推拿治疗小儿便秘（肠道实热型）的临床研究

发布时间：2018-03-28 23:38

本文选题：小儿便秘　切入点：肠道实热　出处：《山东中医药大学》2012年硕士论文

【摘要】：目的：本文旨在通过观察推拿疗法与口服王氏保赤丸治疗肠道实热型小儿便秘的疗效差异，客观评价推拿治疗小儿便秘（肠道实热型）的临床疗效，观察其有效性及安全性，提高小儿便秘的治愈率，减轻患儿痛苦，为推拿治疗小儿便秘提供理论依据，便于临床推广应用。方法：本研究选取肠道实热型便秘患儿64例，随机分为治疗组和对照组，每组各32例，在相同的饮食运动指导方案下，治疗组采用泻热导滞推拿法治疗，对照组采用口服王氏保赤丸治疗。结果：治疗组综合疗效,总有效率100%，愈显率为75%，对照组综合疗效,总有效率87.5%，愈显率为46.9%。治疗组总有效率、痊愈率均优于对照组，两者有显著性差异（P0.05）。两组治疗后排便间隔、腹痛腹胀、肛裂便血等症状的积分比较有统计学意义（P0.05），排便难易程度、舌红苔黄腻症状的积分比较两组均无统计学意义（P0.05）。结论：泻热导滞推拿法与口服王氏保赤丸对小儿便秘（肠道实热型）均有确切的治疗作用，但治疗组总疗效、痊愈率均优于对照组，，值得临床推广应用。
[Abstract]:Objective: the purpose of this article is to observe the curative effect difference of massage therapy and Wang Shibaochi pill in treating children constipation of intestinal solid heat type, to evaluate objectively the clinical effect of massage therapy on children's constipation (intestinal solid heat type), and to observe its efficacy and safety. To improve the cure rate of children with constipation, to alleviate the pain of children, to provide theoretical basis for massage treatment of children with constipation, and to facilitate clinical application. Methods: 64 children with intestinal heat type constipation were randomly divided into treatment group and control group. 32 cases in each group, under the same diet and exercise guidance program, the treatment group was treated with diarrhea, heat conduction and stagnation massage, and the control group was treated with Wang Shibaochi pills. The total effective rate was 100 and the effective rate was 75. In the control group, the overall effective rate was 87.5%, and the total effective rate was 46.9%. The total effective rate and cure rate in the treatment group were better than those in the control group, and there was significant difference between the two groups (P 0.05). The scores of anal fissure, hematochezia and other symptoms were statistically significant (P 0.05), and the defecation was difficult and easy. There was no statistical significance between the two groups in the integral comparison of yellow and greasy symptoms of tongue red fur. Conclusion: both the method of reducing heat and holding back massage and taking Wang Shibaochi pill have definite therapeutic effect on children's constipation (intestinal heat type), but the total curative effect of the treatment group is total. The cure rate was better than that of the control group, which was worth popularizing.
【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】：2012
【分类号】：R244.1;R272

【相似文献】