穴位贴敷治疗小儿反复下呼吸道感染（肺脾气虚型）的回顾性研究

发布时间：2018-05-01 15:31

本文选题：穴位贴敷 + 小儿反复下呼吸道感染　；参考：《山东中医药大学》2016年硕士论文

【摘要】：目的:对穴位贴敷防治小儿反复下呼吸道感染(RLRTI)肺脾气虚型的疗效进行回顾性研究,探讨其病因病机及贴敷治疗的作用机理。方法:选择2012年-2015年伏九期间就诊于山东省中医院儿科门诊符合纳入标准的患儿120例,根据贴敷疗程长短分为1年组、2年组、3年组,每组40例。治疗后,以电话或门诊回访的形式收集患儿病情变化的相关资料,采用EpiData3.1系统录入,记录患儿治疗前后发病次数、病程、病种及其主要临床症状的改变,运用统计学进行处理,通过组内、组间对比,评价穴位贴敷治疗RLRTI的临床疗效,并对其进行回顾性研究及分析。结果:1年组、2年组、3年组的总有效率分别为72.5%、80.5%、95%,经统计学分析,3年组优于1年组(P0.017),2年组与3年组、1年组相互比较无明显差异(P0.017)。治疗后,各组的临床症状均得到明显改善(P0.01),发病次数减少,病程缩短,病种多为上呼吸道感染。结论:穴位贴敷治疗可以改善RLRTI肺脾气虚型患儿的临床症状,缓解其发病时的病情,提高患儿抵御外邪侵袭的能力,且坚持治疗,临床疗效更好,具有重要的临床价值。
[Abstract]:Objective: To review the therapeutic effect of Acupoint Application on children with recurrent lower respiratory infection (RLRTI) lung and spleen deficiency type, to explore the mechanism of its etiology and pathogenesis and the mechanism of application. Methods: to select 120 cases of children who were diagnosed in outpatient department of Pediatrics of Shandong Provincial Traditional Chinese Medical Hospital during the period of nine 2012, according to the length of the treatment course. The short divided into 1 years group, 2 year group, 3 year group, 40 cases in each group. After treatment, collect the related data of the patient's condition by telephone or outpatient visit, use EpiData3.1 system to record the number of disease, the course of disease, the change of the disease and the main clinical symptoms before and after the treatment, use statistics to deal with, through the group, the comparison among groups, evaluation and evaluation. The clinical effect of RLRTI on acupoint application was reviewed and analyzed. Results: the total effective rate in the 1 year group, the 2 year group and the 3 year group was 72.5%, 80.5%, 95% respectively. The 3 year group was superior to the 1 year group (P0.017), the 2 year group and 3 years group, and the 1 year group had no significant difference (P0.017). The clinical symptoms of each group were all obtained after treatment. To obviously improve (P0.01), the frequency of disease is reduced, the course of disease is shortened, and most of the disease is upper respiratory tract infection. Conclusion: acupoint application can improve the clinical symptoms of RLRTI patients with asthenia of lung and spleen, alleviate the disease and improve the ability to resist the invasion of external pathogenic factors, and the clinical curative effect is better, and it has important clinical value.

【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】：R246.4

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