推拿干预小儿脾虚疾病临床疗效类相关文献研究

发布时间：2018-06-28 03:30

本文选题：脾虚疾病 + 小儿推拿　；参考：《河南中医》2017年04期

【摘要】：目的:研究推拿干预小儿脾虚型疾病临床疗效类文献中诊断标准、疗效评定标准的来源及推拿治疗小儿脾虚型疾病的常用推拿穴位,评价推拿治疗小儿脾虚质临床疗效类文献的文献质量。方法:在《相关期刊论文》《medline》《维普中文科技期刊数据库》,以"小儿推拿""脾虚""泄泻""厌食"等为关键词进行检索,收集近25年国内外期刊公开发表的推拿治疗小儿脾虚病的临床疗效观察类文献,并对其中的诊断标准、疗效评定标准及治疗常用的推拿穴位进行统计分析,并对符合纳入标准的文献采用中医文献依据分级标准进行文献质量评价。结果:小儿脾虚型疾病文献中诊断标准和疗效评定标准最多来源于《中医病证疗效诊断标准》,疗效评定标准分级多为3级;62篇文献中涉及治疗疗程的49篇,采用中医证候量化积分进行疗效评定的有4篇,对其中非流派的脾虚型疾病的20篇文献中小儿推拿穴位进行统计,排名前10的穴位依次是:补脾经、补大肠、捏脊、摩腹、推三关、推上七节骨、按揉足三里、推板门、揉脐、揉龟尾;62篇文献中文献依据分级一级文献7篇,二级文献26篇,三级和四级文献0篇,五级文献29篇,推荐强度依次是A级0篇,B级7篇,C级26篇,D级0篇,E级29篇。结论:临床上缺乏小儿脾虚质的明确诊断标准和疗效评定标准,大多数散在于各个疾病中并以临床表现为主要诊断标准;小儿推拿因地域和流派的不同,补泻手法及治疗疗程不统一;文献质量总体来说不高,有待规范化和提高。
[Abstract]:Objective: To study the diagnostic criteria of the clinical efficacy of massage for children with spleen deficiency disease, the source of the standard of evaluation of curative effect and the use of massage to treat the commonly used massage acupoints for children with spleen deficiency diseases, and to evaluate the literature quality of the literature on the treatment of spleen asthenia in children by massage. Methods: in Chinese journal full text database >< VP Chinese language. In the database of sci-tech periodicals, this paper retrieves the key words of "infantile massage", "Spleen Deficiency", "diarrhea" and "anorexia", and collects the clinical effect observation literature on the treatment of spleen deficiency disease in children published in the domestic and foreign periodicals for the last 25 years, and makes statistical Analysis on the diagnostic criteria, the evaluation standard of the curative effect and the commonly used massage acupoints. The literature based on the classification standard of traditional Chinese medicine was used to evaluate the quality of literature. Results: the standard of diagnosis and evaluation of curative effect in the literature of children with spleen deficiency disease was the most from the standard of the diagnosis of TCM syndrome, and the classification of the evaluation standard of the curative effect was 3 grade; in the 62 literature, 49 of the treatment courses were involved, and the TCM syndrome was adopted. There were 4 quantitative scores for the evaluation of the curative effect. The top 10 points in the 20 literature of the spleen deficiency disease of the non genres were counted. The top 10 points were: Invigorating the spleen meridian, filling the large intestine, kneading the spine, rubbing the abdomen, pushing up the seven sections of the bone, kneading the Zusanli, pushing the plate door, kneading the umbilicus, and kneading the tortoise tail; 62 literature based on the classification of first grade literature 7, two, 26, four, 0 and 29. The recommended intensity is class a 0, class B 7, C class 26, D 0, E 29. Conclusion: there is a lack of clear diagnostic criteria and evaluation criteria for spleen deficiency in children. Most of them are scattered in various diseases and are the main diagnostic criteria in clinical manifestations; children Because of different geographical and genre, massage therapy and treatment course are not uniform. The quality of literature is not high in general, and needs to be standardized and improved.
【作者单位】：南京中医药大学;江苏省中医院;
【分类号】：R244.1

【参考文献】