冯氏捏积疗法规范化治疗小儿厌食症的临床疗效研究

发布时间：2019-03-09 15:39

【摘要】：小儿厌食症是儿科临床常见病、多发病,据报道婴儿和学龄前儿童发病率约为12%-34%,小儿厌食症如反复发作、迁延不愈,可影响儿童正常生长发育,降低免疫力,引起维生素D缺乏性佝偻病、缺铁性贫血、反复呼吸道感染等疾病,临床值得重视。冯氏捏积疗法是全国著名老中医冯全福教授在冯氏祖传四代、历时150年的临床经验上总结归纳出的安全、无创伤、成熟的中医特色疗法,治疗疾病简、便、验、廉,在北京地区乃至全国都有较大的影响和良好的口碑。冯氏捏积疗法治疗小儿厌食症临床疗效良好,但多年来缺乏完整的技术诊疗规范及技术操作规范,限制了该疗法的推广应用。本研究采用科学的方法,对冯氏捏积疗法的规范化操作进行初步研究,制定了冯氏捏积疗法技术操作规范文本,并应用规范化冯氏捏积疗法治疗小儿厌食症129例,临床疗效确切,为该疗法的推广应用提供一定的科学证据。本论文包括文献综述和临床研究两部分内容。文献综述部分通过阅读近5年中医治疗小儿厌食症及捏积疗法临床应用和机理研究的文献报道,对小儿厌食症的病因病机、治法治则、内治法、外治法进行总结；对捏积疗法的中医治疗疾病机理及现代研究进展进行回顾和总结。临床研究部分包括冯氏捏积疗法规范化操作的研究及冯氏捏积疗法规范化治疗小儿厌食症129例临床疗效研究。目的：观察冯氏捏积疗法规范化治疗小儿厌食症的临床疗效。方法：应用冯氏捏积疗法规范化治疗129例小儿厌食症患者,观察患儿治疗后临床症状、中医症状量化积分、D-木糖吸收排泄率评价该疗法对小儿厌食症的临床治疗效果。结果：冯氏捏积疗法规范化治疗小儿厌食症129例,总有效率90.1%。治疗前后中医症状量化积分分别是13.35±5.58、6.62±1.62,积分差异有显著统计学意义(P0.01)。治疗前后D-木糖吸收排泄率分别是16.44±6.56,18.19±5.56,差异有统计学意义(P0.05)。结论：冯氏捏积疗法治疗小儿厌食症的临床疗效确切,能显著改善小儿厌食症患者中医临床症状,提高小儿厌食症患者D-木糖吸收排泄率。
[Abstract]:Infantile anorexia is a common and frequently occurring disease in pediatrics. It is reported that the incidence of anorexia in infants and pre-school children is about 12% / 34%. If anorexia occurs repeatedly and does not heal, it can affect the normal growth and development of children and reduce immunity. Lead to vitamin D deficiency rickets, iron deficiency anemia, recurrent respiratory infection and other diseases, clinical attention. Feng's kneading therapy is a safe, non-invasive, mature traditional Chinese medicine characteristic therapy, which is a safe, non-invasive, mature traditional Chinese medicine characteristic therapy, which is a safe, non-invasive, mature traditional Chinese medicine characteristic therapy, which is a safe, non-invasive, mature traditional Chinese medicine characteristic therapy, which is a safe, non-invasive, mature traditional Chinese medicine characteristic therapy. In Beijing area and even the whole country have greater influence and good reputation. Feng's kneading therapy has a good clinical effect on infantile anorexia, but the lack of complete technical diagnosis and treatment and technical practice for many years has limited the popularization and application of this therapy. In this study, a scientific method was adopted to study the standardized operation of Feng's kneading therapy, and the text of the technical practice of Feng's kneading therapy was formulated, and 129 cases of infantile anorexia were treated with standardized Feng's kneading therapy. The clinical curative effect is definite, which provides certain scientific evidence for the popularization and application of this therapy. This paper includes two parts: literature review and clinical research. The part of literature review summarizes the etiology, pathogenesis, internal and external treatment of anorexia in children by reading the literature reports on the clinical application and mechanism of traditional Chinese medicine in treating anorexia in recent 5 years. This paper reviews and summarizes the mechanism and modern research progress of kneading therapy in traditional Chinese medicine (TCM). The clinical research part includes the study of standardized operation of Feng's kneading therapy and the clinical curative effect study of 129 cases of infantile anorexia treated by Feng's kneading therapy. Objective: to observe the clinical effect of Feng's kneading therapy on infantile anorexia. Methods: 129 cases of infantile anorexia were treated with Feng's kneading therapy. The clinical symptoms, the quantitative integral of TCM symptoms, and the absorption and excretion rate of D-xylose were observed after treatment to evaluate the therapeutic effect of this therapy on anorexia in children. Results: 129 cases of infantile anorexia were treated by Feng's kneading therapy, the total effective rate was 90.1%. Before and after treatment, the quantitative scores of TCM symptoms were 13.35 卤5.58 and 6.62 卤1.62, respectively. There was significant difference in the scores between before and after treatment (P0.01). The absorption and excretion rate of D-xylose was 16.44 卤6.56 and 18.19 卤5.56 respectively before and after treatment (P0.05). Conclusion: Feng's kneading therapy is effective in the treatment of infantile anorexia. It can significantly improve the clinical symptoms of anorexia and increase the absorption and excretion rate of D-xylose in children with anorexia.
【学位授予单位】：北京中医药大学
【学位级别】：硕士
【学位授予年份】：2012
【分类号】：R272

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