捏脊療法對(duì)社區(qū)肺脾虛兒童的健康干預(yù)研究
發(fā)布時(shí)間：2018-08-12 16:16
【摘要】：背景： 萬(wàn)全的“三有余,四不足”理論明確提出“脾常不足”、“肺常不足”。肺脾不足,是兒童的生理特點(diǎn),小兒免疫系統(tǒng)、消化系統(tǒng)功能尚未完善,故呼吸及消化系統(tǒng)疾病發(fā)病率最高。廣東地區(qū)氣候炎熱潮濕,感邪夾濕更易礙脾傷肺,因此兒童肺脾氣虛的體質(zhì)十分常見(jiàn)。肺脾氣虛的患兒容易患肺系、脾系疾病,按現(xiàn)代醫(yī)學(xué)分類,屬于亞健康狀態(tài)。根據(jù)中醫(yī)“治未病”理論,肺脾氣虛兒童處于“未病”范疇中的病而未發(fā)階段。中醫(yī)藥在“治未病”方面積累了豐富的臨床經(jīng)驗(yàn),在預(yù)防保健、養(yǎng)生康復(fù)方面具有獨(dú)特的、不可替代的優(yōu)勢(shì)。兒科門診“治未病”也積累了一定的經(jīng)驗(yàn),但門診就診患兒多為急性病,且家長(zhǎng)常忽視兒童體質(zhì)的潛在危險(xiǎn),臨床開(kāi)展“治未病”有一定的難度。而社區(qū)醫(yī)療作為一個(gè)新的醫(yī)療模式,為中醫(yī)“治未病”提供了良好的研究平臺(tái),社區(qū)兒童保健的細(xì)化深入,為兒科“治未病”、“未病先防”等醫(yī)療診治的開(kāi)展提供了更加方便、有利的條件。社區(qū)開(kāi)展治未病,必將在兒童保健預(yù)防領(lǐng)域中發(fā)揮巨大的作用。 目的： 通過(guò)采用傳統(tǒng)療法——捏脊,進(jìn)行社區(qū)“治未病”的臨床探討,對(duì)肺脾虛體質(zhì)兒童進(jìn)行健康干預(yù)。將治未病服務(wù)范圍擴(kuò)大到社區(qū),探索適用于社區(qū)的中醫(yī)治未病的醫(yī)療形式。觀察捏脊治療后肺脾虛兒童中醫(yī)癥候及生長(zhǎng)發(fā)育的改善情況,客觀評(píng)價(jià)中醫(yī)傳統(tǒng)療法在“治未病”的作用。 方法： 采用隨機(jī)單盲對(duì)照研究,以幼兒園班級(jí)為單位,進(jìn)行隨機(jī)分組,對(duì)試驗(yàn)組的肺脾虛兒童進(jìn)行健康干預(yù)及調(diào)護(hù),對(duì)照組采用空白對(duì)照,不進(jìn)行干預(yù)治療。半年后進(jìn)行總體療效評(píng)價(jià),并填寫不良事件觀察表。采用SPSS13.0進(jìn)行統(tǒng)計(jì)分析,計(jì)量資料方差齊性者用t檢驗(yàn),方差不齊者用秩和檢驗(yàn),計(jì)數(shù)資料用卡方檢驗(yàn),等級(jí)資料用Riddit分析(或秩和檢驗(yàn))。 結(jié)果： 試驗(yàn)組痊愈顯效率明顯優(yōu)于對(duì)照組痊愈顯效率(P0.05)。治療后,試驗(yàn)組前后主癥積分、次癥積分進(jìn)行自身對(duì)比,差異具有統(tǒng)計(jì)學(xué)意義(P0.01)。治療后,試驗(yàn)組、對(duì)照組主癥積分、次癥積分進(jìn)行對(duì)比,差異具有統(tǒng)計(jì)學(xué)意義(P0.01)。試驗(yàn)組治療后每半年上呼吸道感染次數(shù)前后比較,差異具有統(tǒng)計(jì)學(xué)意義(P0.01)；下呼吸道感染次數(shù)、腹瀉次數(shù)前后比較,差異不具有統(tǒng)計(jì)學(xué)意義(P0.05)。課題組對(duì)20例脾虛患兒進(jìn)行相關(guān)唾液淀粉酶檢查,研究顯示治療前、后唾液淀粉酶經(jīng)統(tǒng)計(jì)學(xué)分析,二組有顯著性差距(P0.05)。 結(jié)論： 治療組療效優(yōu)于對(duì)照組。提示捏脊療法能顯著改善患兒肺脾虛的臨床證候,能顯著提高肺脾虛兒童的唾液淀粉酶水平,能顯著減少患兒上呼吸道感染的次數(shù),但未發(fā)現(xiàn)捏脊治療能顯著減少下呼吸道感染次數(shù)及腹瀉次數(shù)。
[Abstract]:Background: Wan Quan's "more than three, four deficiency" theory clearly put forward "spleen often insufficiency", "lung often insufficiency". Deficiency of lung and spleen is the physiological characteristic of children. The immune system and digestive system of children are not perfect, so the incidence of respiratory and digestive diseases is the highest. The climate of Guangdong is hot and humid, so the constitution of children's deficiency of lung and spleen qi is very common. Children with deficiency of lung and spleen qi are susceptible to diseases of lung and spleen, which belong to sub-health state according to modern medical classification. According to the theory of "treating disease without disease", children with deficiency of lung and spleen qi are in the stage of disease without disease. Traditional Chinese medicine (TCM) has accumulated rich clinical experience in the field of "cure without disease", and has unique and irreplaceable advantages in prevention and health care and health recovery. The pediatric outpatient clinic has accumulated some experience in treating the disease, but most of the outpatients are acute, and the parents often ignore the potential danger of children's physique, so it is difficult to carry out clinical treatment. As a new mode of medical treatment, community medicine