辨證選穴推拿治療小兒厭食癥的規(guī)范化研究
發(fā)布時間：2018-08-12 14:19
【摘要】：研究目的：通過觀察辨證選穴推拿捏脊療法對厭食癥患兒的癥狀、治療前后血紅蛋白含量、血鋅含量及尿D-木糖吸收率的影響,驗證其臨床療效,并與傳統(tǒng)推拿捏脊療法進(jìn)行比較,評價辨證選穴推拿捏脊治療小兒厭食癥有效性,從而為制定規(guī)范、統(tǒng)一的推拿捏脊辨治厭食的方案提供臨床依據(jù)。 研究方法：將2009年5月至2010年8月就診于北京中醫(yī)藥大學(xué)東方醫(yī)院兒科、首都醫(yī)科大學(xué)附屬北京中醫(yī)醫(yī)院兒科、中國中醫(yī)科學(xué)院西苑醫(yī)院兒科門診的165例厭食癥患兒隨機(jī)分為兩組,對照組采用傳統(tǒng)推拿捏脊療法治療,治療組在此基礎(chǔ)上進(jìn)行辨證選穴推拿。 研究結(jié)果：治療前,治療組與對照組中醫(yī)證候總分、單項癥狀評分、血鋅含量、血紅蛋白含量、尿D-木糖排泄率比較均無統(tǒng)計學(xué)意義(P0.05)。治療后,治療組與對照組療前、療后在血紅蛋白含量、血鋅含量及尿D-木糖排泄率方面均有統(tǒng)計學(xué)差異(P0.05、P0.01),且兩組組間療后比較,治療組尿D-木糖排泄率優(yōu)于對照組(P0.05)；在單項癥狀方面,治療組與對照組在食量減少、大便不調(diào)、性情或精神、面色少華及咬齒磨牙等方面,均有統(tǒng)計學(xué)意義(P0.05、P0.01),兩組間療后比較,在食量減少、性情煩躁哭鬧及咬齒磨牙等癥狀方面,有顯著性統(tǒng)計學(xué)意義(P0.01)；在腹脹及口渴喜飲方面,兩組治療前后均無統(tǒng)計學(xué)意義(P0.05)；在臨床療效方面,治療組臨床療效與對照組比較無統(tǒng)計學(xué)意義(P0.05)；在中醫(yī)證候療效方面,治療組中醫(yī)證候療效與對照組比較有統(tǒng)計學(xué)意義(P0.05)。將治療組的患兒分為1.5-3歲,3-7歲,7-12歲三個年齡段,結(jié)果顯示三組在臨床療效方面有顯著統(tǒng)計學(xué)意義(P0.01)；將治療組患兒按病情程度分為輕度、中度、重度三組,結(jié)果顯示三組在臨床療效方面有顯著統(tǒng)計學(xué)意義(P0.01)；治療組中按四個證型比較,結(jié)果顯示四個證型在臨床療效方面無統(tǒng)計學(xué)意義(P0.05)。 研究結(jié)論： ①傳統(tǒng)推拿療法與辨證選穴推拿療法均能夠明顯改善厭食癥小兒的食量減少、大便不調(diào)、性情煩躁哭鬧、面色少華、咬齒磨牙等癥狀,且在食量減少、性情煩躁哭鬧及咬齒磨牙等癥狀方面,辨證選穴推拿療法優(yōu)于傳統(tǒng)推拿療法；在腹脹及口渴喜飲方面,傳統(tǒng)推拿療法與辨證選穴推拿療法均對厭食癥患兒改善不明顯。辨證選穴推拿療法改善中醫(yī)證候療效方面優(yōu)于傳統(tǒng)推拿療法。在臨床療效方面,傳統(tǒng)推拿療法與辨證選穴推拿療法療效相當(dāng)。因此,治療小兒厭食癥,辨證選穴推拿療法從整體上來說優(yōu)于傳統(tǒng)推拿療法。 ②辨證選穴推拿療法及傳統(tǒng)推拿療法治療厭食癥患兒,均可提高患兒血紅蛋白含量及血鋅含量。 ③辨證選穴推拿療法及傳統(tǒng)推拿療法治療厭食癥患兒,均可明顯提高患兒尿D-木糖排泄率。且辨證選穴推拿療法優(yōu)于傳統(tǒng)推拿療法。 ④年齡及病情程度對辨證選穴推拿療法治療小兒厭食癥有影響,年齡小于7周歲治療效果較好：病情程度越輕,治療效果越好；辨證選穴推拿療法對脾胃氣虛、脾胃陰虛、脾胃不和及脾虛肝旺四個證型均有療效,對脾胃氣虛型治療效果更好。
[Abstract]:Objective: To observe the effect of massage and chiropractic therapy on anorexia children, hemoglobin content, blood zinc content and urine D-xylose absorption rate before and after treatment, verify its clinical efficacy, and compare it with traditional massage and chiropractic therapy, and evaluate the effectiveness of massage and chiropractic therapy on anorexia children. According to the norms, a unified massage and chiropractic for the treatment of anorexia is provided.
