运脾方联合刺四缝治疗小儿厌食脾失健运证的临床观察
本文选题:小儿 + 厌食 ; 参考:《南京中医药大学》2016年硕士论文
【摘要】:目的:1评价近二十年运脾法治疗小儿厌食的国内临床研究文献的质量。2评价运脾方联合刺四缝治疗小儿厌食脾失健运证的临床疗效、优势及可行性,为小儿厌食的治疗提供有效地指导。方法:1检索从1995年1月至2015年12月期间国内公开发表的以运脾法治疗小儿厌食的临床研究的中文文献,依据文献选择的纳入和排除标准对文献进行筛选,然后对纳入的文献进行质量评价。2收集60例属于小儿厌食脾失健运证的患儿,按随机数字表法分为治疗组、对照组,每组各30例,治疗组给予运脾方联合刺四缝的治疗,对照组给予双歧杆菌四联活菌片(思连康)的治疗,7天为1个疗程,连续治疗4个疗程,对患儿的症状进行量化评分,记录治疗前后各症状积分变化并对结果进行统计学处理。结果:1纳入评价的文献有23篇,文献质量均较低。纳入文献的Meta分析显示,运脾法治疗小儿厌食与西医治疗对比,异质性检验分析P=0.950.1,不具有异质性,采用固定效应模式,结果示:OR=6.71,95%CI为[5.27,8.55],合并效应量Z=15.40,P0.00001,差异有统计学意义。运脾法内治法治疗小儿厌食与西药治疗相比较,异质性检验分析P=0.860.1,不具有异质性,采用固定效应模式,结果示:OR=6.22,95%CI为[4.59,8.41],合并效应量Z=11.85,P0.00001,提示运脾法内治法治疗小儿厌食比西药治疗更具有优势。运脾法外治法治疗小儿厌食与西医治疗比较,异质性检验分析P=0.870.1,不具有异质性,采用固定效应模式,结果示:OR=7.68,95%CI[5.12,11.53]合并效应量Z=9.84,P0.00001,差异有统计学意义,运脾法外治小儿厌食疗效优于西医治疗。2治疗组的痊愈、显效、好转、无效人数分别是18例、9例、2例、1例,对照组分别是10例、10例、7例、3例;经检验,治疗组的综合疗效优于对照组(P0.05)。在改善主症(食欲、食量)方面,两组无明显差异(P0.05);在改善面色、暖气、恶心呕吐、腹胀、舌象、脉象或指纹等次症方面,治疗组优于对照组(P0.05)。结论:1对运脾法治疗小儿厌食的临床随机对照试验的中文文献进行了质量评价,纳入的文献质量普遍较低,在试验设计、统计学处理等方面存在诸多问题,影响结论可靠性。Meta分析的结果显示,采用运脾法治疗小儿厌食的疗效确切。2临床研究显示,运脾方联合刺四缝治疗小儿厌食脾失健运证,与双歧杆菌四联活菌片对照组相比,在改善面色、嗳气、恶心呕吐、腹胀、舌象、脉象或指纹等次症及综合疗效方面效果更佳。
[Abstract]:Objective to evaluate the quality of domestic literature on the treatment of infantile anorexia by transposition of spleen in the past twenty years. To provide effective guidance for the treatment of anorexia in children. Methods from January 1995 to December 2015, the Chinese literature on the clinical study of treating anorexia in children with the method of spleen transport was retrieved and screened according to the criteria of inclusion and exclusion of the selected literature. Then 60 cases of children with anorexia spleen incapacitation syndrome were collected and randomly divided into treatment group, control group, 30 cases in each group, and the treatment group was treated with Yunpi prescription combined with acupuncture of four seams, and the treatment group was divided into two groups: the control group (n = 30), and the control group (n = 30). The control group was given bifidobacterium tetralogy tablet (Silenkang) for 7 days as a course of treatment and 4 consecutive courses of treatment. The symptoms of the children were scored quantitatively and the changes of symptom scores before and after treatment were recorded and the results were statistically processed. Results 23 articles were included in the evaluation, and the quality of literature was low. Meta-analysis included in the literature showed that compared with western medicine treatment, the