推拿手法治疗小儿湿热泻的临床研究

发布时间：2018-10-18 07:06

【摘要】：目的观察推拿手法治疗小儿湿热泻的临床疗效。方法将61例湿热泻患儿随机分为治疗组30例、对照组31例,治疗组采用推拿手法治疗,包括清补脾经、清补大肠经、揉板门、运内八卦、退六腑、摩腹、捏脊、推上七节骨、揉龟尾等。对照组以苍苓止泻口服液为主,并辅以双歧杆菌四联活菌片及蒙脱石散口服治疗。观察2组患儿的临床总疗效;症状和体征总积分;症状和体征积分,包括大便次数、大便性状、腹痛、呕吐、精神、发热、口渴、饮食、小便、肛门红;血常规、大便常规中白细胞改善情况。结果治疗组临床总疗效优于对照组(P0.05)。2组治疗后症状和体征总积分较本组治疗前均降低(P0.05),治疗组较对照组降低明显(P0.05),治疗组疗效优于对照组。治疗组治疗后大便次数、大便性状、腹痛、呕吐、精神、发热、口渴、饮食、小便、肛门红积分较本组治疗前均降低(P0.01)。对照组治疗后大便次数、大便性状、腹痛、精神、发热、口渴、饮食、小便、肛门红积分较本组治疗前均降低(P0.05),呕吐积分与本组治疗前比较,差异无统计学意义(P0.05)。大便次数、腹痛、呕吐积分治疗组较对照组降低明显(P0.05),治疗组疗效优于对照组。大便性状、精神、发热、口渴、小便、饮食、肛门红积分2组比较差异无统计学意义(P0.05)。血常规、大便常规中白细胞改善情况2组比较差异均无统计学意义(P0.05)。结论推拿手法治疗小儿湿热泻具有较好的疗效。
[Abstract]:Objective to observe the clinical effect of massage manipulation on children with damp-heat diarrhea. Methods Sixty-one children with dampness and heat diarrhea were randomly divided into treatment group (n = 30) and control group (n = 31). The treatment group was treated by massage manipulation, including purging spleen meridian, clearing large intestine meridian, rubbing plate door, transporting internal gossip, retreating six entrails, rubbing abdomen, squeezing ridges and pushing seven bones. Knead a tortoise tail, etc. The control group was treated with Cangling Zhixie oral liquid and bifidobacterium tetralogy tablet and montmorillonite powder orally. Observe the total clinical curative effect, symptom and sign score, including defecation times, defecation traits, abdominal pain, vomiting, spirit, fever, thirst, diet, urine, red anus, blood routine, Leucocyte in routine defecation improved. Results the total clinical curative effect of the treatment group was better than that of the control group (P0.05). The total score of symptoms and signs in the treatment group was lower than that before the treatment (P0.05), and that in the treatment group was significantly lower than that in the control group (P0.05), and the curative effect in the treatment group was better than that in the control group. The number of defecation, stool traits, abdominal pain, vomiting, spirit, fever, thirst, diet, urine, anus red score were lower in the treatment group than before treatment (P0.01). In the control group, the number of defecation, abdominal pain, psychosis, fever, thirst, diet, urine, anal red score were lower than before treatment (P0.05), vomiting score was not significantly different from that before treatment (P0.05). The number of defecation, abdominal pain and vomiting score in the treatment group was significantly lower than that in the control group (P0.05), and the curative effect in the treatment group was better than that in the control group. There was no significant difference in stool, spirit, fever, thirst, urine, diet and anal red score between the two groups (P0.05). Blood routine, stool routine leukocyte improvement in the two groups were not statistically significant (P0.05). Conclusion Massage manipulation is effective in treating children with dampness and heat diarrhea.
【作者单位】：北京中医药大学东直门医院儿科;
【分类号】：R272

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