，30 min后胃底面积、胃窦收缩时面积均减少；药物组治疗后胃蠕动次数、胃窦前后径收缩幅度均增加，胃窦收缩时面积减少（

＜0.05或

＜0.01）。与药物组治疗后比较，推拿组30 min后胃底面积减少，胃30 min排空率、胃蠕动次数均增加（

＜0.05）。

结论

小儿推拿手法治疗厌食症的可能作用机制是促进胃蠕动和胃排空而改善患儿胃肠功能紊乱。

Abstract

Objective

To explore the possible mechanism of pediatric tuina therapy in treating anorexia nervosa.

Methods

Totally 120 children with anorexia nervosa were randomly divided into a tuina group and a medication group， with 60 cases in each group. Sixty healthy children undergoing physical examinations were recruited as the healthy control group. Children in the tuina group received traditional pediatric tuina therapy， while those in the medication group received orally chewed Jianwei Xiaoshi tablets. Each treatment course lasted for 7 days， with a 1-day interval between courses， and a total of 4 courses were administered. Before and after treatment， seven indicators including gastric motility frequency， gastric area， gastric area 30 minutes after drinking， anterior-posterior diameter and area during gastric fundus dilation， anterior-posterior diameter and area during gastric fundus contraction were measured using a color Doppler ultrasound diagnostic instrument in children from the healthy control group， tuina group， and medication group. Additionally， gastric emptying rate at 30 minutes， changes in anterior-posterior diameter and area during gastric fundus contraction， and changes in gastric area were compared.

Results

This study ultimately included 60 healthy children in the control group， 59 children in the tuina group， and 51 children in the medication group. Compared with the control group at baseline， the gastric area and the anterior-posterior diameter and area during gastric fundus contraction increased， while the gastric emptying rate， gastric motility frequency， and changes in anterior-posterior diameter during gastric fundus contraction decreased in both the tuina group and medication group， with only a decrease in gastric area during gastric fundus contraction observed in the tuina group （

＜0.05）. Compared with baseline， after treatment， the gastric emptying rate， gastric motility frequency， and changes in anterior-posterior diameter and area during gastric fundus contraction increased in the tuina group， while the gastric area and area during gastric fundus contraction decreased 30 minutes after treatment； in the medication group， gastric motility frequency and changes in anterior-posterior diameter during gastric fundus contraction increased， while the area during gastric fundus contraction decreased （

＜0.05 or

＜0.01）. Compared with the medication group after treatment， the gastric area decreased 30 minutes after treatment， while the gastric emptying rate and gastric motility frequency increased （

＜0.05）.

Conclusion

The possible mechanism of pediatric tuina therapy in treating anorexia nervosa is to promote gastric motility and gastric emptying， thereby improving gastrointestinal dysfunction in children.

关键词

Keywords

references

吴瑞萍 . 实用儿科学［M］. 北京：人民卫生出版社， 2003 ： 125 .

吴艳华，肖达民，孙升云 . 小儿厌食症病机特点及治疗对策［J］. 中医杂志， 2009 ， 50 （ 11 ）： 1033 - 1035 .

广东省中医药学会小儿推拿专业委员会，国际中医药快速推荐意见制订工作组 . 推拿治疗儿童厌食症循证临床实践指南（2021版）［J］. 中医杂志， 2022 ， 63 （ 13 ）： 1295 - 1300 .

王自立，艾民 . 推拿治疗小儿厌食症的临床研究进展［J］. 长春大学学报， 2023 ， 33 （ 10 ）： 42 - 46 .

杨立波 . 临床试验中平行组设计二分类指标样本量的计算［J］. 中国新药杂志， 2011 ， 20 （ 24 ）： 2392 - 2395 .

国家中医药管理局 . 中医病证诊断疗效标准［M］. 南京：南京大学出版社， 1994 ： 23 .

王卫平 . 儿科学［M］. 北京：人民卫生出版社， 2013 ： 10 .

刘明军，邰先桃 . 小儿推拿学［M］. 北京：中国中医药出版社， 2021 ： 37 - 39 ．

汪受传，虞坚尔 . 中医儿科学［M］. 北京：中国中医药出版社， 2013 .

李娜 . 小儿捏脊配合非营养性吸吮治疗新生儿喂养不耐受的疗效观察［J］. 中国医学创新， 2012 ， 9 （ 23 ）： 110 .

李学超，刘昱材，李梦莹，等 . 捏脊疗法对胃运动过缓家兔胃饥饿素及血管活性肠肽含量的影响［J］. 中华中医药杂志， 2016 ， 31 （ 2 ）： 637 - 639 .

黎士荻，王兴桂，吴高鑫 . 捏脊疗法对幼龄脾虚大鼠胃肠运动及SP的影响［J］. 贵阳中医学院学报， 2017 ， 39 （ 1 ）： 20 - 23 .

杨继成，华新农，许惠琴，等 . 健胃消食片的药理实验研究［J］. 南京中医药大学学报， 2005 ， 17 （ 2 ）： 104 - 106 .

张寅，许春娣，蒋莹，等 . 小儿厌食的胃动力改变及治疗探讨［J］. 临床儿科杂志， 2003 ， 12 （ 23 ）： 760 - 761 .

胡云霞 . 运脾开胃法对进食障碍胃肠动力及食欲调控机制的研究［D］. 南京：南京中医药大学， 2018 .

张树荣，范宗江，田学明 . 功能性消化不良患者的胃排空及其与胃窦十二指肠运动的关系［J］. 西南国防医药， 1997 ， 7 （ 4 ）： 206 - 208 .

梅书雅，杨华 . 小儿厌食症推拿作用机制研究综述［C］//中国针灸学会. 2022年中国针灸学会年会论文集 . 济南：中国针灸学会， 2022 ： 576 - 580 .

查看原文

Views

下载量

CSCD

Alert me when the article has been cited

提交

Tools

Publicity Resources

Acupuncture and Moxibustion in Combination with Pediatric Tuina in the Treatment of Pediatric Obesity Based on the Theory of "Yang Governs and Yin Follows"

The Effect of Xiangsha Liujunzi Decoction （香砂六君子汤） on Regulating mTOR/ ghrelin/ GHSR-1a Pathway in Gastric Antrum Tissue of Functional Dyspepsia Rats with Spleen-stomach Weakness Syndrome

Analysis of “Sinew” in Children based on Ancient Books of Ming and Qing Dynasties

Effect of Chinese Medicines Resolving Masses and Dredging Meridians on Gastric Emptying of Rats with Diabetic Nephropathy

Effect of Pingwei Xiaodao Capsule on Gastric Motility of Functional Dyspepsia Model Rats

Related Author

HUANG Yongyuan

ZHANG Han

HUANG Rui

WANG Qiongxiao

SU Hong

ZHAO Caijiao

LIU Mengya

LI Runfa

Related Institution

Guangxi University of Chinese Medicine

Gansu University of Chinese Medicine

Gansu University of Chinese Medicine Laboratory Animal Center

College of Traditional Chinese Medicine， Ningxia Medical University

School of Acupuncture， Moxibustion and Tuina， Shandong University of Traditional Chinese Medicine

Address：No.16, Nanxiao street, Dongzhimen, Dongcheng District, Beijing Postal code：100700
Tel：010-64035632 Email：jtcmcn@188.com
Technical support is provided by Beijing Founder electronics co., LTD 京ICP备09064830号-19 京公网安备11010102007558号
It is recommended to read the content of this site in Chrome&IE9+. Please switch to extreme mode in browser 360.
Cookies We use cookies to help provide and enhance our service and tailor content. By continuing, you agree to the use of cookies.

⁰