立足“氣一元論”從大氣陽(yáng)氣論治小兒運(yùn)動(dòng)發(fā)育遲緩的臨床觀察
發(fā)布時(shí)間：2019-04-22 17:31
【摘要】：研究背景:隨著醫(yī)學(xué)科學(xué)技術(shù)的進(jìn)步,新生兒搶救水平的提高,新生兒重癥監(jiān)護(hù)技術(shù)的加強(qiáng),導(dǎo)致高危兒的出生率、存活率逐年提高,腦損傷患兒的發(fā)生率相應(yīng)的呈現(xiàn)出增高趨勢(shì)。同時(shí)因?yàn)槿藗兩钏�、教育程度的提�?越來(lái)越多的家長(zhǎng)關(guān)注孩子的精神運(yùn)動(dòng)發(fā)育情況,使得盡早、及時(shí)、有效的治療小兒運(yùn)動(dòng)發(fā)育遲緩成為一項(xiàng)重大的課題。小兒發(fā)育遲緩屬于兒科的疑難病,是世界性的醫(yī)學(xué)難題,迄今仍沒(méi)有特別行之有效的治療方案,而且在純中醫(yī)的治療方面更是尚屬空白。本研究主要是總結(jié)導(dǎo)師呂英教授在臨床上對(duì)小兒發(fā)育遲緩的理論認(rèn)識(shí)及治療經(jīng)驗(yàn),并對(duì)治療效果進(jìn)行客觀的數(shù)據(jù)分析。研究目的:通過(guò)總結(jié)呂英導(dǎo)師對(duì)小兒發(fā)育遲緩的理論認(rèn)識(shí)和治療方法,認(rèn)為小兒發(fā)育遲緩的治療應(yīng)從大氣、陽(yáng)氣不足入手。通過(guò)對(duì)臨床治療思路的總結(jié),對(duì)臨床數(shù)據(jù)的收集、整理、分析來(lái)證明這一治療方法的有效性,探討總結(jié)出一套合理有效的純中醫(yī)治療方案,從而改善患兒的運(yùn)動(dòng)能力。研究方法及內(nèi)容:通過(guò)查閱文獻(xiàn)、咨詢專家后設(shè)計(jì)了一套臨床療效觀察方法。對(duì)2015年1月至2017年3月來(lái)南方醫(yī)科大學(xué)南方醫(yī)院古中醫(yī)疑難雜病診療中心就診的符合納入標(biāo)準(zhǔn)的30例運(yùn)動(dòng)發(fā)育遲緩的患兒進(jìn)行信息采集,從大氣、陽(yáng)氣入手,臨床治療時(shí)辨證論治,隨證治之,方無(wú)定方,法無(wú)定法,納入研究的患兒在治療期間不接受其他任何的療法�；純好堪雮�(gè)月于南方醫(yī)科大學(xué)南方醫(yī)院古中醫(yī)科就診一次,每次7劑藥,每劑中藥分為2日服用,每日分2次,每次50ml,每日早晚飯后一小時(shí)服藥。每個(gè)納入研究的患兒共就診6次,分別于治療前、治療3次后半個(gè)月、治療6次后半個(gè)月填寫(xiě)粗大運(yùn)動(dòng)能量評(píng)估表,對(duì)三次的數(shù)據(jù)進(jìn)行收集整理,采用SPSS20.0統(tǒng)計(jì)軟件建立數(shù)據(jù)庫(kù),采用單因素方差分析法對(duì)三次的數(shù)據(jù)進(jìn)行分析、運(yùn)用拉丁方方差分析法對(duì)可能影響數(shù)據(jù)結(jié)果的因素,包括年齡、性別、初始病情程度進(jìn)行分析,均以P0.05為差異有統(tǒng)計(jì)學(xué)意義,進(jìn)而探討立足大氣、陽(yáng)氣運(yùn)用純中藥治療小兒運(yùn)動(dòng)發(fā)育遲緩的臨床療效。研究結(jié)論:通過(guò)對(duì)臨床數(shù)據(jù)的分析,可以得出立足大氣、陽(yáng)氣,臨證辨證論治的純中醫(yī)療法來(lái)治療小兒運(yùn)動(dòng)發(fā)育遲緩是可以改善患兒的粗大運(yùn)動(dòng)能力的。而且通過(guò)數(shù)據(jù)分析可知,在六次治療中,前三次治療后粗大運(yùn)動(dòng)功能評(píng)分上升的幅度大于后三次治療,說(shuō)明隨著治療時(shí)間的延長(zhǎng),治療效果是不斷提升的,但提升幅度有減小的趨勢(shì)。在對(duì)可能影響患兒治療效果的一些因素,例如性別、年齡、初始病情做分析后,發(fā)現(xiàn)性別、年齡、初始病情均對(duì)研究結(jié)果無(wú)影響,說(shuō)明本治療方法在治療小兒運(yùn)動(dòng)發(fā)育遲緩方面具有普遍的效果,臨床治療時(shí)可不分年齡、不分性別、不分病情輕重。
[Abstract]:Background: with the advancement of medical science and technology, the improvement of neonatal rescue level and the strengthening of neonatal intensive care technology, the birth rate and survival rate of high-risk infants have been improved year by year. The incidence of brain injury in children showed an increasing trend accordingly. At the same time, due to the improvement of people's living standard and education, more and more parents pay attention to the mental and motor development of their children, which makes the treatment of children's motor retardation as soon as possible, timely and effective has become a major issue. Infantile stunting is a difficult and difficult disease in paediatrics, and it is a worldwide medical problem. So far, there is still no effective treatment scheme, and the treatment of pure traditional Chinese medicine is still blank. The main purpose of this study is to summarize the theoretical understanding and treatment experience of infantile stunting in clinical practice, and to analyze the effect of treatment with objective data. Objective: through summarizing Lu Ying's theoretical understanding and treatment of infantile