两种不同定位脾经穴向心推法治疗小儿积滞的临床效应比较

发布时间：2018-07-31 12:21

【摘要】：目的：比较两种不同定位脾经穴向心推法治疗小儿积滞的临床疗效差异。方法：选取积滞患儿60例随机分为拇指螺纹面组、拇指桡侧缘组,每组30例。螺纹面组采用向心推拇指螺纹面,桡侧缘组采用向心推拇指桡侧缘脾经穴推拿治疗,两组均配合推三关、运内八卦等传统推拿治疗手法。每日推拿1次,每周6次,6次为一疗程。2个疗程之后比较两组患者治疗前后主症积分,观察患儿的食欲、大便、舌苔等伴随症状的改善情况,并评定两组疗效。结果：1.螺纹面组与桡侧缘组总有效率差异无统计学意义(P0.05),提示两种不同定位脾经穴向心推法治疗小儿积滞的总体疗效无差异。2.两组治疗后积滞主症(胃纳情况、口气臭秽、大便酸臭、恶心呕吐,舌苔)积分均有显著改善,差异有统计学意义(均P0.05),提示两组脾经穴定位推拿手法均能改善小儿积滞的各主症症状。其中对主症——口气臭秽的治疗,螺纹面组优于桡侧缘组(P0.05)。结论：1.两种不同定位脾经穴向心推法治疗小儿积滞的临床疗效相同,两种不同定位脾经穴定位配合推三关,运内八卦等穴位治疗小儿积滞均可以取得较好的临床疗效。2.小儿推拿治疗小儿积滞疗效显著,简便易操作,患儿无痛苦,无副作用,值得临床推广。
[Abstract]:Objective: to compare the clinical effects of two different Point-Positioning Spleen-Meridian points in treating children with stagnation. Methods: 60 children with accumulation retardation were randomly divided into thumb thread group and thumb radial margin group with 30 cases in each group. The threaded surface group was treated with radial push thumb thread surface, the radial margin group with radial thumb radial edge spleen meridian point massage treatment, both groups were combined with push three passes, transport inside the gossip and other traditional massage treatment techniques. After two courses of treatment, the main symptom scores of the two groups were compared before and after treatment, and the improvement of appetite, stool and tongue coating were observed, and the curative effects of the two groups were evaluated. The result is 1: 1. There was no significant difference in the total effective rate between the threaded surface group and the radial margin group (P0.05). After treatment, the scores of the main symptoms of accumulation were improved significantly in the two groups, such as the condition of stomach, breath and odor, stool acidosis, nausea and vomiting, tongue coating, etc. The difference was statistically significant (P0.05), suggesting that the two groups of spleen Meridian Point-Positioning Massage manipulation can improve the main symptoms of accumulation in children. In the treatment of main disease-breath odor, the thread surface group was superior to the radial edge group (P0.05). Conclusion 1. The clinical curative effect of two kinds of different Point-Positioning spleen Meridian points in treating children's accumulation stagnation is the same, two kinds of different location spleen Meridian Point-Positioning combined with pushing three pass points, and so on in the treatment of children's accumulation stagnation can obtain better clinical curative effect. 2. The treatment of infantile stagnation by massage is effective, simple and easy to operate, without pain and side effects, so it is worth popularizing clinically.
【学位授予单位】：湖南中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R244.1

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