小儿推拿治疗儿童功能性消化不良的临床研究

发布时间：2018-04-17 00:19

本文选题：小儿推拿 + 功能性消化不良　；参考：《广州中医药大学》2016年博士论文

【摘要】：目的：通过观察小儿推拿治疗儿童功能性消化不良所致小儿厌食症,运用临床研究观察及现代医学统计方法,以期对推拿治疗小儿厌食症疗效进行探讨,为今后小儿推拿在儿童功能性消化不良中的临床应用作指导,并进一步研究病程及不良饮食习惯对小儿厌食症的影响。方法：采用前瞻性及随机对照的临床设计, 按照病人就诊顺序的编号,采用随机数字表法,将65例功能性消化不良儿童患者分为推拿组33例,药物组32例。推拿组推拿手法选择补脾经、补胃经、运内八卦、揉板门、推四横纹,摩腹,捏脊7种手法进行治疗,每日一次,6天为一个疗程。休息一天继续下一个疗程,治疗二个疗程。药物组口服健胃消食口服液,用法用量：口服,3-6岁1次10ml(1支),1天2次。6-8岁1次20mL,1天2次。6天为一个疗程。治疗二个疗程。结果：两组治疗后症状积分及食欲、食量积分叫治疗前均有明显改善,且推拿组改善优于药物组,但大便、烦急、腹胀的改善并不明显,不具有统计学意义,但就其积分的均值相比,推拿组对大便、腹胀、烦急等症状的改善均更优于药物组。结论：两组治疗后症状积分及食欲、食量积分均具有显著差异,且推拿组改善优于药物组,但大便、烦急、腹胀的改变差异并不显著,推拿组均小于药物组,仍能说明推拿对大便、烦急、腹胀等次症的改善略优于药物组。推拿可明显改善食欲及食量,使患儿摄食量增加,具有运脾开胃,健脾益气之功。同时,推拿治疗小儿厌食具有见效更快的特点。
[Abstract]:Objective: to observe the therapeutic effect of massage on anorexia caused by functional dyspepsia in children, and to investigate the therapeutic effect of massage on anorexia in children by clinical research and modern medical statistics.To guide the clinical application of pediatric massage in children with functional dyspepsia, and to further study the effects of course of disease and unhealthy dietary habits on anorexia in children.Methods: 65 patients with functional dyspepsia were randomly divided into massage group (n = 33) and drug group (n = 32).The massage manipulation of the massage group included spleen Meridian, stomach Meridian, Internal gossip, Plate door, four horizontal stripes, rubbing abdomen, kneading Ridge, for 6 days a day as a course of treatment.Rest one day to continue the next course of treatment, treatment for two courses.In the drug group, Jianwei Xiaoshi oral liquid was taken orally. The dosage of oral 10ml(1 was 3 to 6 years old, once a day, twice a day, 6-8 years old, 20 mL / day, 2 times a day, 6 days as a course of treatment.Two courses of treatment.Results: after treatment, the symptom score, appetite and food quantity of the two groups were significantly improved, and the improvement of massage group was better than that of the drug group, but the improvement of stool, irritation and abdominal distension was not obvious and had no statistical significance.However, the improvement of stool, abdominal distension, irritation and other symptoms in massage group was better than that in drug group.Conclusion: there were significant differences in symptom score, appetite and food quantity between the two groups after treatment, and the improvement of massage group was better than that of drug group, but the changes of stool, irritation and abdominal distension were not significant, and the massage group was smaller than the drug group.It still shows that massage can improve stool, irritation and abdominal distension slightly better than drug group.Massage can significantly improve appetite and food intake, increase the intake of children, with spleen appetizer, invigorating spleen and qi.At the same time, massage treatment of children anorexia has the characteristics of faster effect.
【学位授予单位】：广州中医药大学
【学位级别】：博士
【学位授予年份】：2016
【分类号】：R244.1

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