临床误诊误治2024，Vol.37Issue(3)：143-148,6.DOI:10.3969/j.issn.1002-3429.2024.03.028
脏腑点穴配合揿针治疗胃肠结热证小儿肠系膜淋巴结炎的临床效果
Clinical Study of Digital-Acupoint Pressure of Zang-Fu Combined with Needle-Embedding Therapy in the Treatment of Mesenteric Lymphadenitis with Gastrointestinal Heat Retention Syndrome in Children
摘要
Abstract
Objective To investigate the clinical effect of digital-acupoint pressure of Zang-Fu combined with needle-embedding therapy in the treatment of mesenteric lymphadenitis(ML)with gastrointestinal heat retention syndrome in chil-dren.Methods From May 2021 to May 2023,120 ML children with gastrointestinal heat retention syndrome were selected as the research subjects,and randomly divided into the digital-acupoint pressure group,the needle-embedding therapy group and the combination group,with 40 cases in each group.The three groups were treated with Cefixime and Ribavirin tablets.On this basis,the digital-acupoint pressure group was treated with digital-acupoint pressure of Zang-Fu,the needle-embedding therapy group was treated with needle-embedding therapy,and the combination group was treated with digital-acupoint pressure of Zang-Fu combined with needle-embedding therapy.The clinical effects of the three groups were analyzed,and the changes of TCM syndrome score,abdominal color Doppler examination parameters,white blood cell(WBC)count,C reactive protein(CRP),immunoglobulin A(IgA),immunoglobulin G(IgG)levels and intestinal flora before and after treatment were com-pared.Results The total effective rate in combination group was 97.50%(39/40),which was higher than 80.00%(32/40)in digital-acupoint pressure group and 77.50%(31/40)in needle-embedding therapy group(P<0.05).After treat-ment,the main and secondary syndrome scores,transverse and longitudinal diameter of lymph nodes in combination group were lower than those in digital-acupoint pressure group and needle-embedding therapy group(P<0.05).After treatment,WBC count and CRP level in combination group were lower than those in digital-acupoint pressure group and needle-embedding therapy group(P<0.05).After treatment,the levels of IgA and IgG in combination group were higher than those in digital-acupoint pressure group and needle-embedding therapy group(P<0.05).After treatment,lactobacillus and bifidobacterium in combination group were higher than those in digital-acupoint pressure group and needle-embedding therapy group,and enterobacter and Escherichia coli were lower than those in digital-acupoint pressure group and needle-embedding therapy group(P<0.05).There was no significant difference in the above indexes between the digital-acupoint pressure group and the needle-embedding therapy group(P>0.05).Conclusion Digital-acupoint pressure of Zang-Fu combined with the needle-embedding therapy has a significant effect on the treatment of ML children with gastrointestinal heat retention syndrome,which can improve clinical symptoms,reduce the enlarged lymph nodes,inhibit inflammatory response,improve immune function,and correct the imbalance of intestinal flora.关键词
肠系膜淋巴结炎/儿童/胃肠结热/脏腑点穴/揿针/肠道菌群/C反应蛋白/免疫功能Key words
Mesenteric lymphadenitis/Children/Gastrointestinal heat/Digital-acupoint pressure of Zang-Fu/Needle-embedding therapy/Intestinal flora/C reactive protein/Immune function分类
医药卫生引用本文复制引用
付殿跃,李志新,焦永波,赵伟,张温..脏腑点穴配合揿针治疗胃肠结热证小儿肠系膜淋巴结炎的临床效果[J].临床误诊误治,2024,37(3):143-148,6.基金项目
石家庄市科学技术研究与发展计划项目(211200913) （211200913）
