分清别浊小儿推拿法治疗小儿伤食泻的临床观察

【作者】 张旭；

【导师】 廖品东；

【作者基本信息】 成都中医药大学 ， 针灸推拿学， 2017， 硕士

【摘要】 目的:观察分清别浊小儿推拿法对于小儿伤食泻的临床疗效。为临床上治疗小儿伤食泻提供一种特色鲜明、易于推广的推拿处方。方法:采取随机对照的临床研究方案,全部患儿均来源于成都中医药大学附属医院推拿科门诊及病房,选择符合小儿伤食泻诊断及纳入标准的72例患儿为临床研究对象。将受试者随机分为推拿组36例,药物组36例。两组均进行临床宣教,推拿组采用分清别浊法组方进行推拿治疗;药物组予以口服蒙脱石散。3天为一个疗程,分别在治疗2个疗程后进行临床疗效观察。结果:1.两组受试者基线(性别、年龄、喂养方式、病程)一致,分组均衡,具有可比性。2.组内对比:2个疗程结束后,两组证候总积分均减少,差异具有统计学意义(P<0.05);治疗后两组主症大便次数、性状积分均减少,差异具有统计学意义(P<0.05),说明推拿组与药物组均可改善小儿伤食泻;次症积分对比,推拿组与药物组对于饮食、面色、小便量、精神状态、腹痛腹胀的改善均有效,表现为证候积分减少,差异均具有统计学意义(P<0.05);推拿组在口渴及呕吐方面治疗后明显好转,表现为证候积分减少,差异具有统计学意义(P<0.05);药物组在口渴及呕吐方面治疗后无明显变化,表现为证候积分减少,差异无统计学意义(P<0.05)。3.组间对比:2个疗程治疗后,证候总积分,推拿组低于药物组,差异均具有统计学意义(P<0.05),说明总体疗效推拿组优于药物组;两组在改善主症大便次数、性状方面,次症小便量、精神状态积分方面差异无统计学意义(P<0.05),说明推拿组与药物组在改善上诉症状方面疗效相当;在次症饮食、口渴、面色、呕吐次数、腹痛腹胀方面,差异具有统计学意义(P<0.05),说明推拿组的疗效优于药物组。结论:1.分清别浊推拿法与蒙脱石散治疗小儿伤食泻均有较好的疗效。2.分清别浊小儿推拿法在治疗小儿伤食泻上,总体疗效优于蒙脱石散。3.分清别浊小儿推拿法,重点突出,疗效确切,值得临床推广应用。更多还原

【Abstract】 Objective:To observe the clinical curative effect about infantile tuina of separating the clear and turbid on pediatric diarrhea due to improper diet.Provides a distinctive and easily popularized tuina prescription which can treat the children with diarrhea due to improper diet.Methods:With randomized and controlled clinical research method,it incorporated 72 cases of children that according with the diagnostic criteria about Pediatric diarrhea due to improper diet patients into clinical study.They all came from Outpatient department of Infantile tuina,Affiliated Hospital of Chengdu University of Traditional Chinese Medicine.According to the random distribution plan,the subjects were divided into treatment group(n = 36)and control group(n = 36).The treatment group was treated with infantile tuina of separating the clear and turbid;the control group was used Montmorillonite powder.Two groups were carried out clinical education,and the clinical efficacy was observed after 2 courses of treatment.Results:1.The baseline of the two groups was consistent,and the characteristics of 2groups were comparable.2.Within-group comparison:after the 2 course of treatment,the total scores of the two groups were reduced,and the difference was statistically significant(P < 0.05);After treatment,the scores of two groups of main symptoms about stool frequency and stool traits were reduced,and the difference was statistically significant(P <0.05),it indicate that tuina group and drug group all can improve pediatric diarrhea due to improper diet;Secondary symptom score contrast,the tuina group and the drug group were effective in the improvement of diet,complexion,urine volume,mental state,abdominal pain and abdominal distension,embodied in the syndrome score reduced,and the difference was statistically significant(P < 0.05).The tuina group was significantly improved on thirst and vomiting after treatment,embodied in thesyndrome score reduced,and the difference was statistically significant(P <0.05).There were no significant changes on thirst and vomiting in the drug group after treatment,embodied in the syndrome score reduced,and the difference was no statistically significant(P < 0.05).3.Between-group comparison:After 2 courses of treatment,the total score of syndrome about tuina group was lower than that of the drug group,and the difference was statistically significant(P < 0.05).The overall effect of tuina group was better than that of drug group.The scores of two groups in the improvement of the main symptoms of stool frequency and stool traits,the secondary symptoms of urination,mental state,and the difference was no statistically significant(P < 0.05).The results showed that the tuina group and the drug group had the same effect on improving the symptoms of the appeal.In the diet,thirst,complexion,vomiting,abdominal distension,and the difference was statistically significant(P < 0.05).It showed that the curative effect of tuina group is better than that of drug group.Conclusions:1.The treatment of infantile tuina of separating the clear and turbid on infantile diarrhea due to improper diet is as good as Montmorillonite powder.2.The overall effect about infantile tuina of separating the clear and turbid on the treatment of infantile diarrhea due to improper diet is better than Montmorillonite powder.3.The infantile tuina of separating the clear and turbid is focused,effective,and it is worthy of clinical application.更多还原