小儿六味增食膏对脾失健运型厌食症患儿肠黏膜吸收功能及胃肠激素的影响

Effect of Xiaoer Liuwei Zengshi Gao on intestinalmucosa absorption function and gastrointestinal hormone in children with dysfunction of spleen in transportation

  • 摘要:
      目的  观察小儿六味增食膏对脾失健运型厌食症患儿肠黏膜吸收功能及胃肠激素的影响。
      方法  选取95例厌食症患儿为研究对象,根据随机数字表法分为对照组(47例)与观察组(48例)。对照组采用多潘立酮混悬液治疗,观察组采用小儿六味增食膏治疗,2组均治疗4周。治疗4周时,评价2组临床疗效;治疗前和治疗4周时,检测并比较2组肠黏膜吸收功能指标水平(血清锌浓度、D-木糖浓度)、胃肠激素指标水平血清胃泌素(GAS)、胃动素(MOT)、神经肽Y(NPY);记录2组治疗期间不良反应发生情况。
      结果  观察组治疗总有效率高于对照组,差异有统计学意义(P < 0.05);治疗4周时,观察组血锌浓度、D-木糖浓度、GAS、MOT、NPY水平均高于对照组,差异有统计学意义(P < 0.05);2组不良反应总发生率比较,差异无统计学意义(P>0.05)。
      结论  小儿六味增食膏对脾失健运型厌食症患儿的治疗效果较好,可改善肠黏膜吸收功能,提高胃肠激素水平,且安全性好。

     

    Abstract:
      Objective  To observe the effect of Xiaoer Liuwei Zengshi Gao on intestinal mucosa absorption function and gastrointestinal hormones in children with dysfunction of spleen in transportation.
      Methods  A total of 95 children with anorexia treated were selected as study objects, and were divided into control group (47 cases) and observation group (48 cases) by random number table method. The control group was treated with domperidone suspension, and the observation group was treated with Xiaoer Liuwei Zengshi Gao, all patients were treated for 4 weeks. After 4 weeks of treatment, the clinical effects of the two groups were evaluated and compared. Before and 4 weeks after treatment, the indexes of absorption function of intestinal mucosal (serum zinc concentration, D-xylose concentration), gastrointestinal hormone indexesserum gastrin (GAS), motilin (MOT), neuropeptide Y (NPY)were detected and compared between the two groups; the occurrence of adverse reactions during treatment between the two groups was recorded.
      Results  The total effective rate of the observation group was higher than the control group (P < 0.05); after 4 weeks of treatment, the blood zinc concentration, D-xylose concentration, GAS, MOT, and NPY levels in the observation group were higher than those in the control group (P < 0.05); there was no statistical significant difference in the total incidence of adverse reactions between the two groups (P>0.05).
      Conclusion  Xiaoer Liuwei Zengshi Gao for children with anorexia has better therapeutic effect, which can improve the absorption function of intestinal mucosa and the level of gastrointestinal hormones, and has higher safety.

     

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