本文選題：推腹八法 + 食積��； 參考：《廣州中醫(yī)藥大學(xué)》2016年碩士論文

【摘要】：目的：小兒傷食熱是指小兒受飲食所傷,食物停聚在中焦胃脘,積而不化,蘊結(jié)而內(nèi)生熱所導(dǎo)致的一系列癥狀。脾胃虛弱是其發(fā)病的根本,飲食過量或誤食生冷難以消化之物是其直接原因,而小兒體屬純陽,脾陽運化不利,極易郁而化熱。本研究通過臨床隨機對照試驗,觀察邵瑛教授所創(chuàng)的推腹八法與常規(guī)推拿治療傷食熱的臨床療效差異,通過比較兩組病例治療前體溫、第一次治療后0.5小時、1小時、2小時、6小時、12小時,24小時的體溫及推拿前24小時及推拿后24小時內(nèi)大便次數(shù)評估推腹八法的臨床有效性及實用性,分析其相對于常規(guī)推拿的臨床優(yōu)越性,并以推腹八法為治療基本方,為形成臨床推拿治療傷食熱的新的診療規(guī)范技術(shù)提供依據(jù)。方法：本研究采取臨床隨機對照試驗的研究方法,從2014年9月至2015年9月收集廣州中醫(yī)藥大學(xué)第一附屬醫(yī)院及固生堂國醫(yī)館邵瑛教授門診患者,將其中符合診斷標(biāo)準(zhǔn)及納入標(biāo)準(zhǔn)的傷食熱患者60例作為研究對象,運用隨機數(shù)字表法,將研究對象分為推腹八法組和常規(guī)推拿組,其中推腹八法組30例,常規(guī)推拿組30例。其中推腹八法組采用推腹八法：摩腹、分腹陰陽、蕩腹、抄腹、拿腹、挪腹、推腹、揉臍和龜尾；常規(guī)推拿組采用廖品東主編的《小兒推拿學(xué)》：清肺平肝1-3分鐘、清胃經(jīng)1-3分鐘、清大腸經(jīng)1-2分鐘、掐揉四橫紋10遍、捏擠板門10次、運內(nèi)八卦1-2分鐘、退六腑2-3分鐘、推拿取痧、推天柱骨、捏脊3-20遍、腹部操作、推箕門、摩涌泉1分鐘。研究過程中,兩組均記錄觀察記錄年齡,性別,病程,治療前體溫、第一次治療后0.5小時、1小時、2小時、6小時、12小時,24小時的體溫,并記錄推拿前24小時及推拿后24小時內(nèi)大便次數(shù)。結(jié)果：納入本研究的60例病例中,無脫落病例,實際完成病例數(shù)推腹八法組30例,常規(guī)推拿組30例�；�情況：推腹八法組和常規(guī)推拿組均30例病例,兩組在治療前年齡、性別、病程、體溫、大便次數(shù)差異均無統(tǒng)計學(xué)意義(P＞0.05),兩組具有可比性。療效評價方面：推腹八法和常規(guī)推拿治療傷食熱均有一定療效,總有效率分別是93.33%和83.33%。在推拿結(jié)束后1小時內(nèi),常規(guī)推拿組對改善發(fā)熱癥狀療效優(yōu)于推腹八法組；1小時到2小時期間,兩組療效差異無統(tǒng)計學(xué)意義(P＞0.05),表示兩組療效無差別；2小時以后推腹八法組療效優(yōu)于常規(guī)推拿組，，且遠期療效更穩(wěn)定(P＜0.05)。在食積改善方面,推腹八法組和常規(guī)推拿組均能促進小兒排便,但推腹八法組優(yōu)于常規(guī)推拿組(P＜0.05)。結(jié)論：推腹八法和常規(guī)推拿治療傷食熱均有一定療效,近期推拿效果常規(guī)推拿組療效優(yōu)于推腹八法組,但推腹八法遠期療效更顯著、穩(wěn)定。
[Abstract]:Objective: the heat of food injury in children is a series of symptoms caused by food injury, food accumulation in the stomach, accumulation, accumulation and endogenetic fever. The deficiency of spleen and stomach is the root of the disease, and the direct cause is the excessive diet or the indigestibility of cold, while the body of children is pure yang, the spleen yang is unfavorable, and it is easy to turn heat into heat. In this study, we observed the difference of clinical curative effect between the eight methods of pushing abdomen created by Professor Shao Ying and the routine massage in the treatment of food injury and heat by clinical randomized controlled trial, and compared the body temperature before treatment between the two groups. To evaluate the clinical efficacy and practicability of the eight methods, the body temperature of 0.5 hours, 1 hour, 2 hours, 6 hours, 12 hours and 24 hours after the first treatment, and the number of defecation 24 hours before and within 24 hours after massage, were evaluated. This article analyzes its clinical superiority compared with the conventional massage, and takes the eight methods of pushing abdomen as the basic treatment formula, which provides the basis for forming a new diagnostic and therapeutic standard technique for the treatment of injury-food and heat with clinical massage. Methods: from September 2014 to September 2015, the outpatients from the first affiliated Hospital of Guangzhou University of traditional Chinese Medicine and Professor Shao Ying of Gusheng Tang State Medical Center were collected from September 2014 to September 2015. Among them, 60 patients who met the diagnostic criteria and included in the criteria were selected as the study objects. The subjects were