Methods: 165 anorexia children were randomly divided into two groups from May 2009 to August 2010. The control group was treated with traditional massage and chiropractic therapy. The treatment group was on the basis of this. Acupuncture and massage were carried out according to syndrome differentiation.
Results: There was no significant difference in the total score of TCM syndromes, single symptom score, blood zinc content, hemoglobin content and urinary D-xylose excretion rate between the treatment group and the control group before and after treatment (P 0.05). (P 0.05, P 0.01), and after treatment between the two groups, the urinary D-xylose excretion rate of the treatment group was better than that of the control group (P 0.05); in the single symptoms, the treatment group and the control group in food loss, incoordination of stool, temperament or spirit, facial color and grinding teeth, etc., there were significant differences (P 0.05, P 0.01), after treatment between the two groups, in the amount of food reduced, sex, etc. (P 0.05, P 0.01). The symptoms of restlessness, crying and gnashing teeth and molars had significant statistical significance (P 0.01); in abdominal distention and thirst, there was no statistical significance between the two groups before and after treatment (P 0.05); in the clinical efficacy, there was no statistical significance between the treatment group and the control group (P 0.05); in the efficacy of TCM syndrome, TCM syndrome in the treatment group was not statistically significant (P 0.05). The treatment group was divided into three groups: 1.5-3 years old, 3-7 years old, 7-12 years old. The results showed that there was significant statistical significance in the clinical efficacy of the three groups (P 0.01); The treatment group was divided into mild, moderate and severe groups according to the degree of illness, the results showed that the three groups in clinical efficacy. There was significant statistical significance (P 0.01); in the treatment group, according to the four syndrome types, the results showed that there was no statistical significance in the clinical efficacy of the four syndrome types (P 0.05).
Research conclusions:
(1) Both traditional massage therapy and point selection massage therapy based on syndrome differentiation can obviously improve the symptoms of anorexia children, such as reduced food intake, irregular stool, irritable and crying temperament, light complexion, gnashing teeth and molars, and the symptoms of reduced food intake, irritable and crying temperament and gnashing teeth and molars, the point selection massage therapy based on syndrome differentiation is superior to the traditional massage therapy; In the aspect of thirst and liking drink, the traditional massage therapy and the massage therapy of selecting acupoints according to syndrome differentiation have no obvious improvement on anorexia children. The massage therapy is superior to the traditional massage therapy.
The content of hemoglobin and blood zinc in anorexia children can be increased by massage therapy of selecting acupoints according to syndrome differentiation and traditional massage therapy.
(3) Both acupoint selection massage therapy based on syndrome differentiation and traditional massage therapy can obviously improve the urinary D-xylose excretion rate of anorexia children, and point selection massage therapy based on syndrome differentiation is superior to traditional massage therapy.
(4) Age and degree of illness have influence on the treatment of anorexia in children, the treatment effect is better when the age is less than 7 years old: the lighter the illness, the better the treatment effect; the treatment of acupuncture and massage based on syndrome differentiation has effect on spleen-stomach Qi deficiency, spleen-stomach Yin deficiency, spleen-stomach disharmony and spleen-stomach Qi deficiency and liver hyperactivity, and has effect on spleen-stomach Qi deficiency type. Better.
