刘氏小儿推拿治疗肺脾气虚RRTI缓解期的临床观察

发布时间：2018-08-10 20:31

【摘要】：目的:观察治疗前后反复呼吸道感染(RRTI)患儿的临床表现及血清IgA、IgG、IgM的指标变化,评价刘氏小儿推拿对RRTI患儿的临床疗效以及对血清IgA、IgG、IgM水平的影响,以便充分发挥小儿推拿绿色医疗的预防保健作用,为临床推拿防治RRTI提供临床参考方案,从而提高患儿的生活质量。方法:将60例RRTI患儿随机分为刘氏小儿推拿组及玉屏风颗粒组,每组各30例,刘氏小儿推拿组采用刘氏小儿推拿治疗,玉屏风颗粒组予玉屏风颗粒治疗,疗程均为1月。检测两组治疗前后外周血清IgA、IgG、IgM水平,评估各组治疗后一年内临床疗效和中医证候。结果:1)疾病疗效刘氏小儿推拿组总有效率90.00%,玉屏风颗粒组总有效率83.33%,两组差异有统计学意义(P0.05),刘氏小儿推拿组疗效优于玉屏风颗粒组。2)治疗前,两组患儿主症(发病次数、病程时间、病情级别)比较均无显著差异,经两种方案治疗后,两组患儿主症较治疗前均有明显改善(P0.05),说明两种治疗方案均疗效确切,但刘氏小儿推拿组的疗效比玉屏风颗粒组更为显著(P0.05)。3)治疗前,两组患儿兼证比较均无明显差异,具有可比性,治疗后,两组患儿兼证方面较治疗前均有改善(P0.05);治疗后两组间兼证比较,其中刘氏小儿推拿组在改善患儿“多汗”、“面色少华”、“便溏”、“食少纳呆”等方面优于玉屏风颗粒组(P0.05),而在改善“神疲乏力、唇色淡白”方面以及舌象、脉象方面两组疗效相当(P0.05),无显著差异。4)治疗前,刘氏小儿推拿组血清IgA、IgG、IgM水平与玉屏风颗粒组均无显著差异,治疗后两组均较治疗前升高(P0.05);且刘氏小儿推拿组疗效明显高于玉屏风颗粒组(P0.05)。结论:1)刘氏小儿推拿和玉屏风颗粒对治疗肺脾气虚型RRTI均有显著疗效。2)将两组治疗方案进行主症(发病次数、病程时间、病情级别)、兼证以及血清IgA、IgG、IgM等方面的两两比较分析,可知刘氏小儿推拿组疗效明显优于玉屏风颗粒组。
[Abstract]:Objective: To observe the clinical manifestations and the changes of serum IgA, IgG and IgM in children with recurrent respiratory tract infection (RRTI) before and after treatment, and to evaluate the clinical effect of Liu's massage on children with RRTI and its influence on the levels of serum IgA, IgG and IgM, so as to give full play to the preventive and health-care role of green massage in children and provide reference for the prevention and treatment of RRTI. Methods: 60 children with RRTI were randomly divided into two groups: Liu's massage group and Yupingfeng granule group, 30 cases in each group, Liu's massage group and Yupingfeng granule group. Results: 1) The total effective rate was 90.00% in Liu's massage group and 83.33% in Yupingfeng granule group. The difference between the two groups was statistically significant (P 0.05). The curative effect of Liu's massage group was better than that of Yupingfeng granule group. There was no significant difference in the frequency, duration and grade of the disease between the two groups. After treatment, the main symptoms of the two groups were significantly improved (P 0.05), indicating that the two treatment schemes were effective, but the curative effect of Liu's massage group was more significant than that of Yupingfeng Granule group (P 0.05). Significant differences, comparable, after treatment, two groups of children with concurrent syndrome than before treatment were improved (P 0.05); after treatment between the two groups concurrent syndrome comparison, Liu's children massage group in improving children's "sweating", "face less Chinese", "loose stool", "less food and less stupidity" than Yupingfeng Granule group (P 0.05), and in improving "fatigue, There was no significant difference in the levels of serum IgA, IgG and IgM between the two groups before treatment. After treatment, the levels of serum IgA, IgG and IgM in the Liu's massage group were not significantly different from those in the Yupingfeng granule group, but both groups were significantly higher than those before treatment (P 0.05). Conclusion: 1) Both Liu's massage and Yupingfeng Granule have remarkable curative effect on RRTI of deficiency of lung and spleen. 2) By comparing the two groups'main symptoms (frequency, duration, grade of illness), concurrent syndrome, serum IgA, IgG and IgM, we can see that Liu's massage group has better curative effect than Yupingfeng Granule group.
【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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