推拿治疗小儿慢性咳嗽（痰湿蕴肺）的临床疗效观察

发布时间：2018-06-10 00:30

本文选题：小儿咳嗽 + 痰湿蕴肺　；参考：《广州中医药大学》2017年硕士论文

【摘要】：目的:观察推拿治疗小儿慢性咳嗽(痰湿蕴肺)症状和体征的积分变化,以客观评价推拿对于小儿慢性咳嗽的疗效,发掘中医在儿科疾病治疗方面的潜力。方法:纳入60例符合入组标准的患儿,按照随机数字表法划分为两组,即治疗组(30例)和对照组(30例)。治疗组:小儿化痰去湿止咳推拿。对照组:口服橘红痰咳液。用统计学方法对其结果进行处理和分析,推拿每天一次,中成药每天三次,一个疗程为期7天,观察期为1个疗程,治疗结束后评价患儿慢性咳嗽症状体征积分变化情况。结果:(1)临床疗效方面:治疗组共30例,分别为治愈2例,显效14例,有效12例,无效2例。对照组共30例,分别为治愈0例,显效3例,有效19例,无效8例。治疗疗程结束后,小儿推拿组、中成药组的总有效率分别为93.3%、73.3%。二组总疗效比较,统计学差异上有显著意义(P0.05),治疗组的总有效率明显高于对照组,提示慢性咳嗽(痰湿蕴肺)患儿经小儿推拿治疗后,比中成药常规治疗整体疗效显著。(2)症状体征积分方面:经治疗后,两组患儿的中医症状体征积分均有所改善,一个疗程治疗后其差异有显著统计学意义(P0.01);但小儿推拿组疗效优于中成药组(P0.01),中成药组与推拿组在改善咯痰症状方面无明显差异(P0.05),而在改善咳嗽、肺部听诊及次要症状方面小儿推拿组均优于中成药组(P0.01)。以上结果表明,小儿推拿组疗效总体较中成药组好,小儿推拿治疗小儿咳嗽(痰湿蕴肺)有显确切的临床效果。结论:推拿治疗小儿慢性咳嗽(痰湿蕴肺)型,能明显改善患儿多种症状,疗效优于使用中成药组。
[Abstract]:Objective: to observe the integral changes of symptoms and signs of children with chronic cough (phlegm dampness and lung accumulation) treated by massage, to evaluate objectively the curative effect of massage on children with chronic cough, and to explore the potential of traditional Chinese medicine in the treatment of pediatric diseases. Methods: according to the random digital table method, 60 children were divided into two groups: treatment group (n = 30) and control group (n = 30). Treatment group: children remove phlegm dampness cough massage. Control group: oral tangerine phlegm cough liquid. The results were treated and analyzed by statistical method, massage once a day, Chinese patent medicine three times a day, a course of treatment for 7 days, observation period was a course of treatment, the changes of symptoms and signs of chronic cough in children were evaluated after treatment. Results: in the treatment group, 30 cases were cured, 14 cases were effective, 12 cases were effective, and 2 cases were ineffective. There were 30 cases in the control group, including 0 cases of cure, 3 cases of remarkable effect, 19 cases of effective and 8 cases of failure. After the course of treatment, the total effective rate of the children massage group and the traditional Chinese medicine group was 93. 3% and 73. 3% respectively. The total effective rate of the treatment group was significantly higher than that of the control group, which indicated that the children with chronic cough (phlegm and dampness in the lung) were treated with massage. Symptom and sign score: after treatment, the scores of TCM symptoms and signs were improved in both groups. After a course of treatment, the difference was statistically significant (P 0.01), but the curative effect of the children massage group was better than that of the traditional Chinese medicine group (P 0.01). There was no significant difference between the Chinese patent medicine group and the massage group in improving the symptoms of sputum emptying, but in improving the cough, there was no significant difference between the Chinese patent medicine group and the massage group in improving the sputum symptoms. In terms of pulmonary auscultation and minor symptoms, the children massage group was superior to the traditional Chinese medicine group (P 0.01). The results showed that the therapeutic effect of pediatric massage group was better than that of traditional Chinese medicine group, and the therapeutic effect of infantile massage on children cough (phlegm dampness and lung accumulation) was obvious. Conclusion: massage treatment of children with chronic cough (phlegm and dampness retention of lung) can significantly improve the symptoms of children, the curative effect is better than the use of traditional Chinese medicine group.
【学位授予单位】：广州中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R244.1

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