腹部九法为主治疗小儿胃脘积滞型厌食症的临床观察

发布时间：2018-05-05 00:12

本文选题：手法 + 小儿　；参考：《安徽中医药大学》2016年硕士论文

【摘要】：目的探讨腹部九法(推、摩、揉、按、荡、抄、挤碾、拿)为主的推拿方法与传统手法治疗小儿胃脘积滞型厌食症的疗效比较。方法选择安徽中医药大学中西医结合医院及安徽省中医院小儿推拿科2012年9月至2015年6月诊治的小儿胃脘积滞型厌食症患儿76例,依据患儿的就诊先后顺序按随机数字表法分为治疗组和对照组各38例。治疗组采用腹部九法为主推拿治疗,对照组采用传统推拿手法治疗。两组均10天为一个疗程,分别于1个疗程、2个疗程后,观察两组患儿治疗前后症状、体征、厌食消失时间等改善情况,并在治疗后3个月、6个月随访患儿体重情况。结果两组患儿通过不同手法治疗,治疗10天后,治疗组痊愈7例(占18.42%),显效22例(占57.90%),有效6例(占15.79%),无效3例(占7.89%),总的有效率为92.11%;对照组痊愈3例(占7.89%),显效17例(占44.74%),有效10例(占26.32%),无效8例(占21.05%),总有效率为78.95%。两组患儿治疗后疗效比较χ2=4.003,P=0.038(P0.05),结果具有统计学意义。两组患儿治疗20天后,治疗组痊愈27例(占71.05%),显效9例(占23.68%),有效2例(占5.27%);对照组痊愈13例(占34.21%),显效15例(占39.47%),有效10例(占26.32%),两组数据结果分析表明,治疗组与对照组总有效率均为100%,差异无统计学意义(P=1)。两组愈显率及痊愈率比较差异均具有统计学意义(P0.05)。治疗后,治疗组患儿厌食消失时间(7.87±4.28d),明显短于对照组(12.66±5.52d),差异有统计学意义(P0.05)。治疗后3个月随访治疗组患儿体重增长(15.3±0.90kg)明显高于对照组(15.0±0.81kg)(P0.05)。治疗后6个月随访治疗组患儿体重增长(15.9±0.81kg)明显高于对照组(15.3±0.92kg)(P0.05)。结论腹部九法与传统手法对治疗小儿胃脘积滞型厌食症均有效,但腹部九法更注重辨证分型,腹部九法在小儿胃脘积滞型治疗上疗效更为确切,其手法要求轻快柔和,平稳着实,灵活变化,取穴更为精减,较传统手法具有起效快、疗程短等优势,因此腹部九法为主的推拿治疗小儿胃脘积滞型厌食症可在临床大力推广及普及应用。
[Abstract]:Objective to compare the curative effect of nine abdominal massage methods (pushing, rubbing, rubbing, pressing, swinging, copying, squeezing, taking) with traditional manipulation in treating anorexia of stomachache in children. Methods 76 children with anorexia gastricum from September 2012 to June 2015 were selected from the Department of Pediatric Massage, Anhui University of traditional Chinese Medicine and the Department of Pediatric Massage, Anhui University of traditional Chinese Medicine. According to the order of visit, the children were divided into treatment group (38 cases) and control group (38 cases). The treatment group was treated by abdominal nine-method massage, while the control group was treated by traditional massage manipulation. After two courses of treatment, the symptoms, signs and anorexia were observed before and after treatment, and the body weight was followed up for 3 months and 6 months after treatment. Results after 10 days of treatment, the two groups were treated with different manipulations. In the treatment group, 7 cases (18.42%) were cured, 22 cases (57.90%) were effective, 6 cases (15.79%) were effective, 3 cases (7.89 9%) were invalid (7.89%), the total effective rate was 92.11%, in the control group, 3 cases (7.89%) were cured (7.89%), 17 cases (44.74%) were effective, 10 cases (26.32 cases) were effective (26.32%), 8 cases (21.05%) were ineffective, the total effective rate was 78.9595. There was significant difference between the two groups in the curative effect after treatment (蠂 2 / 4.003 / P = 0.038 / P 0.05). After 20 days of treatment, 27 cases (71.055%) were cured, 9 cases (23.68%) were effective, 2 cases (5.27%) were effective in the treatment group, 13 cases (34.21%) were cured in the control group, 15 cases (39.47) were effective, 10 cases (26.32%) were effective in both groups. The total effective rate of the treatment group and the control group was 100%, the difference was not statistically significant. The difference between the two groups was statistically significant (P 0.05). After treatment, the time of anorexia in the treatment group was 7.87 卤4.28 days, which was significantly shorter than that in the control group (12.66 卤5.52 d), and the difference was statistically significant (P 0.05). The weight gain of the children in the treatment group (15.3 卤0.90 kg) was significantly higher than that in the control group (15.0 卤0.81kg / kg). The body weight gain in the treatment group was 15.9 卤0.81kg, which was significantly higher than that in the control group (15.3 卤0.92kg / kg). Conclusion both abdominal nine method and traditional manipulation are effective in the treatment of children with anorexia of stomach accumulation stagnation, but the abdominal nine methods pay more attention to the differentiation of symptoms and signs, and the abdominal nine method is more effective in treating children with gastralgia, and its manipulation requires lightness and softness. Stable solid, flexible change, point selection more refined, faster than the traditional manipulation, short course of treatment and other advantages, so the abdominal nine methods of massage treatment of children with anorexia gastralis stagnation can be vigorously promoted and popularized in clinical application.
【学位授予单位】：安徽中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R246.4

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