provides a good research platform for the "treatment of disease" in traditional Chinese medicine, the refinement of community health care for children, for pediatrics "treatment of disease," The development of medical diagnosis and treatment, such as prevention before illness, provides more convenient and advantageous conditions. Community treatment will play an important role in the field of child health prevention. Objective: to study the health intervention of children with deficiency of lung and spleen by traditional therapy-chiropractic. To expand the scope of treatment of disease to the community, to explore the community of traditional Chinese medicine treatment of disease-free medical forms. To observe the improvement of TCM symptoms, growth and development of children with deficiency of lung and spleen after chiropractic therapy, and to evaluate objectively the role of traditional Chinese medicine in treating diseases. Methods: a randomized single-blind controlled study was carried out in kindergarten classes. The children with deficiency of lung and spleen in the experimental group were treated with health intervention and nursing intervention. The control group was treated with blank control without intervention. After half a year, the overall curative effect was evaluated, and the adverse event observation form was filled out. The statistical analysis was carried out by SPSS13.0, and the statistical data were analyzed by t test, rank sum test by rank sum test, chi-square test by counting data and Riddit analysis (or rank sum test) by rank data. Results: the effective rate of cure in the test group was significantly better than that in the control group (P 0.05). After treatment, the test group before and after the main symptom score, secondary symptom score comparison, the difference was statistically significant (P0.01). After treatment, the main symptom score and the secondary symptom score were compared between the experimental group and the control group, the difference was statistically significant (P0.01). The experimental group after treatment every six months before and after the number of upper respiratory tract infection, the difference was statistically significant (P0.01); the number of lower respiratory tract infection, diarrhea before and after the comparison, the difference was not statistically significant (P0.05). The study group of 20 cases of spleen deficiency children saliva amylase examination, the study showed that before and after treatment saliva amylase after statistical analysis, there was a significant difference between the two groups (P0.05). Conclusion: the curative effect of treatment group is better than that of control group. It is suggested that chiropractic therapy can significantly improve the clinical symptoms of children with lung and spleen deficiency, increase the level of saliva amylase in children with lung and spleen deficiency, and reduce the frequency of upper respiratory tract infection in children. But it was not found that chiropractic treatment could significantly reduce the frequency of lower respiratory tract infection and diarrhea.
