廖氏小儿推拿咳嗽方治疗小儿外感咳嗽的临床疗效观察

发布时间：2018-09-19 14:01

【摘要】：[目的]观察廖氏推拿咳嗽方治疗小儿外感咳嗽的临床疗效。客观评价推拿治疗小儿外感咳嗽的疗效,以探讨一种切实有效、便于推广的推拿处方。 [方法]以外感咳嗽小儿为研究对象,采用前瞻性对照的研究方案,将60例患儿随机分为中药组和中药加推拿组各30例。分风寒袭肺证和风热犯肺证,中药组分别用金沸草散和桑菊饮加减治疗；中药加推拿组在中药基础上加用廖氏小儿推拿咳嗽方治疗。选取咳嗽、咯痰、鼻塞流涕、咽痒等4个中医症状及咽部体征作为本研究的观察指标,制定治疗前后症状及体征综合评分标准,观察两组临床疗效、治疗前后相关症状及体征积分变化,并作对比分析。 [结果] 1.临床疗效中药加推拿组总有效率明显高于中药治疗组(P0.05),说明加用推拿治疗后,比中药常规治疗整体疗效更为显著。两组中痊愈患儿的治疗时间比较,中药加推拿组明显短于中药组(P0.05)。 2.治疗前后中医症状及体征积分变化比较两组治疗小儿外感咳嗽均有确切疗效(P0.05),但中药加推拿组疗效优于中药组(P0.05)。两组在治疗前后对主症和次症改善方面均疗效确切(P0.05),中药组与中药加推拿组在咯痰、鼻塞流涕及咽部体征方面无明显差异(P0.05),而在改善咳嗽、咽痛、咽痒方面中药加推拿组均优于中药组(P0.05)。 [结论]廖氏小儿推拿咳嗽方配合中药治疗小儿外感咳嗽,能明显改善患儿多种症状,缩短疗程,疗效优于单纯中药组。
[Abstract]:[objective] to observe the clinical effect of Liao's massage and cough prescription on children's external cough. Objective to evaluate the curative effect of massage in treating children's external cough, to explore a practical and effective massage prescription. [methods] 60 children with exogenous cough were randomly divided into Chinese medicine group (n = 30) and Chinese medicine plus massage group (n = 30). The traditional Chinese medicine group was treated with Jinyeshuo Powder and Sangju decoction respectively; the Chinese medicine plus massage group was treated with Liao's Pediatric Tuina cough prescription on the basis of traditional Chinese medicine. Four TCM symptoms, including cough, sputum, nasal congestion and runny nose and pharynx itch, were selected as the observation index of this study. The comprehensive scoring criteria of symptoms and signs before and after treatment were established, and the clinical efficacy of the two groups was observed. The scores of symptoms and signs before and after treatment were compared and analyzed. [result] 1. The total effective rate of traditional Chinese medicine plus massage group was significantly higher than that of traditional Chinese medicine treatment group (P0.05). The treatment time of cured children in the two groups was significantly shorter than that in the traditional Chinese medicine plus massage group (P0.05). Comparison of the changes of symptoms and signs of TCM before and after treatment the two groups had definite curative effect in treating children with exogenous cough (P0.05) but the curative effect of Chinese herbal plus massage group was better than that of traditional Chinese medicine group (P0.05). The curative effect of the two groups on the improvement of main and secondary symptoms before and after treatment was definite (P0.05). There was no significant difference between the Chinese medicine group and the traditional Chinese medicine plus massage group in sputum, nasal congestion and pharynx signs (P0.05), but in improving cough, pharynx pain. In terms of pharynx itching, the Chinese medicine plus massage group were better than the traditional Chinese medicine group (P0.05). [conclusion] Liao's Pediatric Massage and cough prescription combined with traditional Chinese medicine can obviously improve the symptoms and shorten the course of treatment in children with external cough, and the curative effect is better than that of the traditional Chinese medicine group alone.
【学位授予单位】：成都中医药大学
【学位级别】：硕士
【学位授予年份】：2012
【分类号】：R272;R244.1

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