评价小儿推拿结合综合管理对矮小儿童生长参数及生化指标的影响。

IF 2 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL
International Journal of General Medicine Pub Date : 2025-08-31 eCollection Date: 2025-01-01 DOI:10.2147/IJGM.S535676
Qing Yang, Jing Wu, Xue Deng, Linrui Chen, Yanhui Chen
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引用次数: 0

摘要

目的:探讨小儿推拿结合综合管理对矮小儿童身高改善的效果。患者与方法:回顾性分析芜湖中医院2022年4月至2023年4月收治的80例身高矮小儿童的病历。根据记录的治疗方式,将患者分为两组:对照组接受标准的综合管理(包括心理健康指导、饮食、睡眠、运动),按摩组在综合治疗的基础上进行小儿的证候按摩治疗。从病历中提取相关临床指标,包括身高、体重、BMI(身体质量指数)、IGF-1(胰岛素样生长因子-1)、BA(骨龄)、25(OH)D(25-羟基维生素D)、年生长速度(GV)、中医症状评分、皮质醇、黄体生成素(LH)、生长激素(GH)水平,比较两组患者基线及治疗后的差异。结果:两组患者干预前后在身高、体重、IGF-1、骨龄指数(BAI)、25(OH)D水平、GV、中医症状评分方面均有显著改善(P < 0.05)。值得注意的是,与对照组相比,按摩组在身高、体重、BAI、IGF-1和GV方面均有显著性改善(P < 0.05)。此外,按摩治疗与血清皮质醇水平的降低和LH和GH水平的增加有关,表明潜在的内分泌益处。结论:小儿推拿结合综合管理能有效促进矮小儿童身高、体重及年生长速度(GV)的改善。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

To Evaluate the Effect of Pediatric Massage Combined with Comprehensive Management on Growth Parameters and Biochemical Indicators in Children with Short Stature.

To Evaluate the Effect of Pediatric Massage Combined with Comprehensive Management on Growth Parameters and Biochemical Indicators in Children with Short Stature.

To Evaluate the Effect of Pediatric Massage Combined with Comprehensive Management on Growth Parameters and Biochemical Indicators in Children with Short Stature.

To Evaluate the Effect of Pediatric Massage Combined with Comprehensive Management on Growth Parameters and Biochemical Indicators in Children with Short Stature.

Purpose: To investigated the effect of pediatric massage combined with comprehensive management on height improvement in children with short stature.

Patients and methods: This retrospective analysis included medical records of 80 children diagnosed with short stature, who received treatment at Wuhu Hospital of Traditional Chinese Medicine between April 2022 and April 2023. According to the recorded treatment modalities, patients were divided into two groups: the control group received standard comprehensive management (including psychological health guidance, diet, sleep, exercise), while the massage group received additional pediatric syndrome-based massage therapy alongside comprehensive treatment. Relevant clinical indicators-including height, weight, BMI (body mass index), IGF-1 (insulin-like growth factor-1), BA (bone age), 25(OH)D (25-hydroxyvitamin D), annual growth velocity (GV), TCM (Traditional Chinese Medicine) symptom scores, as well as cortisol, luteinizing hormone (LH), and growth hormone (GH) levels-were extracted from the medical records and compared between the two groups at baseline and after the recorded treatment period.

Results: When comparing both groups of patients before and after the intervention, significant improvements were observed in height, weight, IGF-1, bone age index (BAI), 25(OH)D levels, GV, and TCM symptom scores (P < 0.05). Notably, the massage group showed significantly greater improvements in height, weight, BAI, IGF-1, and GV compared to the control group (P < 0.05). Furthermore, massage therapy was associated with a reduction in serum cortisol levels and an increase in LH and GH levels, indicating potential endocrine benefits.

Conclusion: Pediatric massage combined with comprehensive management effectively promotes improvements in height, weight, and annual growth velocity (GV) among children with short stature.

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来源期刊
International Journal of General Medicine
International Journal of General Medicine Medicine-General Medicine
自引率
0.00%
发文量
1113
审稿时长
16 weeks
期刊介绍: The International Journal of General Medicine is an international, peer-reviewed, open access journal that focuses on general and internal medicine, pathogenesis, epidemiology, diagnosis, monitoring and treatment protocols. The journal is characterized by the rapid reporting of reviews, original research and clinical studies across all disease areas. A key focus of the journal is the elucidation of disease processes and management protocols resulting in improved outcomes for the patient. Patient perspectives such as satisfaction, quality of life, health literacy and communication and their role in developing new healthcare programs and optimizing clinical outcomes are major areas of interest for the journal. As of 1st April 2019, the International Journal of General Medicine will no longer consider meta-analyses for publication.
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