下推“一三穴”与常用退热穴位组治疗小儿外感发热临床疗效差异比较研究

发布时间：2018-07-14 11:22

【摘要】：目的：通过比较下推“一三穴”与四种小儿推拿常用清热穴位组方的退热效果及与小儿退热贴比较。评价下推“一三穴”的退热疗效与常用退热穴组、对照组的疗效差异；试图为小儿推拿穴位理论创新性探索提供思路,为临床操作提供新方法,促进小儿推拿退热穴位的深入研究。方法：试验对象为中等发热且辨证为外感发热,年龄为1到3岁患儿。选取下推“一三穴”12min进行治疗：常用退热穴组：退六腑3min、清天河水3min,水底捞月3min,下推天柱骨3min为处方进行治疗；对照组选择小儿退热贴进行治疗。三组分别于治疗前5min,治疗后4h记录体温。数据分析时,三组基线比较,基线均衡后三组之间进行比较；组间比较三组体温在每个访视点改善值,三组体温组内比较。结果：1.基线比较,无统计学差异(P0.05),可进行体温数据比较；2.下推“一三穴”治疗组与常用退热穴组效果无显著性差异(P0.05),下推“一三穴”治疗组与退热贴组比较的差异有统计学意义(P0.05)。3.下推“一三穴”治疗组与常用退热穴组效果持续退热疗效,无显著性差异(尸0.05),下推“一三穴”治疗组与小儿退热贴治疗组比较的有显著性差异有统计学意义(P0.05)。结论：1.下推“一三穴”具有较好的退热作用,与传统常用退热穴位组合相比差异不明显,但其与小儿退热贴比较有明显差异,可知下推“一三穴”退热效果优于小儿退热贴组,可作为临床退热外治疗法的推荐方法,证实下推“一三穴”退热理论。2.下推“一三穴”治疗组与常用退热穴组持续疗效优于退热贴组,进一步证实小儿推拿退热的有效性；3.因下推“一三穴”的退热疗效值得进一步深入研究寻求大数据支持。
[Abstract]:Objective: to compare the antipyretic effect of "one three points" and four kinds of commonly used antipyretic acupoints of children massage and compare them with children's antipyretic plaster. To evaluate the antipyretic effect of "one three points" and the difference of therapeutic effect between the group and the control group, and to provide a new method for the theoretical innovation of children's massage acupoints, and to provide a new method for clinical operation. To promote the further study of children's massage and antifebrile acupoints. Methods: the subjects were moderate fever with syndrome differentiation of exogenous fever, aged from 1 to 3 years. Select "one three points" 12min for treatment: commonly used antipyretic point group: Tuiliu 3 minutes, Qingtianhe water 3 minutes, looking for a month 3 minutes, push down Tianzhu bone 3min as the prescription treatment; control group selected children antipyretic plaster for treatment. The temperature of the three groups was recorded 5 minutes before treatment and 4 hours after treatment. When the data was analyzed, the baseline was compared among the three groups after the baseline equilibrium, and the body temperature of the three groups was improved at each visit point, and the comparison was made within the three groups. The result is 1: 1. Baseline comparison, no statistical difference (P0.05), body temperature data can be compared by 2. 5%. There was no significant difference between the "one three points" treatment group and the common antipyretic point group (P0.05), but the difference between the "one three points" treatment group and the antipyretic patch group was statistically significant (P0.05). There was no significant difference between the "one three points" treatment group and the common antipyretic point group (P 0.05), but there was significant difference between the "one three points" treatment group and the children antipyretic therapy group (P0.05). Conclusion 1. The "one three points" have better antipyretic effect, and there is no significant difference compared with the traditional combination of antipyretic acupoints, but it has obvious difference with the children's antipyretic plaster. It can be seen that the antipyretic effect of "one three points" is better than that of children's antipyretic plaster group. It can be used as the recommended method of clinical antipyretic and external therapy, and confirm the theory of "one three points" and antipyretic therapy. 2. The continuous curative effect of "one three points" treatment group and common antipyretic point group was better than that of antipyretic plaster group, which further confirmed the effectiveness of massage and antipyretic therapy in children. The antipyretic effect of "one-three points" is worth further study to seek big data support.
【学位授予单位】：成都中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R244.1

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