【學(xué)位授予單位】：北京中醫(yī)藥大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2012
【分類號】：R272
本文編號：2179315
[Abstract]:Objective: To observe the effect of massage and chiropractic therapy on anorexia children, hemoglobin content, blood zinc content and urine D-xylose absorption rate before and after treatment, verify its clinical efficacy, and compare it with traditional massage and chiropractic therapy, and evaluate the effectiveness of massage and chiropractic therapy on anorexia children. According to the norms, a unified massage and chiropractic for the treatment of anorexia is provided.
Methods: 165 anorexia children were randomly divided into two groups from May 2009 to August 2010. The control group was treated with traditional massage and chiropractic therapy. The treatment group was on the basis of this. Acupuncture and massage were carried out according to syndrome differentiation.
Results: There was no significant difference in the total score of TCM syndromes, single symptom score, blood zinc content, hemoglobin content and urinary D-xylose excretion rate between the treatment group and the control group before and after treatment (P 0.05). (P 0.05, P 0.01), and after treatment between the two groups, the urinary D-xylose excretion rate of the treatment group was better than that of the control group (P 0.05); in the single symptoms, the treatment group and the control group in food loss, incoordination of stool, temperament or spirit, facial color and grinding teeth, etc., there were significant differences (P 0.05, P 0.01), after treatment between the two groups, in the amount of food reduced, sex, etc. (P 0.05, P 0.01). The symptoms of restlessness, crying and gnashing teeth and molars had significant statistical significance (P 0.01); in abdominal distention and thirst, there was no statistical significance between the two groups before and after treatment (P 0.05); in the clinical efficacy, there was no statistical significance between the treatment group and the control group (P 0.05); in the efficacy of TCM syndrome, TCM syndrome in the treatment group was not statistically significant (P 0.05). The treatment group was divided into three groups: 1.5-3 years old, 3-7 years old, 7-12 years old. The results showed that there was significant statistical significance in the clinical efficacy of the three groups (P 0.01); The treatment group was divided into mild, moderate and severe groups according to the degree of illness, the results showed that the three groups in clinical efficacy. There was significant statistical significance (P 0.01); in the treatment group, according to the four syndrome types, the results showed that there was no statistical significance in the clinical efficacy of the four syndrome types (P 0.05).
Research conclusions:
(1) Both traditional massage therapy and point selection massage therapy based on syndrome differentiation can obviously improve the symptoms of anorexia children, such as reduced food intake, irregular stool, irritable and crying temperament, light complexion, gnashing teeth and molars, and the symptoms of reduced food intake, irritable and crying temperament and gnashing teeth and molars, the point selection massage therapy based on syndrome differentiation is superior to the traditional massage therapy; In the aspect of thirst and liking drink, the traditional massage therapy and the massage therapy of selecting acupoints according to syndrome differentiation have no obvious improvement on anorexia children. The massage therapy is superior to the traditional massage therapy.
The content of hemoglobin and blood zinc in anorexia children can be increased by massage therapy of selecting acupoints according to syndrome differentiation and traditional massage therapy.
(3) Both acupoint selection massage therapy based on syndrome differentiation and traditional massage therapy can obviously improve the urinary D-xylose excretion rate of anorexia children, and point selection massage therapy based on syndrome differentiation is superior to traditional massage therapy.
(4) Age and degree of illness have influence on the treatment of anorexia in children, the treatment effect is better when the age is less than 7 years old: the lighter the illness, the better the treatment effect; the treatment of acupuncture and massage based on syndrome differentiation has effect on spleen-stomach Qi deficiency, spleen-stomach Yin deficiency, spleen-stomach disharmony and spleen-stomach Qi deficiency and liver hyperactivity, and has effect on spleen-stomach Qi deficiency type. Better.
【學(xué)位授予單位】：北京中醫(yī)藥大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2012
【分類號】：R272
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