基于“冬病夏治”论穴位贴敷结合小儿推拿治疗小儿慢性咳嗽

发布时间：2018-07-31 14:04

【摘要】：目的:观察、比较穴位贴敷法、小儿推拿法及两者结合法治疗小儿慢性咳嗽疗效差异,为小儿慢性咳嗽的治疗提供参考。方法:90例小儿慢性咳嗽患者随机分为穴位贴敷组、小儿推拿组、两者结合组,每组30例。穴位贴敷组选用辽宁中医药大学第一附属医院的"伏九贴膏"在每年的三伏进行穴位贴敷,每10天1次,3次为1个疗程;小儿推拿组通过选取肺经、肝经、内八卦、膻中等进行穴位按摩,每天1次,连续10 d为1个疗程,两者结合组采用"伏九贴膏"与小儿推拿的结合方法,操作次数与疗程和另两组相同。通过回访观测证候量表分数的变化,从而比较单纯及结合疗法的不同疗效。结果:穴位贴敷组、小儿推拿组和两者结合组的总有效率分别为90.0%、86.7%和93.3%,治疗后3组证候积分比较,差异具有统计学意义(P0.05)。结论:穴位贴敷疗法、小儿推拿疗法及两者结合法对小儿慢性咳嗽均具有良好的治疗效果,但两者结合效果更为显著,安全有效适宜推广。
[Abstract]:Objective: To observe and compare the effect of acupoint application, children's massage and the combination of the two methods in the treatment of children's chronic cough, and provide reference for the treatment of chronic cough in children. Methods: 90 children with chronic cough were randomly divided into acupoint application group, children's massage group, combination group, 30 cases in each group. The acupoint application group selected the Liaoning University of Traditional Chinese Medicine. The "volt nine Plaster" of the First Affiliated Hospital was applied at acupoint application at three volts every year, 1 times every 10 days and 3 times for 1 courses. The children's massage group was massaged through the lung, the liver meridian, the eight diagrams and the mutton medium point, 1 times a day, 10 D for 1 courses. The combination group adopted the combination of "volt nine paste" and the children's massage, the operation times and the times of operation. The course of treatment was the same as that of the other two groups. By returning the changes in the score of the observation syndrome scale, the results were compared with those of the combination therapy. Results: the total effective rate of the acupoint application group, the children's massage group and the combination group were 90%, 86.7% and 93.3% respectively. The difference of the 3 groups after the treatment was statistically significant (P0.05). Conclusion: acupoint Placement therapy, children's massage therapy and the combination of both methods have good therapeutic effect on children's chronic cough, but the combination effect is more significant, and it is safe and effective and suitable for promotion.
【作者单位】：辽宁中医药大学针灸推拿学院;沈阳市第七人民医院神经内科;辽宁中医药大学第一附属医院儿科;
【基金】：辽宁省高等学校创新团队课题(LT2015016) 辽宁省科学技术计划项目(2014410007)
【分类号】：R246.4

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