stunting, the author thinks that the treatment of infantile stunting should begin with the deficiency of Yang Qi and atmosphere. Through the summary of clinical treatment ideas, collection, collation and analysis of clinical data to prove the effectiveness of this treatment method, explore and summarize a reasonable and effective pure Chinese medicine treatment plan, so as to improve the exercise ability of children. Methods and contents: a set of clinical efficacy observation methods was designed by consulting experts. From January 2015 to March 2017, 30 children with stunted movement who met the inclusion criteria from the Center for diagnosis and treatment of difficult and complex Diseases of Ancient Chinese Medicine in Southern Hospital of Southern Medical University were collected for information, starting from atmosphere and Yang Qi. The children who were included in the study did not receive any other therapy during the treatment of syndrome differentiation, syndrome differentiation and treatment with syndrome, prescription without definite prescription and method without definite method. The children were treated in ancient Chinese medicine every half month in Southern Hospital of Southern Medical University. Each dose of Chinese medicine was divided into 2 days, twice a day, 50 ml per day, and one hour after meal every morning and evening. Each child included in the study visited a total of 6 times, respectively before treatment, after 3 treatment for half a month, 6 times for the second half month of treatment to fill in the gross exercise energy assessment form, to collect and collate the data of three times. SPSS20.0 statistical software was used to establish the database, one-way ANOVA method was used to analyze the data of three times, and Latin variance analysis was used to analyze the factors that might affect the results of data, including age, sex, and so on. Analysis of the initial severity of the disease, P0.05 as a statistical difference, and then to explore the air-based, Yang Qi use of pure Chinese medicine in the treatment of children with motor retardation clinical efficacy. Conclusion: through the analysis of clinical data, it can be concluded that the pure TCM therapy based on atmosphere, Yang Qi and syndrome differentiation can improve the gross motor ability of children with motor retardation. And through the data analysis, it can be seen that in the six treatments, the increase of the gross motor function score after the first three treatments is greater than that of the latter three treatments, indicating that with the prolongation of the treatment time, the effect of the treatment is continuously improved. However, there is a decreasing trend in the range of increase. After analyzing the factors that might affect the outcome of treatment, such as sex, age and initial condition, it was found that sex, age and initial condition had no effect on the results of the study. It is concluded that this method has a universal effect in the treatment of children with motor retardation, and the clinical treatment can be conducted regardless of age, sex or severity of illness.
