點(diǎn)刺四縫穴與捏脊療法治療小兒疳證療效的對(duì)照研究
發(fā)布時(shí)間：2019-04-23 12:06
【摘要】：目的 本研究分別采用點(diǎn)刺四縫穴法、捏脊法、點(diǎn)刺四縫穴結(jié)合捏脊法來(lái)治療小兒疳證,通過(guò)觀察治療前后的臨床療效指標(biāo),對(duì)照比較不同方法組間療效的差異,為本病尋求更佳中醫(yī)外治方案提供循證依據(jù),以便更好地推廣應(yīng)用中醫(yī)傳統(tǒng)診療技術(shù)。 方法 將符合診斷標(biāo)準(zhǔn)的疳證小兒96例,采取簡(jiǎn)單隨機(jī)方法,應(yīng)用SPSS軟件包制作隨機(jī)數(shù)字表,按照1：1：1原則隨機(jī)分為點(diǎn)刺四縫穴組、捏脊組、四縫穴組加捏脊組(簡(jiǎn)稱二者結(jié)合組)。點(diǎn)刺四縫穴組：每10天治療一次,共連續(xù)治療3次,治療1個(gè)月為一療程；捏脊治療組：捏脊每日1次,連續(xù)治療6天,休息1天,治療1個(gè)月為一療程；二者結(jié)合組：點(diǎn)刺四縫穴每10天治療一次,共連續(xù)治療3次,同時(shí)配合捏脊每日1次,連續(xù)治療6天,休息1天,治療1個(gè)月為一療程。三組患兒分別于治療前和治療1個(gè)療程后采用癥候積分量表評(píng)分,結(jié)合中醫(yī)癥狀療效標(biāo)準(zhǔn)評(píng)定療效。 結(jié)果 1.治療前一般資料比較,包括三組患兒性別、年齡、病程、治療前癥狀總積分方面,差異無(wú)統(tǒng)計(jì)學(xué)意義(P0.05),三組間情況具有可比性。 2.治療前各組患兒癥狀總積分組間比較,經(jīng)統(tǒng)計(jì)學(xué)處理,差異無(wú)統(tǒng)計(jì)學(xué)意義(P0.05),具有可比性。各組患兒癥狀總積分治療前后經(jīng)配對(duì)t檢驗(yàn),各組癥狀總積分治療后皆較治療前明顯降低(P0.01),提示三組均有顯著療效；三組治療后癥狀總積分經(jīng)方差分析兩兩比較,點(diǎn)刺四縫穴組與捏脊組比較差異無(wú)統(tǒng)計(jì)學(xué)意義(P0.05),二者結(jié)合組治療后癥狀總積分較單純點(diǎn)刺四縫穴組、捏脊組降低(P0.05),差異有統(tǒng)計(jì)學(xué)意義。 3.三組疳證患兒組內(nèi)治療前后各項(xiàng)臨床癥狀積分比較,三組治療方案對(duì)患兒體重、身高的改善均無(wú)統(tǒng)計(jì)學(xué)意義(P0.05)；而三組治療方案對(duì)于食欲、精神、睡眠、多汗、感染、大便失調(diào)、腹脹、頭發(fā)光澤度癥狀均有明顯改善,差異有統(tǒng)計(jì)學(xué)意義(P0.01)。 4.經(jīng)統(tǒng)計(jì)學(xué)分析,愈顯率方面,點(diǎn)刺四縫穴組愈顯率為51.61%、捏脊組為48.39%、二者結(jié)合組77.42%；經(jīng)統(tǒng)計(jì)學(xué)分析,點(diǎn)刺四縫穴組、捏脊組臨床療效比較差異無(wú)統(tǒng)計(jì)學(xué)意義(P0.05)；而二者結(jié)合組與點(diǎn)刺四縫穴組、捏脊組兩兩比較則臨床療效差異有統(tǒng)計(jì)學(xué)意義(分別為χ2=4.509,P0.05；χ2=5.599,P0.05),說(shuō)明二者結(jié)合組的臨床療效優(yōu)于單純點(diǎn)刺四縫穴組及捏脊組。 結(jié)論 1.點(diǎn)刺四縫穴、捏脊及二者結(jié)合三種治療方案均能明顯改善疳證小兒的臨床癥狀,且價(jià)廉方便易行,又無(wú)毒副作用,家屬及患兒容易接受,有廣闊臨床應(yīng)用前景。 2.點(diǎn)刺四縫穴結(jié)合捏脊法治療小兒疳證的臨床療效明顯優(yōu)于單純采用點(diǎn)刺四縫穴法和捏脊法。
[Abstract]:Objective to treat infantile malnutrition by pricking the four seams, pinching the spine, and pricking the four seams together with the method of pinching the spine. By observing the clinical curative effect indexes before and after the treatment, we compare the difference of curative effect between the different methods, and compare the difference of the curative effect between the different methods. To provide evidence-based evidence for seeking better external treatment of TCM, so as to promote the application of traditional Chinese medicine diagnosis and treatment technology. Methods 96 cases of infantile malnutrition were randomly divided into four groups according to the 1:1:1 principle according to the principle of 1:1:1. The children with malnutrition syndrome were randomly divided into four groups according to the principle of 1:1:1: the group of pricking four seams and the group of pinching spine. The group of four suture points plus the group of pinching spine (abbreviated as the combination of the two groups). The treatment group was treated once every 10 days for 3 consecutive times for a course of treatment, and the treatment group was treated once a day for 6 days, rest for 1 day, and one month for a course of treatment, and the treatment group was treated with kneading ridges once a day for 6 days, taking a rest for one day, and taking one month as a course of treatment. The combination group