推拿配合刺四缝治疗小儿便秘（胃肠燥热型）的临床研究

发布时间：2018-05-30 20:11

本文选题：推拿 + 刺血疗法　；参考：《山东中医药大学》2012年硕士论文

【摘要】：目的：观察推拿配合刺四缝治疗小儿便秘（胃肠燥热型）的临床疗效，以期为小儿便秘的防治提供安全、规范、有效的综合治疗技术。方法：符合诊断标准、纳入标准的胃肠燥热型便秘患儿90例，，随机分为推拿配合刺四缝组、单纯刺四缝组及单纯推拿组。推拿配合刺四缝组：采用推拿特定穴（清大肠、运内八卦、揉二马、退六腑、揉膊阳池、摩腹、推下七节骨、揉龟尾）配合四缝穴交替刺血治疗；单纯刺四缝组：单纯采用四缝穴交替刺血治疗；单纯推拿组：单纯采用推拿特定穴（穴位同上）治疗，观察各组的临床疗效，并对各组疗效进行比较分析，得出优化治疗方案。结果：1.临床疗效方面，推拿配合刺四缝组痊愈6例(20.0%)、显效15例(50.0%)、有效8例(26.7%)、无效1例(3.3%)；单纯推拿组痊愈2例(6.7%)、显效3例(10%)、有效19例(63.3%)、无效6例(20.0%)；单纯刺四缝组痊愈2例(6.7%)、显效7例(23.3%)、有效17例(56.7%)、无效4例(13.3%)。2.推拿配合刺四缝组总有效率最高（96.7%）,单纯推拿组总有效率最低（80.0%）,单纯刺四缝组总有效率居中（86.7%），三组总有效率比较，P0.05，有显著性差异。结论：推拿配合刺四缝治疗胃肠燥热型小儿便秘的疗效优于单纯刺四缝及单纯推拿的治疗疗效，为临床治疗小儿便秘提供了较好的综合治疗方法，值得临床推广应用。
[Abstract]:Objective: to observe the clinical effect of massage combined with four seams on the treatment of children's constipation (gastrointestinal dryness and heat type), in order to provide safe, standardized and effective comprehensive treatment techniques for the prevention and treatment of children's constipation. Methods: 90 children with gastrointestinal dryness and heat constipation were randomly divided into three groups: massage plus acupuncture group, simple acupuncture group and simple massage group. Massage combined with four seams group: massage special points (clearing the large intestine, transporting internal gossip, kneading Erma, retreating six Fu organs, rubbing arm Yang Chi, rubbing abdomen, pushing down seven bones, kneading tortoise tail) with four seams alternately pricking blood treatment; Simple acupuncture of four seams group: only four suture points alternately prick blood treatment; simple massage group: only massage specific points (points as the same) treatment, observe the clinical efficacy of each group, and comparative analysis of the efficacy of each group, get the optimized treatment plan. The result is 1: 1. In terms of clinical efficacy, 6 cases were cured, 15 cases were significantly effective, 8 cases were effective, and 1 case was ineffective. In the massage group, 2 cases were cured, 3 cases were significantly effective, 6 cases were effective, 19 cases were effective, 6 cases were not effective, and 2 cases were cured, 7 cases had remarkable effect, and there were 23.3m, 23. 3% and 23. 3% respectively in the fourth suture group, 2 cases in the fourth suture group, 7 cases in which there were 23. 3% of the disease. The effect was 56.7% in 17 cases and 13.3% in 4 cases. The total effective rate of massage plus four seams group was the highest, the total effective rate of simple massage group was 80.00.The total effective rate of simple four seams group was 86.7%, and the total effective rate of three groups was higher than that of P0.05 group (P 0.05). Conclusion: the curative effect of massage combined with acupuncture with four seams in the treatment of children's constipation with gastrointestinal dryness and heat is better than that of simple acupuncture and massage, which provides a better comprehensive treatment method for clinical treatment of children's constipation, and is worth popularizing in clinic.
【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】：R246.4

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