【摘要】：目的：本課題是通過應(yīng)用捏脊療法輔助治療哮喘兒童1年,觀察該療法對(duì)治療組兒童身高、體重的影響,同時(shí)觀察該療法對(duì)哮喘兒童的癥狀及直接醫(yī)療成本的影響。方法：通過抽取70例4～5歲門診就診的哮喘患兒,分成捏脊治療組35例和非捏脊對(duì)照組35例,并對(duì)他們的病情進(jìn)行評(píng)估分級(jí)。按照病情需要使用西藥治療如ICS、茶堿類、β2受體激動(dòng)劑等,在此基礎(chǔ)上,捏脊治療組加以捏脊療法,由專人培訓(xùn)患兒家長(zhǎng)掌握捏脊方法：自長(zhǎng)強(qiáng)穴捏至大椎穴,如此反復(fù)7遍,每日1次,操作可在夜間睡前或洗澡后進(jìn)行。非捏脊對(duì)照組則不施加捏脊治療。同時(shí)并設(shè)立健康對(duì)照組,取同期同齡健康兒童35例。觀察時(shí)間為12個(gè)月,每月通過門診復(fù)診或電話隨訪收集臨床資料；觀察指標(biāo)包括：1、三組觀察對(duì)象的身高、體重的變化情況；2、哮喘患兒的喘息發(fā)作次數(shù)、日間癥狀(鼻塞流涕、咳嗽、噴嚏、氣促)和夜間癥狀(夜間憋醒、咳嗽)的天數(shù)；3、患兒每次就診的費(fèi)用即直接醫(yī)療成本(掛號(hào)費(fèi)、診查費(fèi)、治療費(fèi)、藥費(fèi))。結(jié)果：同健康對(duì)照組兒童年平均身高、體重年增長(zhǎng)相比,輕度哮喘患兒年平均身高、體重增長(zhǎng)分別減少了0.31cm、0.07kg, P＞0.05,差異無統(tǒng)計(jì)學(xué)意義。捏脊治療組經(jīng)治療后身高年平均增長(zhǎng)比非捏脊組的年平均身高增長(zhǎng)增加了0.82cm,差異有統(tǒng)計(jì)學(xué)意義(P0.05)；捏脊治療組患兒經(jīng)治療后體重年平均增長(zhǎng)比非捏脊對(duì)照組增加了0.5kg,P0.05,差異有統(tǒng)計(jì)學(xué)意義；捏脊治療組患兒經(jīng)治療后其身高年平均增長(zhǎng)7.48cm,正常兒童年平均增長(zhǎng)6.97,cm,兩組相比,差異有顯著性(P0.05)；捏脊治療組患兒經(jīng)治療后其體重年平均增長(zhǎng)2.04kg,正常兒童年平均增長(zhǎng)1.81kg,兩組相比,差異有顯著性(P0.05)。捏脊治療組哮喘患兒喘息發(fā)作的次數(shù)少于非捏脊組患兒,差異有統(tǒng)計(jì)學(xué)意義(P0.01)。捏脊治療組與非捏脊治療組的臨床癥狀(日間癥狀、夜間癥狀)相比較,差異有顯著性(P0.01)。非捏脊組哮喘患兒年平均直接醫(yī)療費(fèi)用為4798.70元,捏脊治療組年平均直接醫(yī)療費(fèi)用為363.79元,兩組費(fèi)用相比,P0.01,差異有顯著性。結(jié)論：捏脊療法操作簡(jiǎn)便、耗時(shí)少,依從性好,易被患兒及家長(zhǎng)接受。捏脊療法不僅能促進(jìn)哮喘患兒身高、體重的增長(zhǎng),并且能減少哮喘患兒的喘息發(fā)作次數(shù)、改善患兒的臨床癥狀(日間癥狀和夜間癥狀),同時(shí)還可以降低哮喘患兒的直接醫(yī)療成本,減輕患兒家長(zhǎng)的精神和經(jīng)濟(jì)負(fù)擔(dān)。另外,哮喘患兒身高、體重的年增長(zhǎng)值和健康兒童的身高、體重年增長(zhǎng)值差異無顯著性。
[Abstract]:Objective: To study the effect of this therapy on the children's height and body weight in the treatment group, and to observe the effect of the therapy on the symptoms and direct medical cost of children with asthma. Methods: A total of 70 children with asthma from 4 to 5 years of age were collected,35 cases of the treatment group and 35 cases of the non-pinch control group were divided into the treatment group, and their condition was assessed and graded. According to the condition, western medicine can be used for treating such as ICS, theophylline and other receptor agonists. The operation can be carried out before or after night. No pinch treatment was applied in the non-pinch control group. At the same time, a healthy control group was established to take 35 cases of healthy children of the same age in the same period. The observation time was 12 months, and the clinical data were collected every month through the clinic visit or the telephone follow-up; the observation indexes include:1, the change of the height and the weight of the three groups of observation objects;2. the number of wheezing episodes and the daytime symptoms of the children with asthma (nasal obstruction, nasal discharge, cough, sneezing, The number of days of gas and night symptoms (night-up and cough);3. The cost of each visit to the child is the direct medical cost (the medical expense, the medical fee, the treatment fee, the medical expense). Results: The average height and body weight of the children with mild asthma decreased by 0.31 cm, 0.07 kg and P> 0.05, respectively, with no statistical significance compared with the average height of the children in the healthy control group. The average increase of height in the treatment group was 0.82 cm, the difference was statistically significant (P0.05). The average increase of the body weight in the treatment group was 0.5kg, P0.05, and the difference was of statistical significance. In the treatment group, the average height of the children in the treatment group was 7.48 cm, the average growth of the normal children was 6.97, cm, and the difference was significant (P0.05). The average increase of the body weight of the children with the treatment group was 2.04 kg and the average of the normal children was 1.81 kg, compared with that of the two groups. The difference was significant (P0.05). The number of wheezing episodes in the patients with asthma in the treatment group was less than that of the non-pinch group (P0.01). The clinical symptoms (daytime and night symptoms) of the treatment group and the non-pinching treatment group were significant (P0.01). The average direct medical cost of the non-pinching group was 4798.70 yuan, the average direct medical expense in the treatment group was 363.79 yuan, and the difference between the two groups was significantly higher than that of the two groups. Conclusion: The method is simple, time-consuming and good in compliance, and is easy to be accepted by children and parents. The invention can not only promote the height and body weight of the children with asthma, but also can reduce the number of wheezing episodes of the children with asthma, improve the clinical symptoms of the children (daytime symptoms and night symptoms), and also can reduce the direct medical cost of the children with asthma, And the mental and economic burden of the parent of the child is reduced. In addition, the annual growth of height and body weight of children with asthma and the height of healthy children were not significant.
【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】：2016
【分類號(hào)】：R244.1

