消食导滞推拿法治疗小儿伤食型呕吐临床观察

发布时间：2019-03-06 19:34

【摘要】：目的：本研究以消食导滞，和胃降逆治病原理，提供小儿推拿手法配合穴位按压的技术操作规范，用以治疗小儿伤食呕吐的应用研究，即提高中医临床医疗技术水平，更便于推广。方法：临床研究采用60例伤食呕吐患儿，随机分为治疗组30例和对照组30例进行观察研究，治疗组给予推拿疗法配合健胃消食口服液口服，随症加减:腹胀者配揉中脘；大便秘结或泻下酸臭配天枢、脐。胃寒而兼伤食者，吐物酸臭不明显，苔多白腻选加推三关、推天柱骨，以温中散寒，和胃降逆；偏食滞蕴而化热者，选加六腑、外劳宫以清热和胃降逆。对照组给予健胃消食口服液治疗。并分别记录治疗前、后患儿的症状体征及主症积分，，将测定数据进行统计分析。结果：本文通过对小儿推拿治疗伤食呕吐临床观察和研究，结果显示治疗组临床治愈率为53.3%，显效率33.3%，有效率为10%，总有效率为96.6%，对照组的临床痊愈为26.7%，显效率40.0%，有效率为6.7%，总有效率为73.3%，p0.05，治疗组明显优于对照组，且无不良反应。结论：应用此推拿法配合健胃消食口服液治疗小儿伤食型呕吐疗效明显优于单纯口服健胃消食口服液之伤食呕吐患儿。
[Abstract]:Objective: the purpose of this study is to provide the technical practice of treating infantile massage with acupoint pressing in order to improve the level of clinical medical technology of traditional Chinese medicine (TCM), based on the principle of dissipating food and guiding stagnation, and the principle of reducing stomach and reducing inverse disease, and to provide the technical standard of massage and massage in children with acupoint pressing. It is easier to popularize. Methods: in the clinical study, 60 children were randomly divided into the treatment group (n = 30) and the control group (n = 30). The patients in the treatment group were treated with massage therapy combined with Jianwei Xiaoyi oral liquid, and the patients in the treatment group were treated with massage combined with oral administration of Jianwei Xiaoyi oral liquid. Stool seclusion or purging acid and stink with armature, umbilical cord. If the stomach is cold and both hurt and eat, the vomit is not obvious, the moss is white and putty with push three pass, push the Tianzhu bone, spread the cold with the temperature, and the stomach drops the inverse; if the partial food stagnates and dispels the heat, the selection adds six fu organs, and the external labor palace clears the heat and the stomach drops the inverse. The control group was treated with Jianwei Xiaoyi oral liquid. The symptoms, signs and main symptom scores were recorded before and after treatment, and the measured data were analyzed statistically. Results: the results showed that the cure rate was 53. 3%, the effective rate was 33. 3%, the effective rate was 10%, the total effective rate was 96. 6%, the curative rate was 53. 3%, the effective rate was 33. 3%, the effective rate was 10%, and the total effective rate was 96. 6%. In the control group, the clinical recovery rate was 26.7%, the obvious effective rate was 40.0%, the effective rate was 6.7%, the total effective rate was 73.3%, p0.05, the treatment group was obviously superior to the control group, and there was no adverse reaction. Conclusion: the therapeutic effect of this massage combined with Jianwei Xiaoyi oral liquid is better than that of simple oral Jianwei Xiaoyi oral liquid in the treatment of infantile traumatic vomiting.
【学位授予单位】：长春中医药大学
【学位级别】：硕士
【学位授予年份】：2012
【分类号】：R244.1;R272

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