was treated once every 10 days, 3 times continuously, and combined with chiropractic kneading once a day for 6 days, rest for 1 day, and one month as a course of treatment. Three groups of children were evaluated by symptom score scale before and after one course of treatment, combined with the standard of curative effect of TCM symptoms. Outcome 1. There was no significant difference in sex, age, course of disease, total score of symptoms before treatment among the three groups (P0.05), and there was comparability among the three groups. 2. Before treatment, there was no significant difference in the total score of symptoms between groups (P0.05), and there was no significant difference between the two groups (P0.05). By paired t-test before and after treatment, the total score of symptoms in each group was significantly lower than that before treatment (P0.01), suggesting that the three groups had significant curative effect. After treatment, there was no significant difference between the two groups (P0.05). After treatment, the total score of symptoms in the combination group was higher than that in the simple needling group, and there was no significant difference between the two groups after treatment (P0.05), and there was no significant difference in the total score of symptoms between the two groups after treatment (P0.05). Chiropractic group decreased (P0.05), the difference was statistically significant. 3. The scores of clinical symptoms before and after treatment in three groups of children with malnutrition syndrome were compared. There was no significant difference in the improvement of body weight and height among the three groups (P0.05). The symptoms of appetite, mental health, sleep, sweating, infection, dysuria, abdominal distension and hair glossiness were significantly improved in the three groups (P0.01). 4. Statistical analysis showed that the rate of healing was 51.61% in the group of pricking four suture points, 48.39% in the group of kneading the spine, and 77.42% in the group of combination of the two points. According to the statistical analysis, there was no significant difference in the clinical curative effect between the four points group and the kneading group (P0.05). There was a significant difference in clinical efficacy between the two groups (蠂 ~ 2 = 4.509, P < 0.05), and there was a significant difference between the two groups (蠂 ~ 2 = 4.509, P < 0.05), and there was significant difference between the two groups (P < 0.05). 蠂 2 = 5.599, P0.05), which showed that the clinical efficacy of the combination group was better than that of the acupuncture group and the chiropractic group. Conclusion 1. Pricking the four stitches, pinching the spine and combining them can obviously improve the clinical symptoms of infantile malnutrition, and it is easy to be easily accepted by family members and children without side effects, and has a broad prospect of clinical application. 2. The clinical effect of pricking four suture points combined with chiropractic method in the treatment of infantile malnutrition was obviously better than that of pricking four suture points and pinching the spine.
