捏脊對(duì)小兒支氣管哮喘發(fā)作的影響
發(fā)布時(shí)間：2018-10-26 06:49
【摘要】：背景 小兒支氣管哮喘屬于祖國(guó)醫(yī)學(xué)“哮喘”范疇,病位在于肺、脾、腎三臟,其主要病因病機(jī)在于稟賦不足,外邪入侵�！爸挝床 痹~語見于《內(nèi)經(jīng)》多篇論文,是指采取預(yù)防或治療手段,防止疾病發(fā)生、發(fā)展的方法,是中醫(yī)治則學(xué)說的基本法則,是中醫(yī)藥學(xué)的核心理念之一,也是中醫(yī)預(yù)防保健的重要理論基礎(chǔ)和準(zhǔn)則。國(guó)家提出了從“治療疾病”向“預(yù)防疾病”重點(diǎn)轉(zhuǎn)變的“前移戰(zhàn)略”,這種健康維護(hù)理念的變化與中醫(yī)治未病的主導(dǎo)思想息息相關(guān)。繼承發(fā)揚(yáng)《內(nèi)經(jīng)》“治未病”理論與“攝生”法則,創(chuàng)新出現(xiàn)代的“中醫(yī)預(yù)防(醫(yī))學(xué)”與“中醫(yī)保健(醫(yī))學(xué)”。經(jīng)過臨床觀察,捏脊能夠促進(jìn)機(jī)體新陳代謝,增強(qiáng)小兒體質(zhì),提高小兒免疫能力,因而對(duì)預(yù)防小兒支氣管哮喘發(fā)作的進(jìn)一步發(fā)展以及控制其發(fā)作的程度上,能夠起到良好的改善作用。 目的 觀察捏脊療法對(duì)小兒支氣管哮喘療效影響,評(píng)價(jià)捏脊療法能否減少哮喘發(fā)作的次數(shù)頻率,能否減少哮喘發(fā)作時(shí)候用藥,以及能否減輕每次哮喘發(fā)作的程度。為臨床預(yù)防和控制小兒支氣管哮喘發(fā)作探求一種安全、操作簡(jiǎn)便、療效確切的的治療方法。 方法 本研究采用隨機(jī)對(duì)照試驗(yàn),將合格的支氣管哮喘患兒60例,隨機(jī)分為治療組(常規(guī)藥物治療結(jié)合捏脊療法)及對(duì)照組(常規(guī)藥物治療),治療組予以常規(guī)藥物治療結(jié)合捏脊療法,對(duì)照組予以常規(guī)藥物治療,兩組均于治療后應(yīng)用《支氣管哮喘療效標(biāo)準(zhǔn)》參照《中華醫(yī)學(xué)會(huì)呼吸病學(xué)分會(huì)擬定標(biāo)準(zhǔn)》(——中華醫(yī)學(xué)會(huì)呼吸病分會(huì)支氣管哮喘分會(huì)支氣管哮喘防治指南[J]中華結(jié)核和呼吸雜志1997,20(5)：261)及《哮喘測(cè)試控制評(píng)分(ACT評(píng)分表)》以評(píng)定療效,從而觀察并評(píng)價(jià)捏脊療法對(duì)小兒支氣管哮喘發(fā)作的臨床影響作用。 結(jié)果 兩組患者年齡、性別、證型、病程比較,經(jīng)統(tǒng)計(jì)學(xué)分析無顯著性差異,P0.05,具有可比性。 1、治療結(jié)束后,治療組臨床治愈10例,有效18例,無效2例,總有效率93.33%；對(duì)照組臨床治愈5例,有效17例,無效8例,總有效率73.33%。統(tǒng)計(jì)學(xué)有顯著性差異,提示治療組優(yōu)于對(duì)照組(p0.05)。 2、兩組患者療效評(píng)價(jià)總分于治療后均有改善,治療組療效優(yōu)于對(duì)照組,統(tǒng)計(jì)學(xué)有顯著性差異(p0.05)。 結(jié)論 捏脊療法治療小兒支氣管哮喘發(fā)作,能全面改善并控制患兒的支氣管哮喘,減輕患者痛苦,能夠減少哮喘發(fā)作的次數(shù)頻率,減少哮喘發(fā)作時(shí)候用藥,以及減輕每次哮喘發(fā)作的程度,提高患者生活質(zhì)量,遠(yuǎn)期效果良好,對(duì)于疾病的進(jìn)一步發(fā)展起到良好的預(yù)防作用,其療效優(yōu)于電針治療對(duì)照組。
[Abstract]:Background bronchial asthma in children belongs to the category of "asthma" in traditional Chinese medicine. The disease is located in the lungs, spleen and kidney. The main etiology and pathogenesis of asthma lie in the deficiency of endowment and the invasion of exogenous pathogens. The term "cure without disease" is found in many papers in the Classic of Internal Medicine. It refers to the method of prevention or treatment to prevent the occurrence and development of disease, which is the basic principle of the doctrine of TCM treatment and one of the core concepts of TCM. It is also an important theoretical basis and criterion of preventive health care in TCM. The country has put forward the "forward strategy" which changes from "treating disease" to "preventing disease". The change of the concept of health maintenance is closely related to the leading thought of treating the disease without disease in traditional Chinese medicine. In order to carry forward the theory of "treating diseases" and the rule of "taking birth", the modern "prevention (medicine) of traditional Chinese medicine" and "health care (medicine) of traditional Chinese medicine" have been innovated. After clinical observation, chiropractic can promote metabolism, enhance children's physique, improve children's immune ability, so it can prevent the further development of children's bronchial asthma attack and control the extent of its attack. Can play a good role in improving. Objective to observe the effect of chiropractic therapy on bronchial asthma in children, and evaluate whether chiropractic therapy can reduce the frequency of asthma attack, reduce the use of drugs during asthma attack, and reduce the degree of each asthma attack. To explore a safe, simple and effective treatment for the prevention and control of bronchial asthma in children. Methods in this study, 60 children with bronchial asthma were randomly divided into treatment group (routine drug therapy combined with chiropractic therapy) and control group (routine drug treatment). The treatment group received routine drug therapy combined with chiropractic therapy, while the control group received routine drug therapy. The two groups were treated with the Standard of bronchial Asthma Therapeutic effect with reference to the Standard drawn up by the Chinese Medical Association Respiratory Society (guidelines for the Prevention and treatment of bronchial Asthma in the Respiratory Society of the Chinese Medical Association [J] The Chinese Journal of Tuberculosis and Respiratory, 1997: 20 (5): 261 and Asthma Test Control scale (ACT scale) were used to evaluate the efficacy. The clinical effects of chiropractic therapy on children with bronchial asthma were observed and evaluated. Results there was no significant difference in age, sex, syndrome type and course of disease between the two groups (P 0.05). 1. After the treatment, 10 cases were cured, 18 cases were effective, 2 cases were ineffective, and the total effective rate was 93.33 in the treatment group, while in the control group, 5 cases were clinically cured, 17 cases were effective, 8 cases were ineffective, and the total effective rate was 73.33 cases. There was significant difference in statistics, indicating that the treatment group was superior to the control group (p 0.05). 