本文關(guān)鍵詞：調(diào)肝理脾湯配合小兒推拿治療小兒疳氣型疳證的臨床研究　出處：《廣州中醫(yī)藥大學(xué)》2014年碩士論文　論文類型：學(xué)位論文

  更多相關(guān)文章： 疳證 調(diào)肝理脾湯 小兒推拿 前白蛋白

【摘要】：目的： 疳證是一種慢性疾病,大都是由于喂養(yǎng)的不當或疾病的影響,從而使患兒的脾胃受損,氣液耗傷所形成的,屬于現(xiàn)代醫(yī)學(xué)在兒童蛋白質(zhì)一能量營養(yǎng)不良(PEM),6歲以下的兒童更常見,特別是3歲以下的嬰幼兒。對小兒生長發(fā)育影響較大,給患兒及家長帶來生理、心理及經(jīng)濟上多重負擔。導(dǎo)師胡小英總結(jié)多年的經(jīng)驗,認為脾虛肝旺是小兒疳氣型疳證的主要病機,自擬“調(diào)肝理脾湯"配合小兒推拿治療本病,取得了良好療效。本研究擬通過采用隨機對照方法進行調(diào)肝理脾湯配合小兒推拿治療小兒疳氣型疳證的臨床研究,用口服賴氨葡鋅顆粒與之進行對比,并通過研究治療后對患兒血液中前白蛋白(PA)水平的影響,觀察及客觀評估其臨床療效,為調(diào)肝理脾湯配合小兒推拿治療小兒疳證(疳氣型)在臨床上的推廣提供更為可靠的依據(jù)。 方法： 1.采用簡單隨機對照試驗法,將符合診斷標準的60例患兒分為觀察組及對照組。觀察組給予調(diào)肝理脾湯,配合小兒推拿治療；對照組予賴氨葡鋅顆粒。 2.對60例患兒進行臨床療效觀察,療程為4周,記錄并對比其臨床證候積分。 3.觀察并對比觀察組與對照組治療前、后血清前白蛋白水平的變化。 結(jié)果： 1.觀察組及對照組經(jīng)過治療后血清前白蛋白均有升高(P0.05),經(jīng)統(tǒng)計學(xué)組內(nèi)比較,兩組治療前后均有統(tǒng)計學(xué)意義,經(jīng)組間比較,觀察組對患兒體內(nèi)前白蛋白水平的改善明顯優(yōu)于對照組。 2.觀察組總有效率為86.67%,優(yōu)于對照組的56.67%(P0.05)；治療后證候總積分低于對照組(P0.05)； 3.對比各臨床證候積分,觀察組治療后面色證候積分改善無統(tǒng)計學(xué)意義(P0.05),觀察組及對照組治療后精神狀態(tài)、食量及體重等證候的積分均有改善,且觀察組優(yōu)于對照組,兩組均無不良反應(yīng)。 結(jié)論： 調(diào)肝理脾湯配合小兒推拿對小兒疳氣型疳證有良好療效,能明顯改善患者的體重、食量、精神與情緒等證候以及前白蛋白水平,具有療效好,無不良反應(yīng)等,可被大多數(shù)患兒接受,應(yīng)在臨床實踐中的推廣。
[Abstract]:Objective: Chancre syndrome is a chronic disease, mostly due to improper feeding or disease, so that the child's spleen and stomach damage, qi and fluid consumption injury formed. Modern medicine is more common in children under 6 years of age with protein-energy malnutrition, especially in children under 3 years of age, which has a greater impact on the growth and development of children. To bring physiological, psychological and economic burden to the children and parents. Hu Xiaoying, a mentor, summed up the experience for many years and thought that spleen deficiency and liver prosperity were the main pathogenesis of chancroid Qi type chancroid syndrome in children. "Tiaogan Lipi decoction" combined with pediatric massage treatment of this disease, achieved good results. This study is to adopt a randomized control method for the treatment of infantile chancroid Qi type chancroid syndrome clinical study of Tiaogan Lipi decoction combined with pediatric massage. The clinical efficacy was evaluated by observing and objectively evaluating the effect of oral lysopectin granule on serum prealbumin (PAA) level in children by studying the effect of treatment on the level of prealbumin. It provides a more reliable basis for the clinical application of Tiaogan Lipi decoction combined with Pediatric Massage in the treatment of infantile chancre syndrome (chancre qi type). Methods: 1. 60 children who met the diagnostic criteria were divided into the observation group and the control group by a simple randomized controlled trial. The observation group was given Tiaogan Lipi decoction, combined with children massage treatment, and the control group was given Laimaosuozin granule. 2. The clinical curative effect of 60 children was observed for 4 weeks, and the clinical syndromes were recorded and compared. 3. Observe and compare the changes of serum prealbumin before and after treatment between the observation group and the control group. Results: 1. After treatment, the serum prealbumin in the observation group and the control group were all increased (P 0.05), compared with each other before and after treatment in the statistical group, and there were significant differences between the two groups. The level of prealbumin in the observation group was significantly better than that in the control group. 2. The total effective rate of the observation group was 86.67, which was better than that of the control group (56.67) and the total score of syndrome after treatment was lower than that of the control group. 3.Compared with the scores of clinical symptoms, there was no significant improvement in the score of facial color syndrome after treatment in the observation group and the control group, and the mental state of the observation group and the control group after treatment. The scores of food intake and body weight were improved, and the observation group was superior to the control group, and there were no adverse reactions in both groups. Conclusion: Tiaogan lipi decoction combined with pediatric massage has a good curative effect on chancroid type chancroid syndrome in children. It can obviously improve the patients' body weight, food intake, mental and emotional symptoms and prealbumin level. It has good curative effect and no adverse reactions. It can be accepted by most children and should be popularized in clinical practice.
【學(xué)位授予單位】：廣州中醫(yī)藥大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2014
【分類號】：R272

【參考文獻】

相關(guān)期刊論文 前10條

1 倪菊秀,徐秋瓊,許莉;董氏蘇脾飲治療小兒疳證(疳氣型)臨床研究[J];中國醫(yī)藥學(xué)報;2004年07期

2 高玲;韓永和;李立新;王宇峰;楊克衛(wèi);;指壓消疳法治療小兒疳積144例[J];長春中醫(yī)藥大學(xué)學(xué)報;2010年04期

3 陳品芳,李琳,付亞輝;兒童營養(yǎng)不良188例病因分析[J];第四軍醫(yī)大學(xué)學(xué)報;2001年20期

4 麥智廣,梁少霞,林愛珍,古漢禮;新生兒營養(yǎng)不良的診斷方法和對生長發(fā)育影響的研究[J];中國兒童保健雜志;2002年06期

5 張紅艷,閔秀全;微量元素與兒童佝僂病[J];中國兒童保健雜志;2005年03期

6 陳華瓊;;矮身材兒童血清鋅、鐵、銅、鈣、鎂含量分析[J];中國兒童保健雜志;2006年03期

7 馬榮華 ,黃德友;加味生鐵落飲治療小兒疳積89例[J];國醫(yī)論壇;2003年01期

8 蔡子微;楊旭東;胡靜;夏清平;袁曉環(huán);;中藥神曲及其腸道菌群調(diào)整和腸保護作用的實驗研究[J];牡丹江醫(yī)學(xué)院學(xué)報;2006年01期

9 董秀蘭,吉訓(xùn)超,章文平,陳治珍;淺議疳證多為脾陰虛[J];新中醫(yī);2005年04期

10 陳秀娟;呂崇江;;捏脊配合針刺四縫穴治療小兒疳證36例臨床觀察[J];新中醫(yī);2011年09期

，

本文編號：1356554