【學(xué)位授予單位】：南方醫(yī)科大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2017
【分類號(hào)】：R277.7
本文編號(hào)：2463041
[Abstract]:Background: with the advancement of medical science and technology, the improvement of neonatal rescue level and the strengthening of neonatal intensive care technology, the birth rate and survival rate of high-risk infants have been improved year by year. The incidence of brain injury in children showed an increasing trend accordingly. At the same time, due to the improvement of people's living standard and education, more and more parents pay attention to the mental and motor development of their children, which makes the treatment of children's motor retardation as soon as possible, timely and effective has become a major issue. Infantile stunting is a difficult and difficult disease in paediatrics, and it is a worldwide medical problem. So far, there is still no effective treatment scheme, and the treatment of pure traditional Chinese medicine is still blank. The main purpose of this study is to summarize the theoretical understanding and treatment experience of infantile stunting in clinical practice, and to analyze the effect of treatment with objective data. Objective: through summarizing Lu Ying's theoretical understanding and treatment of infantile stunting, the author thinks that the treatment of infantile stunting should begin with the deficiency of Yang Qi and atmosphere. Through the summary of clinical treatment ideas, collection, collation and analysis of clinical data to prove the effectiveness of this treatment method, explore and summarize a reasonable and effective pure Chinese medicine treatment plan, so as to improve the exercise ability of children. Methods and contents: a set of clinical efficacy observation methods was designed by consulting experts. From January 2015 to March 2017, 30 children with stunted movement who met the inclusion criteria from the Center for diagnosis and treatment of difficult and complex Diseases of Ancient Chinese Medicine in Southern Hospital of Southern Medical University were collected for information, starting from atmosphere and Yang Qi. The children who were included in the study did not receive any other therapy during the treatment of syndrome differentiation, syndrome differentiation and treatment with syndrome, prescription without definite prescription and method without definite method. The children were treated in ancient Chinese medicine every half month in Southern Hospital of Southern Medical University. Each dose of Chinese medicine was divided into 2 days, twice a day, 50 ml per day, and one hour after meal every morning and evening. Each child included in the study visited a total of 6 times, respectively before treatment, after 3 treatment for half a month, 6 times for the second half month of treatment to fill in the gross exercise energy assessment form, to collect and collate the data of three times. SPSS20.0 statistical software was used to establish the database, one-way ANOVA method was used to analyze the data of three times, and Latin variance analysis was used to analyze the factors that might affect the results of data, including age, sex, and so on. Analysis of the initial severity of the disease, P0.05 as a statistical difference, and then to explore the air-based, Yang Qi use of pure Chinese medicine in the treatment of children with motor retardation clinical efficacy. Conclusion: through the analysis of clinical data, it can be concluded that the pure TCM therapy based on atmosphere, Yang Qi and syndrome differentiation can improve the gross motor ability of children with motor retardation. And through the data analysis, it can be seen that in the six treatments, the increase of the gross motor function score after the first three treatments is greater than that of the latter three treatments, indicating that with the prolongation of the treatment time, the effect of the treatment is continuously improved. However, there is a decreasing trend in the range of increase. After analyzing the factors that might affect the outcome of treatment, such as sex, age and initial condition, it was found that sex, age and initial condition had no effect on the results of the study. It is concluded that this method has a universal effect in the treatment of children with motor retardation, and the clinical treatment can be conducted regardless of age, sex or severity of illness.
【學(xué)位授予單位】：南方醫(yī)科大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2017
【分類號(hào)】：R277.7
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