小儿推拿疗法治疗小儿厌食症的临床观察

发布时间：2018-03-29 03:37

本文选题：小儿厌食症　切入点：小儿推拿疗法　出处：《北京中医药大学》2012年硕士论文

【摘要】：研究目的：从中医治疗小儿厌食症的相关理论出发,通过对小儿推拿疗法治疗小儿厌食症的疗效观察,进一步探讨小儿推拿疗法对于小儿厌食症的治疗与中成药治疗此病的疗效差异,以探求小儿推拿疗法对于小儿厌食症的疗效及意义。研究方法：临床观察病例均来源于2011年首都医科大学附属北京中医医院儿科门诊及病房。采用前瞻性、平行对照及随机对照的临床设计。中西医诊断标准参照国家中医药管理局制定的《中医病症诊断疗效标准》中小儿厌食症的中医诊断以及《中药新药临床研究指导原则(试行)》中小儿厌食症的西医诊断标准拟定,将79例病患随机分为两组,其中推拿组46例,均采用小儿推拿疗法治疗,药物对照组32例,对照组患儿口服健胃消食口服液,观察周期为6天,通过观察治疗前后患儿食欲、食量改善的情况、症状积分的改善情况来判定疗效的差异。研究结果： 1.研究对象资料：本研究收集的观察病例共79例,小儿推拿治疗组46例,药物对照组32例。 2.疗前基线比较结果：推拿组与药物组在性别、年龄、病程、平均体重、平均身高、食量积分、症状积分等均无明显差异(P0.05),具有可比性。 3.疗后比较结果：推拿组与药物组治疗后,推拿组临床痊愈3例,显效22例,有效20例,无效2例,总有效率95.7%；药物组临床痊愈1例,显效6例,有效20例,无效5例,总有效率84.4%,两组间的疗效差异显著(P0.05),推拿组疗效优于药物组。经过对两组患者治疗前后的统计学分析,推拿组患儿在总体症状积分,以及食欲、食量、面色、烦急、大便、腹胀症状上均有明显改善(P0.05),具有统计学差异。同时推拿疗法治疗小儿厌食症总有效率优于口服中成药的对照组,并且推拿组在症状积分和食欲、食量积分的改善上明显优于药物组(P0.05),具有统计学意义。说明小儿推拿是治疗小儿厌食症安全有效的方法,值得在临床中推广结论： 1.本课题是基于中医学文献对于小儿厌食症和小儿推拿疗法治疗小儿厌食症的研究,以目前对于小儿推拿疗法治疗小儿厌食症的临床研究为背景,以中医理论指导下的小儿推拿疗法治疗小儿厌食症,结合临床观察,选择小儿推拿疗法治疗小儿厌食症为研究对象,观察小儿推拿疗法对于小儿厌食症的疗效的一种研究。 2.此课题的提出是充分运用中医理论,采取辨病的思路,符合中医药领域的研究特色,是对中医精髓的继承和发挥,对于小儿推拿疗法治疗小儿厌食症的疗效研究是有帮助的。 3.此课题结论表明小儿推拿疗法治疗小儿厌食症的疗效优于药物组,经统计学分析差异显著(P0.05),同时小儿推拿对于改善小儿厌食症某些相关症状效果显著,如面色、腹胀、大便、烦急,这些症状均可作为小儿推拿疗法适应症状群。 4.由于时间和经费的问题,样本量较少,本研究主要是体现一种科研思路,结果只是初步的,希望今后可以增大样本量来完善和进一步证实该研究。
[Abstract]:Purpose of study :

Based on the theory of traditional Chinese medicine for treating children ' s anorexia , the curative effect of children ' s massage therapy on anorexia of children is studied .

A prospective , parallel control and randomized controlled clinical design was adopted for the diagnosis of infantile anorexia .

Results of the study :

1 . Object data : A total of 79 cases were collected from the study , 46 cases were treated by massage in children and 32 in the drug control group .

2 . Baseline comparison between treatment group and drug group showed no significant difference in sex , age , duration , mean body weight , mean height , index score , symptom score and so on ( P0.05 ) .

3 . After treatment , 3 cases were cured , 22 cases were effective , 20 cases were effective , 2 cases were ineffective and the total effective rate was 95.7 % .
The total effective rate was 84.4 % . The total effective rate was 84 . 4 % . The efficacy of massage group was better than that in the control group before and after treatment .

Conclusion :

1 . This study is based on the study of the Chinese medical literature on children ' s anorexia and the treatment of infantile anorexia with the therapy of children ' s anorexia . In this paper , the children ' s anorexia is treated with the guidance of Chinese medical theory . Combined with the clinical observation , the children ' s anorexia is selected as the research object , and the effect of pediatric massage therapy on anorexia of children is observed .

2 . The purpose of this project is to use the theory of traditional Chinese medicine , to adopt the thought of distinguishing disease , to accord with the research characteristic in the field of traditional Chinese medicine , it is the inheritance and exertion of the essence of Chinese medicine , and it is helpful to study the curative effect of pediatric massage therapy in treating infantile anorexia .

3 . The conclusion of this subject shows that the curative effect of pediatric massage therapy is superior to that of the drug group , and the difference of statistics is significant ( P0.05 ) . At the same time , the effect of pediatric massage on improving some related symptoms of infantile anorexia is obvious , such as face color , abdominal distension , stool and restlessness , and these symptoms can be used as pediatric massage therapy to adapt to the symptom group .

4 . Due to the problem of time and fund , the sample size is small , this research mainly embodies a scientific thought , the result is only preliminary , it is hoped that the sample size can be increased in the future to perfect and further confirm the study .

【学位授予单位】：北京中医药大学
【学位级别】：硕士
【学位授予年份】：2012
【分类号】：R272

【参考文献】