【摘要】：目的：通過比較下推“一三穴”與四種小兒推拿常用清熱穴位組方的退熱效果及與小兒退熱貼比較。評價下推“一三穴”的退熱療效與常用退熱穴組、對照組的療效差異；試圖為小兒推拿穴位理論創(chuàng)新性探索提供思路,為臨床操作提供新方法,促進小兒推拿退熱穴位的深入研究。方法：試驗對象為中等發(fā)熱且辨證為外感發(fā)熱,年齡為1到3歲患兒。選取下推“一三穴”12min進行治療：常用退熱穴組：退六腑3min、清天河水3min,水底撈月3min,下推天柱骨3min為處方進行治療；對照組選擇小兒退熱貼進行治療。三組分別于治療前5min,治療后4h記錄體溫。數(shù)據(jù)分析時,三組基線比較,基線均衡后三組之間進行比較；組間比較三組體溫在每個訪視點改善值,三組體溫組內比較。結果：1.基線比較,無統(tǒng)計學差異(P0.05),可進行體溫數(shù)據(jù)比較；2.下推“一三穴”治療組與常用退熱穴組效果無顯著性差異(P0.05),下推“一三穴”治療組與退熱貼組比較的差異有統(tǒng)計學意義(P0.05)。3.下推“一三穴”治療組與常用退熱穴組效果持續(xù)退熱療效,無顯著性差異(尸0.05),下推“一三穴”治療組與小兒退熱貼治療組比較的有顯著性差異有統(tǒng)計學意義(P0.05)。結論：1.下推“一三穴”具有較好的退熱作用,與傳統(tǒng)常用退熱穴位組合相比差異不明顯,但其與小兒退熱貼比較有明顯差異,可知下推“一三穴”退熱效果優(yōu)于小兒退熱貼組,可作為臨床退熱外治療法的推薦方法,證實下推“一三穴”退熱理論。2.下推“一三穴”治療組與常用退熱穴組持續(xù)療效優(yōu)于退熱貼組,進一步證實小兒推拿退熱的有效性；3.因下推“一三穴”的退熱療效值得進一步深入研究尋求大數(shù)據(jù)支持。
[Abstract]:Objective: to compare the antipyretic effect of "one three points" and four kinds of commonly used antipyretic acupoints of children massage and compare them with children's antipyretic plaster. To evaluate the antipyretic effect of "one three points" and the difference of therapeutic effect between the group and the control group, and to provide a new method for the theoretical innovation of children's massage acupoints, and to provide a new method for clinical operation. To promote the further study of children's massage and antifebrile acupoints. Methods: the subjects were moderate fever with syndrome differentiation of exogenous fever, aged from 1 to 3 years. Select "one three points" 12min for treatment: commonly used antipyretic point group: Tuiliu 3 minutes, Qingtianhe water 3 minutes, looking for a month 3 minutes, push down Tianzhu bone 3min as the prescription treatment; control group selected children antipyretic plaster for treatment. The temperature of the three groups was recorded 5 minutes before treatment and 4 hours after treatment. When the data was analyzed, the baseline was compared among the three groups after the baseline equilibrium, and the body temperature of the three groups was improved at each visit point, and the comparison was made within the three groups. The result is 1: 1. Baseline comparison, no statistical difference (P0.05), body temperature data can be compared by 2. 5%. There was no significant difference between the "one three points" treatment group and the common antipyretic point group (P0.05), but the difference between the "one three points" treatment group and the antipyretic patch group was statistically significant (P0.05). There was no significant difference between the "one three points" treatment group and the common antipyretic point group (P 0.05), but there was significant difference between the "one three points" treatment group and the children antipyretic therapy group (P0.05). Conclusion 1. The "one three points" have better antipyretic effect, and there is no significant difference compared with the traditional combination of antipyretic acupoints, but it has obvious difference with the children's antipyretic plaster. It can be seen that the antipyretic effect of "one three points" is better than that of children's antipyretic plaster group. It can be used as the recommended method of clinical antipyretic and external therapy, and confirm the theory of "one three points" and antipyretic therapy. 2. The continuous curative effect of "one three points" treatment group and common antipyretic point group was better than that of antipyretic plaster group, which further confirmed the effectiveness of massage and antipyretic therapy in children. The antipyretic effect of "one-three points" is worth further study to seek big data support.
【學位授予單位】：成都中醫(yī)藥大學
【學位級別】：碩士
【學位授予年份】：2016
【分類號】：R244.1

【參考文獻】

相關期刊論文 前10條

1 呂謝照;韓樹賢;趙瓊梅;王繼紅;;推拿手法緩急補瀉的歷史沿革及研究概況[J];湖南中醫(yī)雜志;2015年10期

2 方淡思;許麗;;中醫(yī)外治法在小兒發(fā)熱中的應用概述[J];中國中醫(yī)急癥;2015年09期

3 劉凱;王杰;王艷國;;基于數(shù)據(jù)挖掘技術探討推拿治療小兒外感發(fā)熱的選穴規(guī)律[J];中國中醫(yī)基礎醫(yī)學雜志;2015年08期

4 張玉姝;;優(yōu)質護理在小兒發(fā)熱中的應用研究[J];世界最新醫(yī)學信息文摘;2015年38期

5 馬融;胡思源;丁櫻;向希雄;楊京華;薛征;李井鋒;;小兒急性上呼吸道感染中藥新藥臨床試驗設計與評價技術指南[J];藥物評價研究;2015年01期

6 李牧真;李華東;;小兒推拿中膏摩療法應用總結[J];山東中醫(yī)雜志;2015年02期

7 季U，

本文編號：2121491