辨质捏脊法干预小儿反复呼吸道感染的专家问卷调查研究

发布时间：2019-03-13 15:41

【摘要】：目的:调查并总结专家对于辨质捏脊法干预小儿反复呼吸道感染的意见。材料与方法:通过前期的文献研究,设计得出第一轮“辨质捏脊法干预小儿反复呼吸道感染的调查问卷”,并发送给全国35位专家,在规定日期内回收专家意见并整理后,设计得出第二轮调查问卷。将第二轮调查问卷以电子邮件的形式发送给全国35位专家,回收专家意见,运用统计方法对专家意见进行整理分析,以得出统一的结论。结果:1.完成两轮专家问卷调查,针对专家意见,归纳本病患儿的体质分型共七种,分别为气虚质、阴虚质、气阴两虚质、阳虚质、痰湿质、湿热质、食积郁热质。2.以捏脊法治疗本病,针对7种体质患儿的辨质选穴:⑴气虚质的辨质选穴为脾俞、肾俞、肺俞;⑵阴虚质的辨质选穴为肝俞、心俞、肾俞;⑶气阴两虚质的辨质选穴为肝俞、脾俞、肾俞;⑷阳虚质的辨质选穴为肾俞、脾俞、肺俞;⑸痰湿质的辨质选穴为脾俞、三焦俞、肺俞;⑹湿热质的辨质选穴为脾俞、三焦俞;⑺食积郁热质的辨质选穴为脾俞、肝俞。3.穴位操作时间为每个穴位10-20秒。4.穴位操作次数为15-20次。5.捏脊疗法的操作介质为滑石粉。6.捏脊疗法的操作禁忌为饥饿、皮肤破损、出血倾向、发热、严重心功能不全、严重肝肾功能不全、睡眠时、急性传染病传染期、肿瘤、骨折脱位及扭伤、严重皮肤病。结论:经过3轮问卷调查确定了本病患儿的体质分型以及不同体质患儿的辨质选穴及操作,可为临床操作提供参考意见。
[Abstract]:Objective: to investigate and summarize the opinions of experts on the intervention of syndrome differentiation and chiropractic method in children with recurrent respiratory tract infection (RRTI). Materials and methods: through the previous literature study, the first round of questionnaire on interference of children with recurrent respiratory tract infection was designed and sent to 35 experts in the country. After collecting and sorting out expert opinions within the prescribed date, The second round questionnaire was designed. The second round questionnaire was sent to 35 experts in China in the form of e-mail. The experts' opinions were collected and analyzed by statistical method in order to draw a unified conclusion. Results: 1. According to the expert opinion, seven types of physique of children with this disease were summarized, which were Qi deficiency quality, Yin deficiency quality, Qi Yin deficiency quality, Yang deficiency quality, phlegm dampness quality, damp Heat quality, Food accumulation stagnation Heat quality. 2. According to the treatment of this disease by the method of pinching the spine, the points of differentiation of quality were selected for 7 kinds of physique children: (1) spleen-Shu, Shen-Shu and Fei-Shu for Qi-deficiency and quality-differentiation, Gan-Shu, Xin-Shu, Shen-Shu for Yin-deficiency quality, and Gan-Shu, Xin-Shu and Shen-Shu for Yin-deficiency. (3) selecting acupoints of Qi-yin deficiency for Gan-Shu, spleen-Shu and Shen-Shu; 4-Yang-deficiency for kidney-Shu, spleen-Shu and lung-Shu; 5-phlegm-damp-quality selection for spleen-Shu, three-Jiaoshu and Fesu; (6) damp-heat differentiation for spleen-Shu and three-Jiaoshu; (6) for damp-heat quality, it is spleen-Shu and three-Jiaoshu; 7 the selection of acupoints for differentiation of heat quality of food accumulation depression is spleen Shu and Gansu. 3. The operation time of each acupoint is 10? 20 seconds. 4. The operation times of acupoints are 15-20 times. 5. The operation medium of chiropractic is talc powder. 6. The operation taboos of chiropractic therapy are hunger, skin damage, bleeding tendency, fever, severe cardiac insufficiency, severe liver and kidney insufficiency, sleep, acute infectious disease infection, tumor, fracture dislocation and sprain, serious skin disease. Conclusion: after 3 rounds of questionnaire investigation, the constitution type of children with this disease and the selection of acupoints and operation of different physique were determined, which can provide reference for clinical operation.
【学位授予单位】：辽宁中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R244.1

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