本文選題：小兒厭食癥　切入點(diǎn)：小兒推拿療法　出處：《北京中醫(yī)藥大學(xué)》2012年碩士論文

【摘要】：研究目的： 從中醫(yī)治療小兒厭食癥的相關(guān)理論出發(fā),通過(guò)對(duì)小兒推拿療法治療小兒厭食癥的療效觀察,進(jìn)一步探討小兒推拿療法對(duì)于小兒厭食癥的治療與中成藥治療此病的療效差異,以探求小兒推拿療法對(duì)于小兒厭食癥的療效及意義。研究方法： 臨床觀察病例均來(lái)源于2011年首都醫(yī)科大學(xué)附屬北京中醫(yī)醫(yī)院兒科門診及病房。采用前瞻性、平行對(duì)照及隨機(jī)對(duì)照的臨床設(shè)計(jì)。中西醫(yī)診斷標(biāo)準(zhǔn)參照國(guó)家中醫(yī)藥管理局制定的《中醫(yī)病癥診斷療效標(biāo)準(zhǔn)》中小兒厭食癥的中醫(yī)診斷以及《中藥新藥臨床研究指導(dǎo)原則(試行)》中小兒厭食癥的西醫(yī)診斷標(biāo)準(zhǔn)擬定,將79例病患隨機(jī)分為兩組,其中推拿組46例,均采用小兒推拿療法治療,藥物對(duì)照組32例,對(duì)照組患兒口服健胃消食口服液,觀察周期為6天,通過(guò)觀察治療前后患兒食欲、食量改善的情況、癥狀積分的改善情況來(lái)判定療效的差異。 研究結(jié)果： 1.研究對(duì)象資料：本研究收集的觀察病例共79例,小兒推拿治療組46例,藥物對(duì)照組32例。 2.療前基線比較結(jié)果：推拿組與藥物組在性別、年齡、病程、平均體重、平均身高、食量積分、癥狀積分等均無(wú)明顯差異(P0.05),具有可比性。 3.療后比較結(jié)果：推拿組與藥物組治療后,推拿組臨床痊愈3例,顯效22例,有效20例,無(wú)效2例,總有效率95.7%；藥物組臨床痊愈1例,顯效6例,有效20例,無(wú)效5例,總有效率84.4%,兩組間的療效差異顯著(P0.05),推拿組療效優(yōu)于藥物組。經(jīng)過(guò)對(duì)兩組患者治療前后的統(tǒng)計(jì)學(xué)分析,推拿組患兒在總體癥狀積分,以及食欲、食量、面色、煩急、大便、腹脹癥狀上均有明顯改善(P0.05),具有統(tǒng)計(jì)學(xué)差異。同時(shí)推拿療法治療小兒厭食癥總有效率優(yōu)于口服中成藥的對(duì)照組,并且推拿組在癥狀積分和食欲、食量積分的改善上明顯優(yōu)于藥物組(P0.05),具有統(tǒng)計(jì)學(xué)意義。說(shuō)明小兒推拿是治療小兒厭食癥安全有效的方法,值得在臨床中推廣 結(jié)論： 1.本課題是基于中醫(yī)學(xué)文獻(xiàn)對(duì)于小兒厭食癥和小兒推拿療法治療小兒厭食癥的研究,以目前對(duì)于小兒推拿療法治療小兒厭食癥的臨床研究為背景,以中醫(yī)理論指導(dǎo)下的小兒推拿療法治療小兒厭食癥,結(jié)合臨床觀察,選擇小兒推拿療法治療小兒厭食癥為研究對(duì)象,觀察小兒推拿療法對(duì)于小兒厭食癥的療效的一種研究。 2.此課題的提出是充分運(yùn)用中醫(yī)理論,采取辨病的思路,符合中醫(yī)藥領(lǐng)域的研究特色,是對(duì)中醫(yī)精髓的繼承和發(fā)揮,對(duì)于小兒推拿療法治療小兒厭食癥的療效研究是有幫助的。 3.此課題結(jié)論表明小兒推拿療法治療小兒厭食癥的療效優(yōu)于藥物組,經(jīng)統(tǒng)計(jì)學(xué)分析差異顯著(P0.05),同時(shí)小兒推拿對(duì)于改善小兒厭食癥某些相關(guān)癥狀效果顯著,如面色、腹脹、大便、煩急,這些癥狀均可作為小兒推拿療法適應(yīng)癥狀群。 4.由于時(shí)間和經(jīng)費(fèi)的問(wèn)題,樣本量較少,本研究主要是體現(xiàn)一種科研思路,結(jié)果只是初步的,希望今后可以增大樣本量來(lái)完善和進(jìn)一步證實(shí)該研究。
[Abstract]:Purpose of study :

Based on the theory of traditional Chinese medicine for treating children ' s anorexia , the curative effect of children ' s massage therapy on anorexia of children is studied .

