本文選題：小兒腹瀉 + 小兒推拿�。� 參考：《河南中醫(yī)藥大學(xué)》2016年碩士論文

【摘要】：目的:本研究選取寒濕型腹瀉患兒為研究對(duì)象,采用兩組隨機(jī)對(duì)照試驗(yàn)的方法,觀察三揉三法與傳統(tǒng)手法患兒在接受治療前后癥狀、體征等的臨床癥狀變化,以此評(píng)價(jià)三揉三法治療小兒寒濕型腹瀉的有效性及安全性,為推廣小兒推拿中醫(yī)綠色傳統(tǒng)療法奠定基礎(chǔ)。方法:本研究選取60例患兒,隨機(jī)分為治療組和對(duì)照組,每組30例。治療組采用三揉三法治療,對(duì)照組采用傳統(tǒng)手法治療。分別記錄兩組患兒治療前后的癥狀、體征等臨床癥狀積分。兩組患兒治療均每日1次,7次為1療程,療程結(jié)束后進(jìn)行療效統(tǒng)計(jì)。本研究遵循患兒(或家長(zhǎng)代述)報(bào)告結(jié)果的原則,醫(yī)師通過詢問的方式來填寫臨床觀察表,對(duì)大便次數(shù)、大便性狀、腹痛程度、腹脹現(xiàn)象、飲食及精神狀態(tài)、每天觀察以分值形式記錄,并結(jié)合醫(yī)生的判定,綜合評(píng)價(jià)治療手法的療效性。數(shù)據(jù)處理使用SPSS18.0軟件包,計(jì)數(shù)資料采用X~2檢驗(yàn),計(jì)量資料采用t檢驗(yàn),等級(jí)資料采用秩和檢驗(yàn)。結(jié)果:(1)兩組患兒治療前基線資料如性別、年齡、病程、喂養(yǎng)方式及臨床癥狀總積分比較差異均無統(tǒng)計(jì)學(xué)意義(P0.05)。(2)在療效方面:治療組總有效率為93.33%,對(duì)照組總有效率為90.00%,經(jīng)統(tǒng)計(jì)學(xué)分析,兩組患兒總有效率比較差異明顯(P0.05),具有統(tǒng)計(jì)學(xué)意義,說明兩組在改善臨床療效方面,治療組優(yōu)于對(duì)照組。(3)在總癥狀方面:兩組患兒治療后,臨床總癥狀積分與治療前比較,均有顯著性差異(P0.05),說明兩組均能改善小兒寒濕型腹瀉的臨床癥狀;治療后兩組總癥狀積分差值比較(P0.05),具有統(tǒng)計(jì)學(xué)意義,說明治療組在改善臨床總癥狀方面明顯優(yōu)于對(duì)照組。(4)在臨床單項(xiàng)癥狀方面:兩組患兒分別治療后,大便次數(shù)、大便性狀、腹痛程度、腹脹現(xiàn)象、飲食及精神狀態(tài)積分與治療前比較,均有顯著性差異(P0.05),說明兩組均能改善小兒寒濕型腹瀉患兒的臨床癥狀;治療后兩組單項(xiàng)癥狀積分差值比較(P0.05),具有統(tǒng)計(jì)學(xué)意義,說明治療組在改善臨床主要癥狀方面明顯優(yōu)于對(duì)照組。(5)兩組患兒在治療期間未見不良事件報(bào)告,安全性好。結(jié)論:三揉三法治療小兒寒濕型腹瀉具有較好的臨床效果,在改善臨床總療效、臨床總癥狀、臨床單項(xiàng)癥狀方面,其療效明顯優(yōu)于對(duì)照組傳統(tǒng)手法,值得在臨床中推廣應(yīng)用。
[Abstract]:Objective: to observe the changes of clinical symptoms, signs and symptoms of children with cold and wet diarrhea before and after treatment by two groups of randomized controlled trials. To evaluate the efficacy and safety of Sanrou San method in treating children with cold and wet diarrhea, and to lay a foundation for popularizing traditional Chinese medicine green therapy of pediatric massage. Methods: 60 children were randomly divided into treatment group and control group with 30 cases in each group. The treatment group was treated with three kneading and three methods, while the control group was treated with traditional manipulation. The scores of symptoms and signs before and after treatment were recorded. Two groups of children were treated once a day 7 times as a course of treatment, after the end of the course of curative effect statistics. This study followed the principle of reporting the results of children (or parents). Doctors filled out clinical observation forms by means of inquiry, and evaluated defecation times, defecation traits, abdominal pain, abdominal distension, diet and mental state. Daily observation was recorded in the form of score, and combined with the doctor's judgment, comprehensive evaluation of the efficacy of treatment techniques. SPSS 18.0 software package was used for data processing, Xn2 test was used for counting data, t test was used for measurement data, and rank sum test was used for rank data. Results: (1) baseline data, such as sex, age, course of disease, before treatment, were found in the two groups. There was no significant difference in the total score of feeding and clinical symptoms (P0.05). (2) in the curative effect: the total effective rate of the treatment group was 93.33 and the total effective rate of the control group was 90.000.0.The total effective rate of the treatment group was 90.000g, and that of the control group was 90.000g. There was significant difference in the total effective rate between the two groups (P0.05), which showed that the treatment group was superior to the control group in improving the clinical efficacy. (3) in the total symptom: after treatment, the total clinical symptom score of the two groups was compared with that before treatment. There were significant differences between the two groups (P0.05), indicating that the two groups can improve the clinical symptoms of cold and wet diarrhea in children; after treatment, the difference of total symptom integral between the two groups (P0.05) was statistically significant. The results showed that the treatment group was obviously superior to the control group in improving the total clinical symptoms. (4) in the single clinical symptom, the number of defecation, defecation character, abdominal pain degree, abdominal distension phenomenon in the two groups after treatment, respectively, were better than those in the control group. Diet and mental state scores were significantly different from those before treatment (P0.05), indicating that the two groups can improve the clinical symptoms of children with cold and wet diarrhea, the difference between the two groups after treatment (P0.05), with statistical significance, The results showed that the treatment group was superior to the control group in improving the main clinical symptoms. (5) the adverse events were not reported in the two groups and the safety was good. Conclusion: Sanrou San method has better clinical effect in treating children with cold and wet diarrhea. It is better than the control group in improving the total clinical curative effect, clinical symptom and clinical single symptom, which is worth popularizing in clinic.
【學(xué)位授予單位】：河南中醫(yī)藥大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2016
【分類號(hào)】：R244.1

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