本文關(guān)鍵詞：推拿配合刺四縫治療小兒濕熱型腹瀉的臨床研究　出處：《山東中醫(yī)藥大學(xué)》2013年碩士論文　論文類(lèi)型：學(xué)位論文

  更多相關(guān)文章： 小兒腹瀉 濕熱型 推拿 四縫穴 刺血療法 臨床研究

【摘要】：目的：觀察推拿配合刺四縫治療小兒濕熱型腹瀉的臨床安全性及有效性。 方法：將符合診斷標(biāo)準(zhǔn)和納入標(biāo)準(zhǔn)的濕熱瀉患兒90例，采用隨機(jī)分組方法（隨機(jī)數(shù)字表由SPSS17.0軟件產(chǎn)生）將患兒分配到推拿組（30例）、刺四縫組（30例）和推拿配合刺四縫組（30例）。推拿組：清大腸（100次）、清小腸（100次）、清板門(mén)（200次）、清補(bǔ)脾經(jīng)（200次）、順運(yùn)內(nèi)八卦（100次）、揉臍及龜尾并擦七節(jié)骨法（各50次），每日治療1次，6次為1療程。刺四縫組：雙側(cè)四縫穴交替點(diǎn)刺放血治療；每隔3日治療1次，2次為1療程。推拿配合刺四縫組：推拿治療、點(diǎn)刺治療及療程同推拿組和刺四縫組。1個(gè)療程結(jié)束后，觀察各組治療后的安全性、有效性、癥狀體征綜合評(píng)分及大便白細(xì)胞計(jì)數(shù)，并對(duì)各組的臨床療效進(jìn)行對(duì)比分析。 結(jié)果：1.推拿配合刺四縫組：痊愈7例、顯效15例、有效5例、未愈1例，愈顯率為78.57%；推拿組：痊愈3例、顯效4例、有效16例、未愈5例，愈顯率為25%；刺四縫組：痊愈3例、顯效9例、有效13例、未愈4例，愈顯率為42.86%。三組愈顯率比較，差別有統(tǒng)計(jì)學(xué)意義（p㩳0.05），提示推拿配合刺四縫組療效優(yōu)于推拿組和刺四縫組。2.三組治療前治療后主要癥狀體征綜合積分比較，差別有統(tǒng)計(jì)學(xué)意義（p0.05），提示三組在緩解小兒腹瀉癥狀方面均有良好的效果，其中推拿配合刺四縫組在緩解大便次數(shù)、大便性狀、小便、精神、發(fā)熱等方面較推拿組和刺四縫組療效更好。3.治療前后大便白細(xì)胞計(jì)數(shù)比較，推拿配合刺四縫組與刺四縫組比較，，差異有統(tǒng)計(jì)學(xué)意義（p=0.0380.05），提示推拿配合刺四縫組在改善大便白細(xì)胞計(jì)數(shù)中優(yōu)于刺四縫組。與推拿組相比，兩組在改善大便白細(xì)胞計(jì)數(shù)中作用相當(dāng)。 結(jié)論：推拿配合刺四縫治療小兒濕熱型腹瀉具有較好的臨床療效，為臨床防治小兒腹瀉提供了安全、有效的綜合治療方法，值得臨床推廣應(yīng)用。
[Abstract]:Objective: to observe the clinical safety and efficacy of massage combined with four seams in treating children with damp-heat diarrhea. Methods: 90 children with dampness and heat diarrhea, who met the diagnostic criteria and included the criteria, were assigned to the massage group (30 cases) by random grouping method (generated by SPSS17.0 software). In the fourth suture group (30 cases) and the massage combined with acupuncture group (30 cases). The massage group: 100 times of clearing the large intestine, 100 times of clearing the small intestine, 200 times of clearing the plate door, 200 times of clearing the spleen meridian). There were 100 times of neutropia, 50 times of rubbing navel and tortoise tail, and 7 times of bone rub (50 times each, 6 times a day as a course of treatment). Massage combined with four seams group: massage treatment, prick treatment and course of treatment with massage group and four suture group. After one course of treatment, the safety of each group was observed. Effectiveness, comprehensive score of symptoms and signs and leucocyte count in stool were compared and analyzed. Results 1. In the treatment group, 7 cases were cured, 15 cases were effective, 5 cases were effective, 1 case was not recovered, and the effective rate was 78.57 cases. In the massage group, 3 cases were cured, 4 cases were markedly effective, 16 cases were effective, 5 cases were not recovered, and the recovery rate was 25%. In the fourth suture group, 3 cases were cured, 9 cases were effective, 13 cases were effective, 4 cases were not recovered, and the effective rate was 42.86.The difference between the three groups was statistically significant. The results indicated that the curative effect of massage combined with four seams group was better than that of massage group and acupuncture four suture group .2.The main symptoms and signs of the three groups were compared before and after treatment, and the difference was statistically significant (p 0.05). The results suggest that the three groups have good effect in relieving the symptoms of diarrhea in children, among which massage combined with four seams can relieve defecation times, defecation traits, urination and spirit. The effect of fever was better than that of massage group and fourth suture group. 3.The leucocyte count of stool was compared before and after treatment, and the comparison between massage combined with four suture group and fourth suture group. The difference was statistically significant, suggesting that the combination of massage and acupuncture with the fourth suture group was superior to the fourth suture group in improving the leucocyte count of stool, compared with the massage group. The two groups played an equal role in improving the leucocyte count. Conclusion: massage combined with acupuncture with four seams has good clinical efficacy in treating children with damp-heat diarrhea, which provides a safe and effective comprehensive treatment method for the prevention and treatment of children's diarrhea, and is worthy of clinical popularization and application.
【學(xué)位授予單位】：山東中醫(yī)藥大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2013
【分類(lèi)號(hào)】：R246.4

【參考文獻(xiàn)】

相關(guān)期刊論文 前10條

1 褚付英;辨證推拿治療小兒腹瀉58例[J];按摩與導(dǎo)引;2004年03期

2 史海峰,張偉,解洪剛;捏拿補(bǔ)瀉四穴推拿法配合用藥治療小兒腹瀉的臨床研究[J];按摩與導(dǎo)引;2005年08期

3 謝英;鐘文元;;足反射按摩療法治療小兒非感染性腹瀉療效觀察[J];按摩與導(dǎo)引;2006年12期

4 李玉娥;雷發(fā)聲;;小兒推拿療法治療小兒腹瀉116例臨床報(bào)道[J];按摩與導(dǎo)引;2007年01期

5 廖品東;曾雪蓮;翟世翠;;馮氏捏脊療法治療小兒腹瀉的臨床療效觀察[J];按摩與導(dǎo)引;2008年06期

6 許海文;;推拿加艾灸治療小兒腹瀉47例[J];按摩與導(dǎo)引;2008年08期

7 張海龍;;五苓散敷臍治療小兒腹瀉[J];光明中醫(yī);2007年02期

8 劉鴻雁;高希言;;針刺并閃罐治療小兒腹瀉臨床觀察[J];光明中醫(yī);2010年03期

9 劉艷芳;陳麗杰;王淑敏;劉健;劉冰;;清腸液灌腸治療小兒腹瀉102例[J];光明中醫(yī);2011年07期

10 鐘艷 ,孫建波;推拿加艾灸臍部治療小兒腹瀉128例[J];國(guó)醫(yī)論壇;2002年05期

本文編號(hào)：1368385