推拿配合刺四缝治疗小儿湿热型腹泻的临床研究

发布时间：2018-01-02 08:12

本文关键词：推拿配合刺四缝治疗小儿湿热型腹泻的临床研究　出处：《山东中医药大学》2013年硕士论文　论文类型：学位论文

【摘要】：目的：观察推拿配合刺四缝治疗小儿湿热型腹泻的临床安全性及有效性。方法：将符合诊断标准和纳入标准的湿热泻患儿90例，采用随机分组方法（随机数字表由SPSS17.0软件产生）将患儿分配到推拿组（30例）、刺四缝组（30例）和推拿配合刺四缝组（30例）。推拿组：清大肠（100次）、清小肠（100次）、清板门（200次）、清补脾经（200次）、顺运内八卦（100次）、揉脐及龟尾并擦七节骨法（各50次），每日治疗1次，6次为1疗程。刺四缝组：双侧四缝穴交替点刺放血治疗；每隔3日治疗1次，2次为1疗程。推拿配合刺四缝组：推拿治疗、点刺治疗及疗程同推拿组和刺四缝组。1个疗程结束后，观察各组治疗后的安全性、有效性、症状体征综合评分及大便白细胞计数，并对各组的临床疗效进行对比分析。结果：1.推拿配合刺四缝组：痊愈7例、显效15例、有效5例、未愈1例，愈显率为78.57%；推拿组：痊愈3例、显效4例、有效16例、未愈5例，愈显率为25%；刺四缝组：痊愈3例、显效9例、有效13例、未愈4例，愈显率为42.86%。三组愈显率比较，差别有统计学意义（p㩳0.05），提示推拿配合刺四缝组疗效优于推拿组和刺四缝组。2.三组治疗前治疗后主要症状体征综合积分比较，差别有统计学意义（p0.05），提示三组在缓解小儿腹泻症状方面均有良好的效果，其中推拿配合刺四缝组在缓解大便次数、大便性状、小便、精神、发热等方面较推拿组和刺四缝组疗效更好。3.治疗前后大便白细胞计数比较，推拿配合刺四缝组与刺四缝组比较，，差异有统计学意义（p=0.0380.05），提示推拿配合刺四缝组在改善大便白细胞计数中优于刺四缝组。与推拿组相比，两组在改善大便白细胞计数中作用相当。结论：推拿配合刺四缝治疗小儿湿热型腹泻具有较好的临床疗效，为临床防治小儿腹泻提供了安全、有效的综合治疗方法，值得临床推广应用。
[Abstract]:Objective: to observe the clinical safety and efficacy of massage combined with four seams in treating children with damp-heat diarrhea. Methods: 90 children with dampness and heat diarrhea, who met the diagnostic criteria and included the criteria, were assigned to the massage group (30 cases) by random grouping method (generated by SPSS17.0 software). In the fourth suture group (30 cases) and the massage combined with acupuncture group (30 cases). The massage group: 100 times of clearing the large intestine, 100 times of clearing the small intestine, 200 times of clearing the plate door, 200 times of clearing the spleen meridian). There were 100 times of neutropia, 50 times of rubbing navel and tortoise tail, and 7 times of bone rub (50 times each, 6 times a day as a course of treatment). Massage combined with four seams group: massage treatment, prick treatment and course of treatment with massage group and four suture group. After one course of treatment, the safety of each group was observed. Effectiveness, comprehensive score of symptoms and signs and leucocyte count in stool were compared and analyzed. Results 1. In the treatment group, 7 cases were cured, 15 cases were effective, 5 cases were effective, 1 case was not recovered, and the effective rate was 78.57 cases. In the massage group, 3 cases were cured, 4 cases were markedly effective, 16 cases were effective, 5 cases were not recovered, and the recovery rate was 25%. In the fourth suture group, 3 cases were cured, 9 cases were effective, 13 cases were effective, 4 cases were not recovered, and the effective rate was 42.86.The difference between the three groups was statistically significant. The results indicated that the curative effect of massage combined with four seams group was better than that of massage group and acupuncture four suture group .2.The main symptoms and signs of the three groups were compared before and after treatment, and the difference was statistically significant (p 0.05). The results suggest that the three groups have good effect in relieving the symptoms of diarrhea in children, among which massage combined with four seams can relieve defecation times, defecation traits, urination and spirit. The effect of fever was better than that of massage group and fourth suture group. 3.The leucocyte count of stool was compared before and after treatment, and the comparison between massage combined with four suture group and fourth suture group. The difference was statistically significant, suggesting that the combination of massage and acupuncture with the fourth suture group was superior to the fourth suture group in improving the leucocyte count of stool, compared with the massage group. The two groups played an equal role in improving the leucocyte count. Conclusion: massage combined with acupuncture with four seams has good clinical efficacy in treating children with damp-heat diarrhea, which provides a safe and effective comprehensive treatment method for the prevention and treatment of children's diarrhea, and is worthy of clinical popularization and application.
【学位授予单位】：山东中医药大学
【学位级别】：硕士
【学位授予年份】：2013
【分类号】：R246.4

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