本文選題：小兒腹瀉 + 推拿��； 參考：《甘肅中醫(yī)學(xué)院》2014年碩士論文

【摘要】：目的：本課題通過對小兒腹瀉文獻(xiàn)的整理，按臨床推拿、推拿針刺和針刺治療小兒腹瀉分類，進(jìn)行推拿、推拿針刺和針刺治療小兒腹瀉的取穴與手法特點(diǎn)以及治療效果的臨床效應(yīng)對比分析，，并按照臨床流行病學(xué)／DME方法學(xué)的原則和方法進(jìn)行設(shè)計(jì)，衡量臨床推拿針刺治療小兒腹瀉的整體研究狀況，從而對其作用機(jī)制和臨床效應(yīng)進(jìn)行評價(jià)。 方法：通過對相關(guān)期刊論文(CNKI)、維普數(shù)據(jù)庫和萬方數(shù)據(jù)庫的檢索，下載1992-2012年已發(fā)表的關(guān)于推拿、針刺治療小兒腹瀉的文獻(xiàn)，共檢索所得822篇，符合納入標(biāo)準(zhǔn)和排除標(biāo)準(zhǔn)的文獻(xiàn)共143篇，依照臨床流行病學(xué)／DME方法學(xué)的原則和方法對143篇文獻(xiàn)進(jìn)行分析評價(jià),按照推拿組、推拿針刺組、針刺組治療小兒腹瀉組別進(jìn)行分類，其中推拿方法治療組文獻(xiàn)有95篇，推拿針刺方法治療組文獻(xiàn)有22篇，針刺方法治療組文獻(xiàn)有26篇，對其文獻(xiàn)按照診斷標(biāo)準(zhǔn)、治療方法、所選穴位、所用手法、治療效果等進(jìn)行統(tǒng)計(jì)、歸納、整理、分析，衡量各組別治療小兒腹瀉的對象選擇、疾病診斷方法、納入與排除標(biāo)準(zhǔn)、治療方法、取穴及手法規(guī)律特點(diǎn)、療效評價(jià)、療效結(jié)果、統(tǒng)計(jì)學(xué)處理等，從而評價(jià)臨床推拿、推拿針刺、針刺治療小兒腹瀉的作用機(jī)理及臨床效應(yīng)。 結(jié)果：推拿針刺是治療小兒腹瀉較為有效的方法，臨床上治療小兒腹瀉最常用的療法是推拿和針刺，治療小兒腹瀉首選的推拿手法是捏脊療法，針刺療法中速刺足三里是廣泛使用的方法，推拿針刺治療小兒腹瀉的療程多為10天以內(nèi)，推拿組治療小兒腹瀉的療程短于針刺組，各組治療有效率均達(dá)89%以上。 結(jié)論：推拿針刺組與推拿組治療進(jìn)行比較，結(jié)果具有顯著性差異（p0.005）），推拿組與針刺組進(jìn)行比較，結(jié)果有顯著差異（p0.005），提示推拿針刺組和針刺組其療效均優(yōu)于推拿組；推拿針刺組和針刺組進(jìn)行比較，無顯著差異（p0.025），尚不能認(rèn)為推拿針刺組與針刺組療效不同，但是從療程來看推拿針刺的治療效果優(yōu)于針刺組；多種治療方法的結(jié)合其效果優(yōu)于單一療法。
[Abstract]:Objective: to classify the literature of infantile diarrhea according to clinical massage, massage acupuncture and acupuncture treatment of infantile diarrhea. The characteristics of acupoints and manipulations and the clinical effects of massage acupuncture and acupuncture in treating children with diarrhea were compared and analyzed, and were designed according to the principles and methods of clinical epidemiology / DME methodology. To evaluate the mechanism and clinical effect of clinical massage acupuncture in the treatment of infantile diarrhea. Methods: a total of 822 articles on massage and acupuncture treatment for infantile diarrhea were downloaded from CNKI, Weipu and Wanfang databases, which were published from 1992 to 2012. According to the principles and methods of clinical epidemiology / DME methodology, 143 articles were analyzed and evaluated. According to the classification of massage group, massage acupuncture group, acupuncture group for treatment of infantile diarrhea, 143 articles were classified according to the principles and methods of clinical epidemiology / DME methodology. Among them, there were 95 articles in the massage treatment group, 22 in the massage acupuncture treatment group and 26 in the acupuncture treatment group. The effect of treatment was analyzed, summarized, analyzed and evaluated the target selection, disease diagnosis, inclusion and exclusion criteria, treatment methods, points and manipulation characteristics, curative effect evaluation, curative effect results, and so on. To evaluate the mechanism and clinical effect of clinical massage, massage acupuncture and acupuncture in treating infantile diarrhea. Results: massage acupuncture is an effective method in the treatment of infantile diarrhea. The most commonly used treatment for infantile diarrhea is massage and acupuncture. The first choice for treatment of infantile diarrhea is chiropractic. Zusanli is widely used in acupuncture therapy. The course of treatment for diarrhea in children with massage acupuncture is less than 10 days. The course of treatment in massage group is shorter than that in acupuncture group, and the effective rate of treatment in each group is over 89%. Conclusion: there is significant difference between the massage acupuncture group and the massage group, and the difference between the massage group and the acupuncture group is significant (p 0.005), which indicates that the massage acupuncture group and the acupuncture group have better curative effect than the massage group. There was no significant difference between the massage acupuncture group and the acupuncture group, but the therapeutic effect of the massage acupuncture group was better than that of the acupuncture group, but the therapeutic effect of the massage acupuncture group was better than that of the acupuncture group according to the course of treatment. The combination of multiple treatments is superior to monotherapy.
【學(xué)位授予單位】：甘肅中醫(yī)學(xué)院
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2014
【分類號】：R246.4

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