heterogeneity test analysis (P0.950.1) was not heterogeneity, and the fixed effect model was adopted. The results showed that the ratio of the combined effect was 5.278.55, and the combined effect was ZH15.40g P0.00001, the difference was statistically significant. Compared with the western medicine treatment, the heterogeneity test and analysis showed that there was no heterogeneity in the treatment of infantile anorexia, and the fixed effect model was adopted. The results showed that the CI was [4.59 卤8.41], and the combined effect was ZH11.85 (P0.00001), which suggested that the internal treatment of spleen transport was more advantageous than western medicine in the treatment of anorexia in children. Compared with western medicine, the treatment of anorexia in children by the method of transferring spleen and treating with external treatment showed that the heterogeneity test analysis was 0.870.1, not heterogeneity, and the fixed effect model was adopted. The results showed that the combined effect quantity of the combined effect was Zang 9.84 (P 0.00001), and the results showed that there was a significant difference in the combined effect between the two groups (P < 0.05), and the difference was significant (P < 0.05), and the difference was statistically significant (P < 0.05). The curative effect of treating anorexia in children was better than that in the treatment group of western medicine (group .2). The number of patients who were cured, improved, improved and ineffective were 18 cases, 9 cases, 2 cases, and 1 case, respectively, and the control group were 10 cases, 10 cases, 7 cases, 3 cases. The comprehensive curative effect of the treatment group was better than that of the control group (P0.05). In improving the main symptoms (appetite, food consumption), there was no significant difference between the two groups (P0.05); in the improvement of facial color, heating, nausea and vomiting, abdominal distension, tongue, pulse or fingerprint, the treatment group was better than the control group (P0.05). Conclusion the quality evaluation of the Chinese literature in the randomized controlled trial on the treatment of infantile anorexia with the spleen transport method was carried out. The quality of the literature included in the study was generally low, and there were many problems in the design of the experiment and the statistical treatment. Conclusion the results of reliability. Meta-analysis showed that the curative effect of treating anorexia in children by the method of spleen