【摘要】：目的：觀察三字經(jīng)流派推拿治療小兒泄瀉(濕熱型)的臨床療效,并對(duì)其安全性性進(jìn)行評(píng)價(jià)。 方法：本研究觀察60例濕熱型泄瀉患兒,隨機(jī)分成治療組和對(duì)照組,各30例。治療組給予三字經(jīng)推拿療法治療,對(duì)照組給予口服蒙脫石散治療,療程為3天。以大便次數(shù)、大便性狀、腹痛、嘔吐等為療效指標(biāo),分別對(duì)治療前、治療后第1天、第2天、第3天的癥狀及體征進(jìn)行記錄,隨時(shí)收集相關(guān)資料。治療結(jié)束后對(duì)兩組患兒治療前后總積分、各單項(xiàng)癥狀的改善情況、止瀉時(shí)間進(jìn)行比較,綜合評(píng)價(jià)兩組總有效率。如實(shí)記錄臨床試驗(yàn)過(guò)程中出現(xiàn)的任何不良事件。 結(jié)果：治療組總有效率90.00%,對(duì)照組總有效率83.33%,兩組間有顯著性差異(P0.01),治療組優(yōu)于對(duì)照組。對(duì)于癥狀、體征療效的比較,大便次數(shù)、大便性質(zhì)的療效兩組間有顯著性差異(P0.05),治療組優(yōu)于對(duì)照組；對(duì)嘔吐、小便量、腹痛、精神倦怠、肛門(mén)紅赤的療效兩組間無(wú)顯著性差異(P0.05),治療組與對(duì)照組療效相當(dāng)；在止瀉時(shí)間方面,兩組間有顯著性差異(P0.05),治療組優(yōu)于對(duì)照組。 結(jié)論：三字經(jīng)流派推拿手法是治療小兒泄瀉(濕熱型)的有效、安全的方法,能夠明顯改善患兒的腹瀉、腹痛、嘔吐,尤其在改善大便次數(shù)、性狀,止瀉時(shí)間方面,與對(duì)照組相比,效應(yīng)時(shí)間更早、療效更顯著。同時(shí)體現(xiàn)了中醫(yī)內(nèi)病外治的特色,符合兒科臨床實(shí)際,具有可靠的臨床應(yīng)用及推廣價(jià)值。
[Abstract]:Objective: to observe the efficacy and safety of three characters massage in treating children with diarrhea (damp-heat type). Methods: 60 children with damp-heat diarrhea were randomly divided into treatment group and control group, 30 cases in each group. The treatment group was treated with massage therapy and the control group with oral montmorillonite powder for 3 days. The number of defecation, abdominal pain, vomiting and so on were used to record the symptoms and signs before, 1, 2 and 3 days after treatment, and to collect relevant data at any time. After the treatment, the total score, the improvement of each single symptom and the time of stopping diarrhea were compared before and after treatment, and the total effective rate of the two groups was comprehensively evaluated. Record any adverse events that occur during clinical trials. Results: the total effective rate was 90.00g in the treatment group and 83.33g in the control group. There was a significant difference between the two groups (P0.01). The treatment group was superior to the control group. For symptoms and signs of the comparison of curative effects, defecation times, stool nature between the two groups have a significant difference (P0.05), the treatment group is better than the control group; vomiting, urination, abdominal pain, mental burnout, There was no significant difference between the two groups in the efficacy of anal reddish (P0.05), the curative effect of the treatment group was similar to that of the control group; there was a significant difference in the time of stopping diarrhea between the two groups (P0.05), and the treatment group was better than the control group. Conclusion: Three-character massage manipulation is an effective and safe method for treating diarrhea (damp-heat type) in children. It can obviously improve diarrhea, abdominal pain and vomiting in children, especially in improving defecation frequency, character and time of stopping diarrhea. Compared with the control group, the effect was earlier and more significant. At the same time, it embodies the characteristics of internal and external treatment of TCM, accords with the clinical practice of pediatrics, and has reliable clinical application and popularization value.
【學(xué)位授予單位】：福建中醫(yī)藥大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2012
【分類(lèi)號(hào)】：R272

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