推拿配合刺四缝治疗小儿肠系膜淋巴结炎（胃肠结热型）的临床研究

发布时间：2018-11-26 08:15

【摘要】：目的：观察推拿配合刺四缝治疗小儿肠系膜淋巴结炎（胃肠结热型）的临床疗效，，以期为临床提供安全、规范、有效的外治方法。方法：符合诊断、纳入及排除标准的90例患儿，按照随机数字表分为推拿组、刺四缝和综合组（推拿配合刺四缝组），每组各30例。推拿组：取穴：胃经、板门、大肠、六腑、肚角、一窝风、腹，手法：清法、推法、拿法、揉法、摩法，每日治疗1次，7次为1疗程；刺四缝组：取穴：四缝穴，操作：点刺，每隔3日治疗1次，2次为1疗程；综合组：治疗方法、疗程同推拿组和刺四缝组。观察各组治疗前后症状、体征及实验室检查变化。结果：综合组痊愈率83.33%，推拿组痊愈率46.67%，刺四缝组痊愈率40.00%，综合组痊愈率与推拿组和刺四缝组比较均有显著性差异（P＜0.05）；综合组治疗前后症状与体征综合评分差值与推拿组和刺四缝组比较有极其显著性差异（P＜0.01）；综合组治疗前后淋巴结纵径差值、横径差值与推拿组和刺四缝组比较均有显著性差异（P＜0.05）。结论：推拿配合刺四缝是治疗小儿肠系膜淋巴结炎（胃肠结热型）较有效的外治疗法，值得推广应用。
[Abstract]:Objective: to observe the clinical effect of massage combined with acupuncture on mesenteric lymphadenitis (Gastrointestinal node heat type) in children in order to provide safe, standardized and effective external treatment method. Methods: according to the criteria of diagnosis, inclusion and exclusion, 90 children were randomly divided into three groups: massage group (n = 30), acupuncture group (n = 30) and combined group (n = 30). Massage group: acupoints: stomach meridian, plate door, large intestine, six Fu organs, stomach angle, a wind, abdomen, manipulation: clear method, push method, take method, knead method, massage method, treatment once a day, 7 times as a course of treatment; Four seams group: acupoints: four suture points, operation: prickles, treatment every 3 days, 2 times as a course of treatment; comprehensive group: treatment method, the course of treatment with massage group and acupuncture four suture group. The changes of symptoms, physical signs and laboratory examination before and after treatment were observed. Results: the cure rate was 83.33 in the comprehensive group, 46.67 in the massage group and 40.00in the four seams group. The cure rate of the combined group was significantly different from that of the massage group and the fourth suture group (P < 0.05). There was a significant difference between the comprehensive scores of symptoms and signs before and after treatment in the comprehensive group compared with the massage group and the fourth suture group (P < 0.01). The difference of lymph node longitudinal diameter and transverse diameter before and after treatment in the combined group was significantly different from that in the massage group and the fourth suture group (P < 0.05). Conclusion: massage combined with four seams is an effective external therapy for mesenteric lymphadenitis in children, which 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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