2, the total score of curative effect evaluation of the two groups were improved after treatment, the curative effect of the treatment group was better than that of the control group, there was significant difference between the two groups (p0.05). Conclusion chiropractic therapy can completely improve and control bronchial asthma in children, alleviate the suffering of patients, reduce the frequency of asthma attacks and reduce the use of drugs during asthma attacks. As well as reducing the degree of each asthma attack, improve the quality of life of patients, long-term effect is good, for the further development of the disease plays a good preventive role, its curative effect is better than electroacupuncture treatment control group.
【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)：2294901
[Abstract]:Background bronchial asthma in children belongs to the category of "asthma" in traditional Chinese medicine. The disease is located in the lungs, spleen and kidney. The main etiology and pathogenesis of asthma lie in the deficiency of endowment and the invasion of exogenous pathogens. The term "cure without disease" is found in many papers in the Classic of Internal Medicine. It refers to the method of prevention or treatment to prevent the occurrence and development of disease, which is the basic principle of the doctrine of TCM treatment and one of the core concepts of TCM. It is also an important theoretical basis and criterion of preventive health care in TCM. The country has put forward the "forward strategy" which changes from "treating disease" to "preventing disease". The change of the concept of health maintenance is closely related to the leading thought of treating the disease without disease in traditional Chinese medicine. In order to carry forward the theory of "treating diseases" and the rule of "taking birth", the modern "prevention (medicine) of traditional Chinese medicine" and "health care (medicine) of traditional Chinese medicine" have been innovated. After clinical observation, chiropractic can promote metabolism, enhance children's physique, improve children's immune ability, so it can prevent the further development of children's bronchial asthma attack and control the extent of its attack. Can play a good role in improving. Objective to observe the effect of chiropractic therapy on bronchial asthma in children, and evaluate whether chiropractic therapy can reduce the frequency of asthma attack, reduce the use of drugs during asthma attack, and reduce the degree of each asthma attack. To explore a safe, simple and effective treatment for the prevention and control of bronchial asthma in children. Methods in this study, 60 children with bronchial asthma were randomly divided into treatment group (routine drug therapy combined with chiropractic therapy) and control group (routine drug treatment). The treatment group received routine drug therapy combined with chiropractic therapy, while the control group received routine drug therapy. The two groups were treated with the Standard of bronchial Asthma Therapeutic effect with reference to the Standard drawn up by the Chinese Medical Association Respiratory Society (guidelines for the Prevention and treatment of bronchial Asthma in the Respiratory Society of the Chinese Medical Association [J] The Chinese Journal of Tuberculosis and Respiratory, 1997: 20 (5): 261 and Asthma Test Control scale (ACT scale) were used to evaluate the efficacy. The clinical effects of chiropractic therapy on children with bronchial asthma were observed and evaluated. Results there was no significant difference in age, sex, syndrome type and course of disease between the two groups (P 0.05). 1. After the treatment, 10 cases were cured, 18 cases were effective, 2 cases were ineffective, and the total effective rate was 93.33 in the treatment group, while in the control group, 5 cases were clinically cured, 17 cases were effective, 8 cases were ineffective, and the total effective rate was 73.33 cases. There was significant difference in statistics, indicating that the treatment group was superior to the control group (p 0.05). 2, the total score of curative effect evaluation of the two groups were improved after treatment, the curative effect of the treatment group was better than that of the control group, there was significant difference between the two groups (p0.05). Conclusion chiropractic therapy can completely improve and control bronchial asthma in children, alleviate the suffering of patients, reduce the frequency of asthma attacks and reduce the use of drugs during asthma attacks. As well as reducing the degree of each asthma attack, improve the quality of life of patients, long-term effect is good, for the further development of the disease plays a good preventive role, its curative effect is better than electroacupuncture treatment control group.
【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
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