六味地黄膏摩对早产低体重儿体格发育影响的研究

发布时间：2017-12-31 09:45

  本文关键词：六味地黄膏摩对早产低体重儿体格发育影响的研究　出处：《云南中医学院》2017年硕士论文　论文类型：学位论文

  更多相关文章： 六味地黄 膏摩 早产低体重儿 体格发育

【摘要】：目的按照现代制剂工艺将六味地黄丸改制为膏剂,观察六味地黄膏摩对早产低体重儿体格发育的影响,探索经典名方新的用药途径,为早产低体重儿寻求安全、有效,患儿易于接受的治疗手段。方法将符合纳入标准的75例早产低体重患儿随机分为试验组和对照组,按照排除、剔除与脱落标准筛选后每组各30例。两组相同的推拿操作步骤,试验组以六味地黄膏做为推拿介质,对照组采用强生婴儿按摩油为介质,隔天治疗1次,每周3次,每次20分钟,12次为1疗程,共治疗2个疗程。两组相同的时间点,即入组前、2个疗程后进行中医症状积分值评估(早产低体重儿症状积分值评分表),体格发育评估(体重、身长、头围)。对症状评分及体格发育数据进行统计分析。结果1.中医症状评估显示:试验组入组前分值(35.63±2.55),2个疗程后分值(40.60±3.74);对照组入组前分值(34.70±3.01),2个疗程后分值(38.03±4.03);两组入组前评分差异无统计学意义(P0.05),具有可比性;两组2个疗程后评分差异有统计学意义(P0.05);入组前、2个疗程后组内对比,差异具有显著统计学意义(P0.01)。说明两组患儿2个疗程后症状积分均有改善,且试验组优于对照组。2.体格发育评估显示:试验组入组前体重(3.82±0.36)、身长(52.78±2.03)、头围(35.57±0.71),2个疗程后体重(6.12±0.44)、身长(61.32±2.40)、头围(40.54±0.98);对照组入组前体重(3.97±0.29)、身长(53.18±1.39)、头围(35.86±0.59),2个疗程后体重(5.88±0.36)、身长(59.46±1.89)、头围(39.94±0.77);两组入组前体重、身长、头围评分差异无统计学意义(P0.05),具有可比性;两组2个疗程后体重、头围差异有统计学意义(P0.05),身长差异具有显著统计学意义(P0.01)。说明2个疗程后试验组患儿体重、身长、头围的发育均优于对照组。结论1.六味地黄膏摩能改善早产低体重儿的精神、饮食、睡眠、大便等状况,促进早产低体重儿的体重、身长、头围的发育。2.六味地黄膏摩通过推拿手法将药物作用于皮肤,旨在增加手法的治疗效果,创新经典名方六味地黄丸的用药途径,体现了小儿推拿与药物外用结合的优势,值得临床进一步探索。
[Abstract]:According to modern preparation process for the restructuring of Rehmannia six ointment, observe six Dihuang ointment massage effect on preterm delivery and low birth weight infants physical development, explore the classical prescription of a new way of administration, for the low birth weight premature infants seeking safe, effective, easy to accept children with treatment. Methods 75 patients met the inclusion criteria low birth weight premature infants were randomly divided into experimental group and control group, according to the rule, eliminate and fall standard after screening 30 cases in each group. Two groups of the same manipulation steps, the test group with six Dihuang cream as a massage medium, the control group using Johnson baby oil as medium, the next day for 1 times, 3 times every week, 20 minutes each time, 12 times for 1 course of treatment, a total of 2 courses of treatment. Two groups of the same time point, namely before entering the group, after 2 courses of TCM symptom assessment (low birth weight premature infants symptom score table, evaluation of physical development (body) 閲，

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