选择性脊柱推拿治疗小儿疳证的临床研究

发布时间：2018-04-13 15:54

本文选题：选择性脊柱推拿 + 小儿疳证　；参考：《云南中医学院》2016年硕士论文

【摘要】：目的观察选择性脊柱推拿治疗小儿疳证的临床疗效,并与常规对症支持治疗比较,旨在探索一种安全、有效、疗程更短、依从性更好的治疗方案。方法从就诊于昆明医科大学第一附属医院儿童保健科、云南省中医医院儿科和云南中医学院附设中医医院(2014年08月-2016年01月)住院和门诊病例中选择符合纳入标准的疳证患儿84例,剔除脱落病例4例,实际纳入80例,按照数字表法随机分为实验组(n=40)和对照组(n=40),对照组予常规对症支持治疗,实验组用选择性脊柱推拿治疗。两组予相同的营养及健康指导。按照自拟临床症状积分值量表及身高、体重变化观察表观察治疗前、一个疗程后、两个疗程后的临床症状积分值及身高、体重等客观指标的变化,比较实验组和对照组的临床疗效,对相关资料进行统计学分析与比较。结果1.实验组和对照组治疗前一般资料比较：两组患儿性别、年龄、病程、治疗前症状总积分,差异无统计学意义(P0.05),具有可比性。2.两组患儿治疗前后临床症状积分值比较：治疗前,两组各临床症状积分值比较,差异无统计学意义(P0.05),具有可比性。治疗后,实验组一个疗程与治疗前相比,临床症状积分值明显下降,差异有统计学意义(P0.05)。治疗两个疗程后与一个疗程相比,临床症状积分值也有下降,差异有统计学的意义(P0.05)。对照组治疗一个疗程后,临床症状积分值明显下降,差异有统计学意义(P0.05)。治疗两个疗程后与一个疗程相比,积分值也有下降,差异有统计学意义(P0.05)。两组比较,治疗一个疗程后,实验组症状积分值的变化优于对照组,其中实验组食欲、精神改善明显。两个疗程后,实验组各临床症状积分值的改善优于对照组。3.治疗前后身高、体重的变化比较。治疗前,两组身高、体重比较,差异无统计学意义(PO.05),具有可比性。治疗一个疗程后,实验组、对照组的身高与治疗前相比,无明显变化,差异无统计学意义(P0.05)。两个疗程后,两组身高有所增长,实验组优于对照组,差异有显著性(P0.05)。两组体重在治疗一个疗程后,与治疗前相比,有所增长,实验组较对照组明显,差异有统计学意义(P0.05)。治疗两个疗程后,实验组体重增长较对照组明显,差异有统计学意义(P0.05)。4.两组临床疗效比较：与治疗前相比,一个疗程后对照组的总有效率75.0%,实验组80.0%；二个疗程后,对照组的总有效率为77.5%,实验组为90.0%。具有统计学意义(P0.05)。说明实验组和对照组对小儿疳证均有疗效,但选择性脊柱推拿的总体疗效优于常规对症支持治疗。结论选择性脊柱推拿可以改善小儿疳证的临床症状,促进生长发育,总体疗效优于常规对症支持治疗,可以作为小儿疳证的有效治疗方案,值得临床进一步探索研究,并推广使用。
[Abstract]:Objective to observe the clinical effect of selective spinal massage in treatment of infantile chancre syndrome, and to explore a safe, effective, shorter course of treatment and better compliance.Methods from the Children's Health Department of the first affiliated Hospital of Kunming Medical University,The Department of Pediatrics of Yunnan traditional Chinese Medicine Hospital and the affiliated Hospital of traditional Chinese Medicine of Yunnan University of traditional Chinese Medicine (2010-08 ~ 2016-January 2016) selected 84 children with chancre syndrome who met the inclusion criteria, eliminated 4 cases of shedding cases, and actually included 80 cases.According to the method of digital table, the experimental group was randomly divided into two groups: the experimental group (n = 40) and the control group (n = 40). The control group was treated with routine symptomatic support therapy, and the experimental group was treated with selective spinal massage.The two groups were given the same nutrition and health guidance.According to the self-designed clinical symptom integral value scale, height and weight change observation table, observe the change of clinical symptom integral value, height, weight and other objective indexes before treatment, after one course of treatment, two courses of treatment, etc.The clinical efficacy of the experimental group and the control group were compared, and the related data were statistically analyzed and compared.Result 1.Comparison of the general data before treatment between the experimental group and the control group: sex, age, course of disease, total score of symptoms before treatment, there was no significant difference between the two groups (P 0.05).Comparison of clinical symptom scores before and after treatment: before and after treatment, there was no significant difference between the two groups in the scores of clinical symptoms (P 0.05), which was comparable.After treatment, the scores of clinical symptoms in the experimental group decreased significantly after one course of treatment compared with that before treatment, and the difference was statistically significant (P 0.05).Compared with one course of treatment, the score of clinical symptoms decreased after two courses of treatment, and the difference was statistically significant (P 0.05).After a course of treatment, the clinical symptom score of the control group decreased significantly (P 0.05).After two courses of treatment compared with one course of treatment, the integral value also decreased, the difference was statistically significant (P 0.05).After a course of treatment, the change of symptom score in the experimental group was better than that in the control group, in which appetite and mental improvement were obvious in the experimental group.After two courses of treatment, the improvement of clinical symptom integral value in the experimental group was better than that in the control group.The changes of height and weight before and after treatment were compared.Before treatment, there was no significant difference in height and weight between the two groups.After a course of treatment, the height of the experimental group and the control group had no significant change compared with that before treatment, and the difference was not statistically significant (P 0.05).After two courses of treatment, the height of the two groups increased, the experimental group was better than the control group, the difference was significant (P 0.05).After one course of treatment, the body weight of the two groups increased compared with that before treatment. The experimental group was more obvious than the control group, and the difference was statistically significant (P 0.05).After two courses of treatment, the weight gain in the experimental group was significantly higher than that in the control group, and the difference was statistically significant.Comparison of clinical efficacy between the two groups: compared with before treatment, the total effective rate of the control group was 75.0 after one course of treatment, and that of the experimental group was 80.0; after two courses of treatment, the total effective rate of the control group was 77.5, and that of the experimental group was 90.0.It has statistical significance (P 0.05).The results showed that both the experimental group and the control group had curative effect on infantile chancre syndrome, but the overall curative effect of selective spinal massage was better than that of routine treatment of symptomatic support.Conclusion selective spinal massage can improve the clinical symptoms and promote the growth and development of children's chancre syndrome. The overall curative effect is better than that of routine symptomatic support therapy. It can be used as an effective treatment scheme for infantile chancre syndrome, and it is worthy of further clinical exploration and study.And popularizing the use.
【学位授予单位】：云南中医学院
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R244.1

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