藿香正气散穴位贴敷治疗小儿腹泻风寒证的临床观察

发布时间：2018-01-10 05:14

本文关键词：藿香正气散穴位贴敷治疗小儿腹泻风寒证的临床观察　出处：《湖南中医药大学》2016年硕士论文　论文类型：学位论文

【摘要】：目的:评价辨证选用藿香正气散贴敷穴位治疗小儿腹泻风寒证的临床疗效和安全性;探讨涌泉穴与神阙穴的疗效差异为临床选穴提供参考依据;为小儿腹泻提供一种快速、安全、有效的治疗方法。方法:将90例辨证为风寒型的急性腹泻患儿随机分为治疗1组(涌泉穴组)、治疗2组(神阙穴组)以及对照组(西医治疗组)各30例。3组患儿均口服蒙脱石散及酪酸梭菌二联活菌散,其中治疗1组及治疗2组在此基础上分别加用藿香正气散贴敷涌泉穴、神阙穴,3日为1个疗程,观察1-2个疗程。观察各组主症积分,证候总积分,中医证候疗效,疗程等指标。结果:观察1个疗程,涌泉穴组与神阙穴组治疗后主症积分、证候总积分均低于治疗前,差异均有统计学意义(P0.01)。涌泉穴组与神阙穴组治疗后主症积分、证候总积分均低于西医治疗组,差异均有统计学意义(P0.05),涌泉穴组、神阙穴组比较差异无统计学意义(P0.05)。涌泉穴组总有效率为90.00%,神阙穴组总有效率为93.33%,西医治疗组总有效率为80.00%,涌泉穴组、神阙穴组与西医治疗组比较差异均有统计学意义(P0.05),涌泉穴组与神阙穴组比较差异无统计学意义(P0.05);观察2个疗程,涌泉穴组总有效率为100%,神阙穴组总有效率为100%,西医治疗组总有效率为96.66%,三组比较差异无统计学意义(P0.05)。涌泉穴组、神阙穴组治疗疗程均低于西医治疗组,差异均有统计学意义,涌泉穴组与神阙穴组比较差异无统计学意义(P0.05)。藿香正气散贴敷治疗过程中未发现明显皮肤红肿、破溃等不良反应,口服蒙脱石散及酪酸梭菌二联活菌散未见明显胃肠道反应,本研究中所选药物均未发现肝肾损害等毒副作用。结论:藿香正气散穴位贴敷治疗能够改善风寒泻患儿的临床症状,缩短病程,提高临床疗效;藿香正气散贴敷穴位选择涌泉穴与神阙穴治疗小儿风寒泻,在改善临床症状、缩短病程、提高临床疗效诸方面无明显差异,涌泉穴与神阙穴同样可作为治疗腹泻的穴位选择;本研究中所选治疗药物,未发现毒副作用,临床应用具有较高的安全性。
[Abstract]:Objective: to evaluate the clinical efficacy and safety of patchouli Zhengqi powder applied on acupoints in the treatment of children diarrhea with wind-cold syndrome. To explore the difference of curative effect between Yongquan point and Shenque point to provide reference for clinical acupoint selection. To provide a rapid, safe and effective treatment for children with diarrhea. Methods: 90 cases of acute diarrhea with wind-cold syndrome were randomly divided into treatment group (Yongquan group). The treatment group (Shenque point group) and the control group (western medicine treatment group) of 30 cases of children in each group took oral montmorillonite powder and Clostridium caseinate combined with viable powder. Treatment group 1 and treatment group 2 on this basis respectively with patchouli Zhengqi powder application of Yongquan point, Shenque point, 3rd as a course of treatment, observe 1-2 courses. Observe the main symptoms of each group integral, syndrome total integral. Results: observe a course of treatment, Yongquan point group and Shenque point group after treatment of the main symptom integral, syndrome total score are lower than before treatment. Yongquan group and Shenque point group after treatment of the main symptoms integral, the total score of syndrome were lower than Western medicine treatment group, the difference was statistically significant (P 0.05), Yongquan point group. There was no significant difference between Shenque group and Shenque group (P 0.05). The total effective rate of Yongquan acupoint group and Shenque acupoint group was 90. 00 and 93.33% respectively. The total effective rate of western medicine treatment group was 80.005, the points of Yongquan group, Shenque group and western medicine treatment group were significantly different (P 0.05). There was no significant difference between Yongquan group and Shenque group (P 0.05). Observation of two courses of treatment, Yongquan point group total effective rate is 100g, Shenque point group total effective rate is 100kum, Western medicine treatment group total effective rate is 96.66%. There was no significant difference among the three groups (P 0.05). The treatment course of Yongquan group and Shenque group were lower than that of western medicine group, and the difference was statistically significant. There was no significant difference between Yongquan group and Shenque group (P 0.05). There were no obvious adverse reactions such as skin redness, rupture and so on in the course of patchouli Zhengqi powder application. There was no obvious gastrointestinal reaction in oral montmorillonite powder and Clostridium caseinate binomial powder. Conclusion: the acupoint application of Huoxiang Zhengqi Powder can improve the clinical symptoms of children with wind-cold diarrhea, shorten the course of disease, and improve the clinical efficacy. There is no significant difference in the clinical symptoms, shortening the course of disease and improving the clinical curative effect in treating children with wind-cold diarrhea by applying Huoxiang Zhengqi Powder to the acupoints of Yongquan and Shenque. Yongquan point and Shenque point can be used as acupoints to treat diarrhea. No side-effects were found in the drugs selected in this study, and the clinical application was of high safety.
【学位授予单位】：湖南中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R246.4

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