【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】：2013
【分類號(hào)】：R246.4
本文編號(hào)：2463452
[Abstract]:Objective to treat infantile malnutrition by pricking the four seams, pinching the spine, and pricking the four seams together with the method of pinching the spine. By observing the clinical curative effect indexes before and after the treatment, we compare the difference of curative effect between the different methods, and compare the difference of the curative effect between the different methods. To provide evidence-based evidence for seeking better external treatment of TCM, so as to promote the application of traditional Chinese medicine diagnosis and treatment technology. Methods 96 cases of infantile malnutrition were randomly divided into four groups according to the 1:1:1 principle according to the principle of 1:1:1. The children with malnutrition syndrome were randomly divided into four groups according to the principle of 1:1:1: the group of pricking four seams and the group of pinching spine. The group of four suture points plus the group of pinching spine (abbreviated as the combination of the two groups). The treatment group was treated once every 10 days for 3 consecutive times for a course of treatment, and the treatment group was treated once a day for 6 days, rest for 1 day, and one month for a course of treatment, and the treatment group was treated with kneading ridges once a day for 6 days, taking a rest for one day, and taking one month as a course of treatment. The combination group was treated once every 10 days, 3 times continuously, and combined with chiropractic kneading once a day for 6 days, rest for 1 day, and one month as a course of treatment. Three groups of children were evaluated by symptom score scale before and after one course of treatment, combined with the standard of curative effect of TCM symptoms. Outcome 1. There was no significant difference in sex, age, course of disease, total score of symptoms before treatment among the three groups (P0.05), and there was comparability among the three groups. 2. Before treatment, there was no significant difference in the total score of symptoms between groups (P0.05), and there was no significant difference between the two groups (P0.05). By paired t-test before and after treatment, the total score of symptoms in each group was significantly lower than that before treatment (P0.01), suggesting that the three groups had significant curative effect. After treatment, there was no significant difference between the two groups (P0.05). After treatment, the total score of symptoms in the combination group was higher than that in the simple needling group, and there was no significant difference between the two groups after treatment (P0.05), and there was no significant difference in the total score of symptoms between the two groups after treatment (P0.05). Chiropractic group decreased (P0.05), the difference was statistically significant. 3. The scores of clinical symptoms before and after treatment in three groups of children with malnutrition syndrome were compared. There was no significant difference in the improvement of body weight and height among the three groups (P0.05). The symptoms of appetite, mental health, sleep, sweating, infection, dysuria, abdominal distension and hair glossiness were significantly improved in the three groups (P0.01). 4. Statistical analysis showed that the rate of healing was 51.61% in the group of pricking four suture points, 48.39% in the group of kneading the spine, and 77.42% in the group of combination of the two points. According to the statistical analysis, there was no significant difference in the clinical curative effect between the four points group and the kneading group (P0.05). There was a significant difference in clinical efficacy between the two groups (蠂 ~ 2 = 4.509, P < 0.05), and there was a significant difference between the two groups (蠂 ~ 2 = 4.509, P < 0.05), and there was significant difference between the two groups (P < 0.05). 蠂 2 = 5.599, P0.05), which showed that the clinical efficacy of the combination group was better than that of the acupuncture group and the chiropractic group. Conclusion 1. Pricking the four stitches, pinching the spine and combining them can obviously improve the clinical symptoms of infantile malnutrition, and it is easy to be easily accepted by family members and children without side effects, and has a broad prospect of clinical application. 2. The clinical effect of pricking four suture points combined with chiropractic method in the treatment of infantile malnutrition was obviously better than that of pricking four suture points and pinching the spine.
【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】：2013
【分類號(hào)】：R246.4
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