本文關(guān)鍵詞：六味地黃膏摩對(duì)早產(chǎn)低體重兒體格發(fā)育影響的研究　出處：《云南中醫(yī)學(xué)院》2017年碩士論文　論文類型：學(xué)位論文

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【摘要】：目的按照現(xiàn)代制劑工藝將六味地黃丸改制為膏劑,觀察六味地黃膏摩對(duì)早產(chǎn)低體重兒體格發(fā)育的影響,探索經(jīng)典名方新的用藥途徑,為早產(chǎn)低體重兒尋求安全、有效,患兒易于接受的治療手段。方法將符合納入標(biāo)準(zhǔn)的75例早產(chǎn)低體重患兒隨機(jī)分為試驗(yàn)組和對(duì)照組,按照排除、剔除與脫落標(biāo)準(zhǔn)篩選后每組各30例。兩組相同的推拿操作步驟,試驗(yàn)組以六味地黃膏做為推拿介質(zhì),對(duì)照組采用強(qiáng)生嬰兒按摩油為介質(zhì),隔天治療1次,每周3次,每次20分鐘,12次為1療程,共治療2個(gè)療程。兩組相同的時(shí)間點(diǎn),即入組前、2個(gè)療程后進(jìn)行中醫(yī)癥狀積分值評(píng)估(早產(chǎn)低體重兒癥狀積分值評(píng)分表),體格發(fā)育評(píng)估(體重、身長(zhǎng)、頭圍)。對(duì)癥狀評(píng)分及體格發(fā)育數(shù)據(jù)進(jìn)行統(tǒng)計(jì)分析。結(jié)果1.中醫(yī)癥狀評(píng)估顯示:試驗(yàn)組入組前分值(35.63±2.55),2個(gè)療程后分值(40.60±3.74);對(duì)照組入組前分值(34.70±3.01),2個(gè)療程后分值(38.03±4.03);兩組入組前評(píng)分差異無(wú)統(tǒng)計(jì)學(xué)意義(P0.05),具有可比性;兩組2個(gè)療程后評(píng)分差異有統(tǒng)計(jì)學(xué)意義(P0.05);入組前、2個(gè)療程后組內(nèi)對(duì)比,差異具有顯著統(tǒng)計(jì)學(xué)意義(P0.01)。說(shuō)明兩組患兒2個(gè)療程后癥狀積分均有改善,且試驗(yàn)組優(yōu)于對(duì)照組。2.體格發(fā)育評(píng)估顯示:試驗(yàn)組入組前體重(3.82±0.36)、身長(zhǎng)(52.78±2.03)、頭圍(35.57±0.71),2個(gè)療程后體重(6.12±0.44)、身長(zhǎng)(61.32±2.40)、頭圍(40.54±0.98);對(duì)照組入組前體重(3.97±0.29)、身長(zhǎng)(53.18±1.39)、頭圍(35.86±0.59),2個(gè)療程后體重(5.88±0.36)、身長(zhǎng)(59.46±1.89)、頭圍(39.94±0.77);兩組入組前體重、身長(zhǎng)、頭圍評(píng)分差異無(wú)統(tǒng)計(jì)學(xué)意義(P0.05),具有可比性;兩組2個(gè)療程后體重、頭圍差異有統(tǒng)計(jì)學(xué)意義(P0.05),身長(zhǎng)差異具有顯著統(tǒng)計(jì)學(xué)意義(P0.01)。說(shuō)明2個(gè)療程后試驗(yàn)組患兒體重、身長(zhǎng)、頭圍的發(fā)育均優(yōu)于對(duì)照組。結(jié)論1.六味地黃膏摩能改善早產(chǎn)低體重兒的精神、飲食、睡眠、大便等狀況,促進(jìn)早產(chǎn)低體重兒的體重、身長(zhǎng)、頭圍的發(fā)育。2.六味地黃膏摩通過(guò)推拿手法將藥物作用于皮膚,旨在增加手法的治療效果,創(chuàng)新經(jīng)典名方六味地黃丸的用藥途徑,體現(xiàn)了小兒推拿與藥物外用結(jié)合的優(yōu)勢(shì),值得臨床進(jìn)一步探索。
[Abstract]:According to modern preparation process for the restructuring of Rehmannia six ointment, observe six Dihuang ointment massage effect on preterm delivery and low birth weight infants physical development, explore the classical prescription of a new way of administration, for the low birth weight premature infants seeking safe, effective, easy to accept children with treatment. Methods 75 patients met the inclusion criteria low birth weight premature infants were randomly divided into experimental group and control group, according to the rule, eliminate and fall standard after screening 30 cases in each group. Two groups of the same manipulation steps, the test group with six Dihuang cream as a massage medium, the control group using Johnson baby oil as medium, the next day for 1 times, 3 times every week, 20 minutes each time, 12 times for 1 course of treatment, a total of 2 courses of treatment. Two groups of the same time point, namely before entering the group, after 2 courses of TCM symptom assessment (low birth weight premature infants symptom score table, evaluation of physical development (body) 閲，

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