三揉三法治疗小儿寒湿型腹泻的临床研究

发布时间：2018-06-28 16:45

本文选题：小儿腹泻 + 小儿推拿　；参考：《河南中医药大学》2016年硕士论文

【摘要】：目的:本研究选取寒湿型腹泻患儿为研究对象,采用两组随机对照试验的方法,观察三揉三法与传统手法患儿在接受治疗前后症状、体征等的临床症状变化,以此评价三揉三法治疗小儿寒湿型腹泻的有效性及安全性,为推广小儿推拿中医绿色传统疗法奠定基础。方法:本研究选取60例患儿,随机分为治疗组和对照组,每组30例。治疗组采用三揉三法治疗,对照组采用传统手法治疗。分别记录两组患儿治疗前后的症状、体征等临床症状积分。两组患儿治疗均每日1次,7次为1疗程,疗程结束后进行疗效统计。本研究遵循患儿(或家长代述)报告结果的原则,医师通过询问的方式来填写临床观察表,对大便次数、大便性状、腹痛程度、腹胀现象、饮食及精神状态、每天观察以分值形式记录,并结合医生的判定,综合评价治疗手法的疗效性。数据处理使用SPSS18.0软件包,计数资料采用X~2检验,计量资料采用t检验,等级资料采用秩和检验。结果:(1)两组患儿治疗前基线资料如性别、年龄、病程、喂养方式及临床症状总积分比较差异均无统计学意义(P0.05)。(2)在疗效方面:治疗组总有效率为93.33%,对照组总有效率为90.00%,经统计学分析,两组患儿总有效率比较差异明显(P0.05),具有统计学意义,说明两组在改善临床疗效方面,治疗组优于对照组。(3)在总症状方面:两组患儿治疗后,临床总症状积分与治疗前比较,均有显著性差异(P0.05),说明两组均能改善小儿寒湿型腹泻的临床症状;治疗后两组总症状积分差值比较(P0.05),具有统计学意义,说明治疗组在改善临床总症状方面明显优于对照组。(4)在临床单项症状方面:两组患儿分别治疗后,大便次数、大便性状、腹痛程度、腹胀现象、饮食及精神状态积分与治疗前比较,均有显著性差异(P0.05),说明两组均能改善小儿寒湿型腹泻患儿的临床症状;治疗后两组单项症状积分差值比较(P0.05),具有统计学意义,说明治疗组在改善临床主要症状方面明显优于对照组。(5)两组患儿在治疗期间未见不良事件报告,安全性好。结论:三揉三法治疗小儿寒湿型腹泻具有较好的临床效果,在改善临床总疗效、临床总症状、临床单项症状方面,其疗效明显优于对照组传统手法,值得在临床中推广应用。
[Abstract]:Objective: to observe the changes of clinical symptoms, signs and symptoms of children with cold and wet diarrhea before and after treatment by two groups of randomized controlled trials. To evaluate the efficacy and safety of Sanrou San method in treating children with cold and wet diarrhea, and to lay a foundation for popularizing traditional Chinese medicine green therapy of pediatric massage. Methods: 60 children were randomly divided into treatment group and control group with 30 cases in each group. The treatment group was treated with three kneading and three methods, while the control group was treated with traditional manipulation. The scores of symptoms and signs before and after treatment were recorded. Two groups of children were treated once a day 7 times as a course of treatment, after the end of the course of curative effect statistics. This study followed the principle of reporting the results of children (or parents). Doctors filled out clinical observation forms by means of inquiry, and evaluated defecation times, defecation traits, abdominal pain, abdominal distension, diet and mental state. Daily observation was recorded in the form of score, and combined with the doctor's judgment, comprehensive evaluation of the efficacy of treatment techniques. SPSS 18.0 software package was used for data processing, Xn2 test was used for counting data, t test was used for measurement data, and rank sum test was used for rank data. Results: (1) baseline data, such as sex, age, course of disease, before treatment, were found in the two groups. There was no significant difference in the total score of feeding and clinical symptoms (P0.05). (2) in the curative effect: the total effective rate of the treatment group was 93.33 and the total effective rate of the control group was 90.000.0.The total effective rate of the treatment group was 90.000g, and that of the control group was 90.000g. There was significant difference in the total effective rate between the two groups (P0.05), which showed that the treatment group was superior to the control group in improving the clinical efficacy. (3) in the total symptom: after treatment, the total clinical symptom score of the two groups was compared with that before treatment. There were significant differences between the two groups (P0.05), indicating that the two groups can improve the clinical symptoms of cold and wet diarrhea in children; after treatment, the difference of total symptom integral between the two groups (P0.05) was statistically significant. The results showed that the treatment group was obviously superior to the control group in improving the total clinical symptoms. (4) in the single clinical symptom, the number of defecation, defecation character, abdominal pain degree, abdominal distension phenomenon in the two groups after treatment, respectively, were better than those in the control group. Diet and mental state scores were significantly different from those before treatment (P0.05), indicating that the two groups can improve the clinical symptoms of children with cold and wet diarrhea, the difference between the two groups after treatment (P0.05), with statistical significance, The results showed that the treatment group was superior to the control group in improving the main clinical symptoms. (5) the adverse events were not reported in the two groups and the safety was good. Conclusion: Sanrou San method has better clinical effect in treating children with cold and wet diarrhea. It is better than the control group in improving the total clinical curative effect, clinical symptom and clinical single symptom, which is worth popularizing in clinic.
【学位授予单位】：河南中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R244.1

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