推拿配合刺血疗法治疗小儿风热型咳嗽的临床研究

发布时间：2018-06-21 00:38

本文选题：外感咳嗽 + 风热型　；参考：《山东中医药大学》2014年硕士论文

【摘要】：目的：观察推拿配合刺血疗法治疗小儿风热型咳嗽的临床疗效，以期为临床治疗小儿风热型咳嗽提供安全、规范、有效的治疗方案。方法：选取符合小儿风热型咳嗽诊断标准的87例门诊患者，按照随机数字表（通过SPSS17.0数据统计软件生成）随机分为综合（推拿配合刺血疗法）组（29例）、推拿组（29例）、刺血组（29例）。①综合组：推拿疗法：清肺经4min、清天河水4min、揉风门2min、按揉肺俞2min、按揉掌小横纹4min、分推肩胛骨3min。每日1次，4次为1疗程。刺血疗法：取穴：肺俞、大椎、尺泽。操作：用碘伏消毒穴位皮肤，然后左手拇指、食指捏紧局部皮肤，用一次性采血针疾刺约1～2mm，，每穴挤血5滴，每滴如绿豆大小。然后用无菌干棉球压迫止血。隔日1次，4次为1疗程。②推拿组：临床取穴、操作、疗程等与综合组推拿疗法相同。③刺血组：临床取穴、操作、疗程等均与刺血疗法相同。1个疗程结束后，观察比较三组患儿，治疗后的总体临床疗效评分、症状体征评分、安全性及患儿依从性评分等。结果：①总体疗效观察：1个疗程后，综合组治愈率为82.76%，总有效率为96.55%。推拿组治愈率为55.17%，总有效率为93.10%。刺血组治愈率为51.72%，总有效率为89.66%。三组患儿治愈率比较差异有统计学意义：P＜0.05。三组患儿总有效率比较无显著差异：P＞0.05。提示三种方法治疗小儿风热型咳嗽皆有疗效，尤以综合组疗效佳。②临床症状及体征综合评分观察：综合组与推拿组、刺血组比较，差异均有统计学意义（P＜0.05），提示综合组在改善患儿症状体征方面疗效优于其他两组。③安全性观察：治疗过程中三组患儿基本生命体征如呼吸、心率、血压无明显变化，未出现感染、骨折、皮肤损伤、皮下淤血等情况，说明三种治疗方法安全性高，适于临床应用。④患儿依从性观察：比较三组患儿治疗过程的依从性（P＞0.05），差异无统计学意义。提示三组患儿依从性都很高，患儿配合良好，适于临床应用。结论：推拿配合刺血疗法综合治疗小儿风热型咳嗽疗效佳，值得临床推广应用。
[Abstract]:Objective: to observe the clinical effect of massage combined with blood pricking therapy on wind-heat cough in children, so as to provide a safe, standardized and effective treatment scheme for children with wind-heat cough. Methods: 87 outpatients who met the diagnostic criteria of wind-heat cough in children were selected. According to the random digital table (generated by SPSS 17.0 data statistical software), randomly divided into comprehensive (massage combined with blood pricking therapy) group (29 cases), massage group (29 cases), blood pricking group (29 cases): massage therapy: clear lung meridian 4 minutes, clear Tianhe water 4 min, 2 min, 2min, 2min, 4min, 3 min. Once a day, 4 times as a course of treatment. Prick blood therapy: take point: lung Shu, Dazhui, ruler Ze. Operation: sterilize acupoint skin with iodophor, then pinch local skin with left thumb and index finger, prick about 1 ~ 2 mm with a single blood collection needle, squeeze 5 drops of blood per point, each drop is the size of mung bean. Then use sterile dry cotton balls to stop bleeding. Every other day, 4 times were used as a course of treatment. 2 massage group: clinical acupoint extraction, operation, course of treatment were the same as that of the combined group. 3. 3 blood pricking group: clinical acupoint collection, operation, course of treatment were the same as that of blood pricking therapy. After one course of treatment, the treatment period was the same as that of the blood pricking therapy. The total clinical efficacy score, symptom and sign score, safety and compliance score were observed and compared among the three groups. Results the general curative effect observation of 1: 1: after one course of treatment, the cure rate of the comprehensive group was 82.76 and the total effective rate was 96.55. The cure rate of massage group was 55.17 and the total effective rate was 93.10. The cure rate of blood pricking group was 51.72 and the total effective rate was 89.66. The difference of cure rate among the three groups was statistically significant (P < 0.05). There was no significant difference in the total effective rate between the three groups (P > 0.05). It is suggested that all the three methods are effective in the treatment of wind-heat cough in children, especially the comprehensive score of clinical symptoms and signs in the comprehensive group: the comprehensive group was compared with the massage group, the blood pricking group, and the blood pricking group. All the differences were statistically significant (P < 0.05), indicating that the curative effect of the comprehensive group in improving the symptoms and signs of the children was better than that of the other two groups: the basic vital signs such as respiration, heart rate and blood pressure did not change significantly in the three groups during the course of treatment. There was no infection, fracture, skin injury, subcutaneous congestion, etc., which indicated that the three treatment methods were safe and suitable for clinical observation of compliance of 4 children. The compliance of the three groups was compared (P > 0.05), and there was no significant difference between the three groups. The results suggest that the compliance of the three groups is very high, the children cooperate well and are suitable for clinical application. Conclusion: massage combined with blood acupuncture therapy is effective in treating children with wind-heat cough, and it is 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】：2014
【分类号】：R246.4

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