divided into eight pushing abdominal method group and conventional massage group by using random digital table method, including 30 cases in the eight pushing abdominal method group and 30 cases in the routine massage group. The patients were divided into two groups: the control group (n = 30) and the control group (n = 30). Eight methods of pushing abdomen were used in the group of pushing abdomen: rubbing abdomen, dividing abdomen yin and yang, swinging abdomen, copying abdomen, taking abdomen, moving abdomen, pushing abdomen, rubbing navel and tortoise tail; routine massage group used "Pediatric Massage" (edited by Liao Pin-dong): clearing the lung and calming the liver 1-3 minutes, Clear stomach channel 1-3 minutes, clear large intestine 1-2 minutes, pinch and knead four transverse stripes 10 times, squeeze and squeeze plate door 10 times, transport inside the gossip 1-2 minutes, back six Fu organs 2-3 minutes, massage take Guasha, push Tianzhu bone, squeeze ridge 3-20 times, abdominal operation, push the door, Mo Yongquan 1 minute. During the course of the study, the two groups recorded the age, sex, course of disease, body temperature before treatment, and the body temperature of 0.5 hour, 1 hour, 2 hour, 6 hour, 12 hour and 24 hour after the first treatment. The number of defecation was recorded 24 hours before massage and 24 hours after massage. Results: among the 60 cases included in this study, there were no abscission cases, 30 cases in the eight methods group and 30 cases in the routine massage group. Baseline data: there were 30 cases in the eight methods of pushing abdomen group and 30 cases in the routine massage group. There was no significant difference in age, sex, course of disease, body temperature and defecation frequency between the two groups before treatment (P > 0.05), which was comparable between the two groups. The total effective rates were 93.33% and 83.33%, respectively. Within 1 hour after massage, the curative effect of the routine massage group on improving fever symptoms was better than that of the eight-method massage group in the period of 1 hour to 2 hours. There was no significant difference in curative effect between the two groups (P > 0.05), which indicated that the curative effect of the two groups was better than that of the routine massage group after 2 hours, and the long-term curative effect was more stable than that of the conventional massage group (P < 0.05). In the improvement of food production, both the eight methods of pushing abdomen group and the routine massage group could promote the defecation of children, but the group of eight methods of pushing abdomen and abdomen was superior to the group of routine massage (P < 0.05). Conclusion: both the eight methods of pushing abdomen and the routine massage have certain curative effect. The curative effect of the traditional massage group is better than that of the traditional massage group in the near future, but the long-term curative effect of the eight methods of pushing abdomen and abdomen is more obvious and stable.
【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】：2016
【分類號】：R249;R272

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