中医推拿治疗脾失健运型小儿厌食症的临床研究

发布时间：2018-03-18 14:42

本文选题：中医推拿　切入点：脾失健运型小儿厌食症　出处：《山东中医药大学》2016年硕士论文　论文类型：学位论文

【摘要】：目的:通过对中医推拿治疗脾失健运型小儿厌食症的量化评价,验证其疗效,并探讨其作用机理。方法:将符合纳入标准的脾失健运型厌食症患儿60例,随机分为治疗组(采用中医推拿治疗)和对照组(口服小儿消食片)各30例。记录患儿治疗前、治疗期间访视1、访视2、访视3、访视4(治疗后)的症状、体征积分,四周后对比观察两组患儿症状、体征、唾液SIgA含量的变化,并对两组的临床疗效进行对比分析。结果:1.治疗组总有效率96.67%,痊愈率40%;对照组总有效率62.07%,痊愈率13.79%,两组疗效比较差异非常显著(P0.01),痊愈率比较差异显著(P0.05)。2.治疗组治疗前后患儿症状、体征、唾液SIgA含量比较差异均非常显著(P0.01)。3.两组治疗后症状总积分、体征总积分比较差异均非常显著(P0.01),唾液SIgA含量比较差异显著(P0.05)。提示治疗组临床疗效优于对照组。结论:本研究中医推拿组穴治疗小儿厌食症疗效确切、操作简便,具有显著的中医特色,为临床规范化推拿治疗小儿厌食症提供了新的思路,值得大力推广。
[Abstract]:Objective: to evaluate quantitatively the therapeutic effect of traditional Chinese medicine massage in treating anorexia of children with spleen failure, and to explore its mechanism. Methods: 60 cases of children with anorexia of incapacitated spleen were included in this study. The patients were randomly divided into treatment group (treated with traditional Chinese medicine massage) and control group (oral Xiaoshi tablets). The symptoms and signs of the patients were recorded before and during treatment, including 1, 2, 3, and 4 (after treatment), respectively. After four weeks, the changes of symptoms, signs and saliva SIgA content in the two groups were compared and observed. Results: 1.The total effective rate of the treatment group was 96.677.The cure rate was 400.The total effective rate of the control group was 62.07 and the cure rate was 13.79.The difference between the two groups was very significant (P0.01A, P 0.050.2.The cure rate of the treatment group was higher than that of the control group. Symptoms of children before and after treatment, The difference of saliva SIgA content was very significant (P 0.01). The total symptom score of the two groups after treatment was significantly higher than that of the control group (P < 0. 01 or P < 0. 01). There were significant differences in the total score of physical signs and saliva SIgA content. It was suggested that the clinical efficacy of the treatment group was better than that of the control group. Conclusion: the therapeutic effect of the Chinese massage group on children anorexia is accurate and easy to operate. It provides a new way of thinking for the treatment of infantile anorexia and 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】：2016
【分类号】：R244.1

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