transfer was exact .2 the clinical study showed that the combination of Yunpi recipe and acupuncture of Sijiao in the treatment of children's anorexia and spleen failure was compared with that of the control group of Bifidobacterium combined with live bacteria tablets. It is better in improving facial color, belching, nausea and vomiting, abdominal distension, tongue appearance, pulse or fingerprint, and comprehensive curative effect.
【学位授予单位】:南京中医药大学
【学位级别】:硕士
【学位授予年份】:2016
【分类号】:R272
【相似文献】
相关期刊论文 前10条
1 李士欣,张舒遴,秦克勤,刘国祥,陈金昌,陈春雁,温蓉,赵爱美,刘阳美,陈建华;小儿厌食合剂临床应用112例报道[J];新疆中医药;2001年02期
2 郭彩霞 ,苗志学;肥儿散治疗小儿厌食256例[J];陕西中医;2002年11期
3 姜春侠;段大航;孙丕东;王贵达;;小儿复方鸡内金散治疗小儿厌食临床疗效观察[J];井冈山医专学报;2006年05期
4 王江潮;;小儿厌食治疗体会[J];浙江中医药大学学报;2008年06期
5 贾华;李文辉;;小儿厌食的证型探讨[J];中国社区医师(医学专业半月刊);2008年02期
6 刘春叶;;推拿在治疗小儿厌食中的运用[J];按摩与导引;2008年09期
7 彭文;;浅谈小儿厌食之辨治[J];陕西中医;2009年07期
8 刘斐;林洁;;小儿厌食古代文献研究[J];辽宁中医药大学学报;2011年04期
9 许渝红;;小儿厌食的治疗[J];中国社区医师(医学专业);2011年20期
10 韩大江;;中医治疗小儿厌食60例[J];中医临床研究;2011年08期
相关会议论文 前10条
1 黄晓华;张治国;;神山军槟散治疗小儿厌食186例[A];第六次全国中西医结合实验医学学术研讨会会议论文集[C];2002年
2 陈竹;;小儿厌食的临床辨治体会[A];刘弼臣教授从医六十五周年学术思想研讨会暨中华中医药学会儿科分会与全国中医药高等教育学会儿科分会全国学术交流大会论文汇编[C];2004年
3 刘忠贵;张书清;张旭东;李永秀;谢红玉;赵莉;周丹宁;;醒脾开胃汤治疗小儿厌食66例疗效观察[A];中西医结合第九次全国儿科学术会议论文汇编[C];2000年
4 陈芳瑜;陈焱;;微机电脑治疗小儿厌食[A];全国中西医结合儿科第十次学术会议论文集[C];2002年
5 宋明锁;孟明生;;厌食灵冲剂治疗小儿厌食病的临床观察[A];全国中西医结合儿科第十次学术会议论文集[C];2002年
6 贾华;李文辉;;小儿厌食的证型探讨[A];增强自主创新能力 促进吉林经济发展——启明杯·吉林省第四届科学技术学术年会论文集(下册)[C];2006年
7 王建红;;推拿、刺血治疗小儿厌食[A];全国中医小儿推拿学术沙龙会议论文汇编[C];2009年
8 张守瑞;张涛;;小儿厌食证治浅论[A];中西医结合第九次全国儿科学术会议论文汇编[C];2000年
9 陈骥;黄迪君;;黄氏疗法治疗小儿厌食证[A];2006中国针灸学会临床分会第十四届全国针灸学术研讨会针药结合论坛[C];2006年
10 孙齐力;李茁然;;食方治疗小儿厌食[A];中国中西医结合学会第十八次全国消化系统疾病学术会议暨2006年全国中西医结合消化系统疾病进展学习班论文汇编[C];2006年
相关重要报纸文章 前10条
1 辽宁瓦房店 梁迎春;小儿厌食也是病[N];上海中医药报;2012年
2 ;小儿厌食辨证用药[N];中国消费者报;2003年
3 薛春云;小儿厌食如何治[N];中国医药报;2003年
4 王先华;小儿厌食与偏食[N];江苏科技报;2001年
5 唐传兵;保健按摩巧治小儿厌食[N];21世纪药店;2013年
6 健康时报特约记者 詹建;小儿厌食试试炒麦芽[N];健康时报;2007年
7 李晓光;小儿厌食原因种种 [N];中国医药报;2002年
8 童林燕;消食口服液——治疗小儿厌食的良方[N];中国中医药报;2004年
9 祝建材;小儿厌食食疗方[N];中国中医药报;2009年
10 李易风;小儿厌食中药调[N];卫生与生活报;2008年
相关硕士学位论文 前10条
1 赵静;王应麟教授学术思想与临床经验总结及厌食合剂治疗小儿厌食的研究[D];北京中医药大学;2015年
2 赵禧;健脾益气开胃法治疗脾胃气虚型小儿厌食的临床疗效观察[D];北京中医药大学;2016年
3 刘俭青;调肝理脾合剂治疗小儿厌食证脾虚肝旺型临床观察[D];北京中医药大学;2016年
4 张艳华;运脾方联合刺四缝治疗小儿厌食脾失健运证的临床观察[D];南京中医药大学;2016年
5 韩文鹤;推拿手法治疗小儿厌食的证治规律研究[D];成都中医药大学;2012年
6 李恒;乐食冲剂治疗小儿厌食疗效观察[D];黑龙江中医药大学;2009年
7 陈莉丽;“参术健脾消积散”治疗小儿厌食(脾虚夹积型)的临床观察[D];长春中医药大学;2013年
8 徐薇薇;苍苓冲剂治疗小儿厌食的临床研究[D];黑龙江中医药大学;2010年
9 孙莹莹;健儿消积冲剂治疗小儿厌食脾虚食滞型临床疗效观察[D];黑龙江中医药大学;2009年
10 翟春桃;小儿厌食病中医临床路径研究[D];南京中医药大学;2014年
,本文编号:2106151
本文链接:https://www.wllwen.com/zhongyixuelunwen/2106151.html