本文選題：小兒急性腹瀉 + 推拿��； 參考：《南京中醫(yī)藥大學(xué)》2012年碩士論文

【摘要】：小兒急性腹瀉是由多種病原、多種因素引起的以腹瀉癥狀為主的一組臨床綜合征。小兒腹瀉是威脅小兒生命健康的重要疾病。據(jù)WHO統(tǒng)計,全世界每年患腹瀉病者有10億人,其中發(fā)展中國家5億,導(dǎo)致5百萬小兒死亡。推拿療法用于小兒泄瀉的治療歷史悠久,本研究經(jīng)過前期的文獻研究和多年臨床經(jīng)驗,結(jié)合小兒腹瀉的病因病機特點,提出并制定辨證推拿治療方案應(yīng)用于臨床并進行臨床研究,客觀評價推拿療法治療小兒急性腹瀉的有效性、安全性、經(jīng)濟性。 在臨床研究中,采用中心隨機、平行對照、多中心試驗的方法,共收集觀察病例280例,其中符合方案集271例,試驗組203例,對照組68例,兩組在治療前性別、年齡、起病、病程、癥狀總積分、病情分度比較,其差異無統(tǒng)計學(xué)意義(P0.05),具有可比性；治療組采用推拿辨證(風(fēng)寒瀉、濕熱瀉、傷食瀉)治療,對照組采用礞脫石散合培菲康治療,1療程為3天,每個病例需觀察治療1-2個療程。通過比較兩組患兒主癥、次癥等積分的改善情況,以評價辨證推拿治療小兒腹瀉的臨床療效。結(jié)果：試驗組203例,其中痊愈193例(95.10%),顯效5例(2.50%),進步3例(1.50%),無效2例(1.00%)；對照組68例,痊愈44例(64.70%),顯效10例(14.70%),進步7例(10.30%),無效7例(10.30%)。兩組治療前后主、次癥的生存分析,表明試驗組在大便質(zhì)地、大便質(zhì)量、腹脹等方面明顯優(yōu)于對照組(P0.05)。試驗組痊愈顯效率97.60%,對照組痊愈顯效率79.40%,試驗組療效顯著優(yōu)于對照組,有統(tǒng)計學(xué)意義。 得出結(jié)論,辨證推拿治療小兒泄瀉療效優(yōu)于西藥對照組,且無明顯副作用,且費用低,值得臨床推廣應(yīng)用
[Abstract]:Acute diarrhea in children is a group of clinical syndrome caused by many pathogens and many factors. Diarrhea in children is an important disease threatening the life and health of children. According to WHO, there are 1 billion people suffering from diarrhoeal diseases every year in the world, including 500 million in developing countries, resulting in 5 million deaths of children. The treatment of infantile diarrhea by massage therapy has a long history. After previous literature research and many years' clinical experience, this study combined with the etiology and pathogenesis of infantile diarrhea. This paper puts forward and formulates the therapeutic scheme of syndrome differentiation massage for clinical application and carries on clinical research, objectively evaluates the effectiveness, safety and economy of massage therapy in treating acute diarrhea in children. In the clinical study, 280 cases were collected and observed by a randomized, parallel and multicenter trial, including 271 cases in accordance with the protocol, 203 cases in the trial group and 68 cases in the control group. The sex, age and onset of the disease were observed in the two groups before treatment. The course of disease, the total score of symptoms, the degree of illness were compared, the difference was not statistically significant (P 0.05), the treatment group was treated with massage syndrome differentiation (wind-cold diarrhea, damp-heat diarrhea, damp-food diarrhea), The control group was treated with Mengshishu Peifekang for 3 days, and 1-2 courses of treatment were observed for each case. In order to evaluate the clinical effect of syndrome differentiation and massage on children with diarrhea, the improvement of the scores of main and secondary symptoms were compared between the two groups. Results: 203 cases were in the trial group, of which 193 cases were cured, 5 cases were effective 2.50, 3 cases were improved 1.50 and 2 cases were ineffective. In the control group, 68 cases were cured, 44 cases were cured, 10 cases were markedly effective, 10 cases were superior to 14.70%, 7 cases were improved 10.30%, and 7 cases were ineffective. The survival analysis of main and secondary symptoms before and after treatment in both groups showed that the quality of stool, the quality of stool and abdominal distension in the experimental group were obviously superior to those in the control group in the aspects of stool texture, stool quality and abdominal distension. The effective rate was 97.60% in the test group and 79.40% in the control group. The curative effect of the test group was significantly better than that of the control group (P < 0.05). Conclusion: the therapeutic effect of syndrome differentiation and massage on diarrhea in children is better than that in the control group of western medicine, and has no obvious side effects and low cost, so it is worth popularizing and applying in clinic.
【學(xué)位授予單位】：南京中醫(yī)藥大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2012
【分類號】：R244.1;R272

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