| ObjectiveInfantile anorexia is most common in pediatrics clinical,long-term reduced food intake and appetite as the main Clinical manifestation.The treatment for infantile anorexia is diverse,studies have reported that the Chinese and Western medicine treatments can achieve varying degrees of efficacy,but there are also some limitations.Massage treatment is a commonly used treatment of external treatment of traditional Chinese medicine,which with characteristics of effective,comfortable,and safe,may be an advantage treatment for infantile anorexia.Peitu Tiaoshu massage treatment has long-term clinical application in pediatric massage clinics in Guangdong Provincial Hospital of Traditional Chinese Medicine and has characteristics of fewer acupoints,simple and repeatable,but lack of the standard evaluation.This study is to observe the curative effect of Peitu Tiaoshu massage treatment,in order to verify its effectiveness and advantages in treating infantile anorexia.MethodsThe study was made as a randomized parallel controlled clini-cal trial.A total of 70 cases of children with anorexia were enrolled from pediatric clinic in Guangdong Provincial Hospital of Traditional Chinese Medicine and social recruitment.The children had been randomly divided into treatment group(Peitu Tiaoshu massage treatment group)and control group(Xiaoer Xiaozhi Granules treatment group),each group has 35 cases.Children in the treatment group received Peitu Tiaoshu massage treatment.The basic prescriptions were:pushing the spleen-meridian point to and fro,clearing the stomach-meridian point,kneading the Banmen point,arc-pushing the Bagua point,pushing the four-transverse-crease point,kneading the Zhongwan point,rotating the abdomen,parting-pushing the fu-ying-yang point,and chiropractic;The treatment group received Xiaoer Xiaozhi Granules.Children received therapy foe 2 courses of treatment,at a total of 14 days.The curative effect were evaluated for 3 times:pre-therapy,post-therapy,and 2 weeks after therapy and evaluated by clinical efficacy,TCM syndrome scores,and recurrence rate.Used the IBM SPSS 17.0 to set up database,and mainly used?~2 Test,t Test,Rank Sum Test for statistical analysis.ResultsA total of 70 eligible cases were enrolled and 8 were shed during the study(4 in each of the treatment and control groups).A total of 62 cases completed(31 in each of the treatment and control groups).Statistical analysis results are as follows:1.Baseline analysisThere was no significant statistically different among sex,age,course of disease,or appetite,food intake,TCM symptom scores between the two groups before treatment(P>0.05).Showing a balance of baseline characteristics of of the two groups,comparable.2.Effect analysis2.1.Comparison within the treatment group2.1.1 TCM syndrome score analysisWhile post-therapy,the appetite scores,food intake scores,and the total TCM syndrome scores of the treatment group had decreased than pre-therapy,and the differences were statistically significant(all P<0.001).Showing that Peitu Tiaoshu massage treatment can improve children's appetite,food intake,and overall TCM syndrome.2.1.2 Clinical efficacy analysisWhile post-therapy,the treatment group has 8 recover cases,6 markedly effective cases,10 effective cases and 7 invalid cases.The total response rate was 77.42%.Showing that Peitu Tiaoshu massage treatment has good clinical curative effect.2.1.3 Recurrence rate analysisThe recurrence rate of the treatment group was 41.67%.Showing that Peitu Tiaoshu massage treatment has stable therapeutic effect.2.2 Comparison between the two groups2.2.1 TCM syndrome score analysisWhile post-therapy,there was no significant difference between the two groups on appetite scores,food intake scores or the total TCM syndrome scores(all P>0.05).Showing that the two treatments have the same effect in improving children's appetite,food intake and overall TCM syndrome.2.2.2 Clinical efficacy analysisWhile post-therapy,the treatment group has 8 recover cases,6 markedly effective cases,10 effective cases and 7 invalid cases.The total response rate was 77.42%.While the control group has 4 recover cases,3 markedly effective cases,14 effective cases and 10 invalid cases.The total response rate was 67.74%.There was no statistical significance between the difference(P>0.05).Showing that the two treatments have the same clinical curative effect.2.2.3 Recurrence rate analysisThe recurrence rate of the treatment group was 41.67%,while the control group was 38.10%.There was no statistical significance between the difference(P>0.05).Showing that the two treatments have the same consolidation of curative effect.ConclusionPeitu Tiaoshu massage treatment has good clinical curative effect for infantile anorexia,can improve children's appetite,food intake,and overall TCM syndrome,and has stable therapeutic effect.Comparing with Xiaoer Xiaozhi Granules treatment,Peitu Tiaoshu massage treatment has the same effect in improving children's appetite,food intake and overall TCM syndrome,and have the same clinical curative effect and consolidation of curative effect. |
PDF Full Text Request