推拿疗法治疗小儿急性腹泻的临床研究

发布时间：2018-05-13 17:28

本文选题：小儿急性腹泻 + 推拿　；参考：《南京中医药大学》2012年硕士论文

【摘要】：小儿急性腹泻是由多种病原、多种因素引起的以腹泻症状为主的一组临床综合征。小儿腹泻是威胁小儿生命健康的重要疾病。据WHO统计,全世界每年患腹泻病者有10亿人,其中发展中国家5亿,导致5百万小儿死亡。推拿疗法用于小儿泄泻的治疗历史悠久,本研究经过前期的文献研究和多年临床经验,结合小儿腹泻的病因病机特点,提出并制定辨证推拿治疗方案应用于临床并进行临床研究,客观评价推拿疗法治疗小儿急性腹泻的有效性、安全性、经济性。在临床研究中,采用中心随机、平行对照、多中心试验的方法,共收集观察病例280例,其中符合方案集271例,试验组203例,对照组68例,两组在治疗前性别、年龄、起病、病程、症状总积分、病情分度比较,其差异无统计学意义(P0.05),具有可比性；治疗组采用推拿辨证(风寒泻、湿热泻、伤食泻)治疗,对照组采用礞脱石散合培菲康治疗,1疗程为3天,每个病例需观察治疗1-2个疗程。通过比较两组患儿主症、次症等积分的改善情况,以评价辨证推拿治疗小儿腹泻的临床疗效。结果：试验组203例,其中痊愈193例(95.10%),显效5例(2.50%),进步3例(1.50%),无效2例(1.00%)；对照组68例,痊愈44例(64.70%),显效10例(14.70%),进步7例(10.30%),无效7例(10.30%)。两组治疗前后主、次症的生存分析,表明试验组在大便质地、大便质量、腹胀等方面明显优于对照组(P0.05)。试验组痊愈显效率97.60%,对照组痊愈显效率79.40%,试验组疗效显著优于对照组,有统计学意义。得出结论,辨证推拿治疗小儿泄泻疗效优于西药对照组,且无明显副作用,且费用低,值得临床推广应用
[Abstract]:Acute diarrhea in children is a group of clinical syndrome caused by many pathogens and many factors. Diarrhea in children is an important disease threatening the life and health of children. According to WHO, there are 1 billion people suffering from diarrhoeal diseases every year in the world, including 500 million in developing countries, resulting in 5 million deaths of children. The treatment of infantile diarrhea by massage therapy has a long history. After previous literature research and many years' clinical experience, this study combined with the etiology and pathogenesis of infantile diarrhea. This paper puts forward and formulates the therapeutic scheme of syndrome differentiation massage for clinical application and carries on clinical research, objectively evaluates the effectiveness, safety and economy of massage therapy in treating acute diarrhea in children. In the clinical study, 280 cases were collected and observed by a randomized, parallel and multicenter trial, including 271 cases in accordance with the protocol, 203 cases in the trial group and 68 cases in the control group. The sex, age and onset of the disease were observed in the two groups before treatment. The course of disease, the total score of symptoms, the degree of illness were compared, the difference was not statistically significant (P 0.05), the treatment group was treated with massage syndrome differentiation (wind-cold diarrhea, damp-heat diarrhea, damp-food diarrhea), The control group was treated with Mengshishu Peifekang for 3 days, and 1-2 courses of treatment were observed for each case. In order to evaluate the clinical effect of syndrome differentiation and massage on children with diarrhea, the improvement of the scores of main and secondary symptoms were compared between the two groups. Results: 203 cases were in the trial group, of which 193 cases were cured, 5 cases were effective 2.50, 3 cases were improved 1.50 and 2 cases were ineffective. In the control group, 68 cases were cured, 44 cases were cured, 10 cases were markedly effective, 10 cases were superior to 14.70%, 7 cases were improved 10.30%, and 7 cases were ineffective. The survival analysis of main and secondary symptoms before and after treatment in both groups showed that the quality of stool, the quality of stool and abdominal distension in the experimental group were obviously superior to those in the control group in the aspects of stool texture, stool quality and abdominal distension. The effective rate was 97.60% in the test group and 79.40% in the control group. The curative effect of the test group was significantly better than that of the control group (P < 0.05). Conclusion: the therapeutic effect of syndrome differentiation and massage on diarrhea in children is better than that in the control group of western medicine, and has no obvious side effects and low cost, so it is worth popularizing and applying in clinic.
【学位授予单位】：南京中医药大学
【学位级别】：硕士
【学位授予年份】：2012
【分类号】：R244.1;R272

【参考文献】