【學(xué)位授予單位】：廣州中醫(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
本文編號(hào)：2179588
[Abstract]:Background: Wan Quan's "more than three, four deficiency" theory clearly put forward "spleen often insufficiency", "lung often insufficiency". Deficiency of lung and spleen is the physiological characteristic of children. The immune system and digestive system of children are not perfect, so the incidence of respiratory and digestive diseases is the highest. The climate of Guangdong is hot and humid, so the constitution of children's deficiency of lung and spleen qi is very common. Children with deficiency of lung and spleen qi are susceptible to diseases of lung and spleen, which belong to sub-health state according to modern medical classification. According to the theory of "treating disease without disease", children with deficiency of lung and spleen qi are in the stage of disease without disease. Traditional Chinese medicine (TCM) has accumulated rich clinical experience in the field of "cure without disease", and has unique and irreplaceable advantages in prevention and health care and health recovery. The pediatric outpatient clinic has accumulated some experience in treating the disease, but most of the outpatients are acute, and the parents often ignore the potential danger of children's physique, so it is difficult to carry out clinical treatment. As a new mode of medical treatment, community medicine provides a good research platform for the "treatment of disease" in traditional Chinese medicine, the refinement of community health care for children, for pediatrics "treatment of disease," The development of medical diagnosis and treatment, such as prevention before illness, provides more convenient and advantageous conditions. Community treatment will play an important role in the field of child health prevention. Objective: to study the health intervention of children with deficiency of lung and spleen by traditional therapy-chiropractic. To expand the scope of treatment of disease to the community, to explore the community of traditional Chinese medicine treatment of disease-free medical forms. To observe the improvement of TCM symptoms, growth and development of children with deficiency of lung and spleen after chiropractic therapy, and to evaluate objectively the role of traditional Chinese medicine in treating diseases. Methods: a randomized single-blind controlled study was carried out in kindergarten classes. The children with deficiency of lung and spleen in the experimental group were treated with health intervention and nursing intervention. The control group was treated with blank control without intervention. After half a year, the overall curative effect was evaluated, and the adverse event observation form was filled out. The statistical analysis was carried out by SPSS13.0, and the statistical data were analyzed by t test, rank sum test by rank sum test, chi-square test by counting data and Riddit analysis (or rank sum test) by rank data. Results: the effective rate of cure in the test group was significantly better than that in the control group (P 0.05). After treatment, the test group before and after the main symptom score, secondary symptom score comparison, the difference was statistically significant (P0.01). After treatment, the main symptom score and the secondary symptom score were compared between the experimental group and the control group, the difference was statistically significant (P0.01). The experimental group after treatment every six months before and after the number of upper respiratory tract infection, the difference was statistically significant (P0.01); the number of lower respiratory tract infection, diarrhea before and after the comparison, the difference was not statistically significant (P0.05). The study group of 20 cases of spleen deficiency children saliva amylase examination, the study showed that before and after treatment saliva amylase after statistical analysis, there was a significant difference between the two groups (P0.05). Conclusion: the curative effect of treatment group is better than that of control group. It is suggested that chiropractic therapy can significantly improve the clinical symptoms of children with lung and spleen deficiency, increase the level of saliva amylase in children with lung and spleen deficiency, and reduce the frequency of upper respiratory tract infection in children. But it was not found that chiropractic treatment could significantly reduce the frequency of lower respiratory tract infection and diarrhea.
【學(xué)位授予單位】：廣州中醫(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 李江;;捏脊治療小兒厭食癥110例臨床觀察[J];按摩與導(dǎo)引;1990年01期
2 曹鴻斌,楊世錄;捏脊療法治療小兒遺尿35例臨床觀察[J];按摩與導(dǎo)引;1997年01期
3 楊小平;捏脊療法益氣健脾作用的臨床探討[J];按摩與導(dǎo)引;2000年01期
4 胡定政;捏脊法治療小兒厭食癥的臨床觀察[J];按摩與導(dǎo)引;2000年05期
5 張銳,王聯(lián)慶,李雨升,楊頡,王國(guó)才;捏脊療法對(duì)脾虛家兔血漿胃泌素的影響[J];按摩與導(dǎo)引;2004年05期
6 耿立鵬;;捏脊療法治療小兒輕度腹瀉36例[J];按摩與導(dǎo)引;2006年09期
7 杜世華;;捏脊療法治療氣虛證的機(jī)理探討[J];按摩與導(dǎo)引;2007年05期
8 程賓,董曉斌,謝杰,王偉;捏脊療法治療小兒腦癱中微量元素含量變化與臨床療效之間相關(guān)性研究[J];福建中醫(yī)藥;2005年02期
9 楊若俊;李小珊;尹蔚萍;楊旭東;段培金;;配合捏脊輔助治療小兒支氣管肺炎102例療效觀察[J];光明中醫(yī);2008年02期
10 王君;;捏脊療法在兒科“治未病”中的應(yīng)用[J];光明中醫(yī);2009年01期
，本文編號(hào)：2179588
本文鏈接：http://sikaile.net/yixuelunwen/eklw/2179588.html
最近更新
教材專著