A prospective , parallel control and randomized controlled clinical design was adopted for the diagnosis of infantile anorexia .

Results of the study :

1 . Object data : A total of 79 cases were collected from the study , 46 cases were treated by massage in children and 32 in the drug control group .

2 . Baseline comparison between treatment group and drug group showed no significant difference in sex , age , duration , mean body weight , mean height , index score , symptom score and so on ( P0.05 ) .

3 . After treatment , 3 cases were cured , 22 cases were effective , 20 cases were effective , 2 cases were ineffective and the total effective rate was 95.7 % .
The total effective rate was 84.4 % . The total effective rate was 84 . 4 % . The efficacy of massage group was better than that in the control group before and after treatment .

Conclusion :

1 . This study is based on the study of the Chinese medical literature on children ' s anorexia and the treatment of infantile anorexia with the therapy of children ' s anorexia . In this paper , the children ' s anorexia is treated with the guidance of Chinese medical theory . Combined with the clinical observation , the children ' s anorexia is selected as the research object , and the effect of pediatric massage therapy on anorexia of children is observed .

2 . The purpose of this project is to use the theory of traditional Chinese medicine , to adopt the thought of distinguishing disease , to accord with the research characteristic in the field of traditional Chinese medicine , it is the inheritance and exertion of the essence of Chinese medicine , and it is helpful to study the curative effect of pediatric massage therapy in treating infantile anorexia .

3 . The conclusion of this subject shows that the curative effect of pediatric massage therapy is superior to that of the drug group , and the difference of statistics is significant ( P0.05 ) . At the same time , the effect of pediatric massage on improving some related symptoms of infantile anorexia is obvious , such as face color , abdominal distension , stool and restlessness , and these symptoms can be used as pediatric massage therapy to adapt to the symptom group .

4 . Due to the problem of time and fund , the sample size is small , this research mainly embodies a scientific thought , the result is only preliminary , it is hoped that the sample size can be increased in the future to perfect and further confirm the study .

【學(xué)位授予單位】：北京中醫(yī)藥大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2012
【分類號(hào)】：R272

【參考文獻(xiàn)】

相關(guān)期刊論文 前10條

1 虞盟鸚;董廷瑤治療小兒厭食癥120例臨床觀察[J];中華中醫(yī)藥雜志;2005年03期

2 湯一新,魏睦新,熊維美,李群林;當(dāng)代小兒厭食多脾陰不足[J];成都中醫(yī)藥大學(xué)學(xué)報(bào);2002年01期

3 楊闖;周賢剛;;推拿按摩法治療小兒厭食癥34例[J];長(zhǎng)春中醫(yī)藥大學(xué)學(xué)報(bào);2007年04期

4 王權(quán);朱英;;朱永厚教授治療小兒厭食癥經(jīng)驗(yàn)[J];長(zhǎng)春中醫(yī)藥大學(xué)學(xué)報(bào);2008年06期

5 張秋霞;路廣林;聶惠民;;聶惠民從郁論治疑難雜病的臨證經(jīng)驗(yàn)探究[J];中華中醫(yī)藥雜志;2011年11期

6 殷勤;高慧;;半夏瀉心湯加減治療小兒厭食癥臨床觀察[J];河北中醫(yī);2007年05期

7 張秀英;萬(wàn)亞瓊;;藥物敷臍加耳穴貼壓治療小兒厭食癥67例[J];河北中醫(yī);2008年06期

8 沈永權(quán);王明金;;健胃消食口服液治療兒童厭食癥療效觀察[J];黑龍江醫(yī)藥;2011年03期

9 徐靜艷;;針灸、推拿治療小兒厭食癥的用穴特點(diǎn)淺議[J];黑龍江中醫(yī)藥;2007年05期

10 石學(xué)慧;推拿配合針刺治療小兒厭食癥40例療效觀察[J];湖南中醫(yī)藥導(dǎo)報(bào);2004年11期

相關(guān)會(huì)議論文 前1條

1 王玉玲;;小兒厭食癥112例病因及干預(yù)效果分析[A];第二十屆航天醫(yī)學(xué)年會(huì)暨第三屆航天護(hù)理年會(huì)論文匯編[C];2004年

，

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