【相似文獻(xiàn)】

相關(guān)期刊論文 前10條

1 白楊;郭義;王紅;;捏脊治療小兒腹瀉的文獻(xiàn)研究[J];河南中醫(yī);2012年10期

2 金葉;;“捏脊”可以消疲勞[J];家庭與家教;2007年10期

3 果培厚 ,俊英;捏脊除疳積[J];醫(yī)藥世界;2000年02期

4 邱志文;中藥配合捏脊治療小兒反復(fù)呼吸道感染20例[J];中國民間療法;2005年05期

5 馬啟杭;捏脊治療50例小兒腹瀉[J];基層醫(yī)學(xué)論壇;2005年07期

6 陳火蓮;;捏脊療法在兒科的臨床應(yīng)用[J];現(xiàn)代中西醫(yī)結(jié)合雜志;2006年11期

7 鄧玉萍;齊錚;萬琦;;中藥配合捏脊治療小兒反復(fù)呼吸道感染臨床研究[J];遼寧中醫(yī)雜志;2007年01期

8 孫沫;劉媛媛;;捏脊療法治療小兒腹瀉104例療效觀察[J];黑龍江醫(yī)藥科學(xué);2007年02期

9 王剛;馬亞琴;;小兒保健話捏脊[J];內(nèi)蒙古中醫(yī)藥;2009年03期

10 許曉虹;;捏脊療法驗(yàn)案兩則[J];中國民間療法;2010年04期

相關(guān)會(huì)議論文 前10條

1 米繼強(qiáng);;寶寶捏脊治百病[A];2009年全國中醫(yī)藥科普高層論壇論文集[C];2009年

2 畢美芬;張雪鋒;徐佩莉;;三伏天捏脊治療小兒反復(fù)呼吸道感染50例[A];第28次全國中醫(yī)兒科學(xué)術(shù)大會(huì)暨2011年名老中醫(yī)治療（兒科）疑難病臨床經(jīng)驗(yàn)高級(jí)專修班論文匯編[C];2011年

3 詹強(qiáng);;捏脊療法治療小兒腹瀉技術(shù)[A];2008國家級(jí)中醫(yī)藥繼教項(xiàng)目《推拿優(yōu)勢(shì)病種適宜診療技術(shù)》《頸性眩暈診斷新技術(shù)與中醫(yī)推拿》暨省推拿學(xué)術(shù)年會(huì)資料[C];2008年

4 雷聲;;新型營(yíng)養(yǎng)不良癥的治療與分析——捏脊療法與5例病例療效與觀察[A];中國心理衛(wèi)生協(xié)會(huì)兒童心理衛(wèi)生專業(yè)委員會(huì)第十次學(xué)術(shù)交流會(huì)論文集[C];2006年

5 王述明;;捏脊治療小兒腹瀉、厭食[A];全國中醫(yī)小兒推拿學(xué)術(shù)沙龍會(huì)議論文匯編[C];2009年

6 張銳;;捏脊療法治療小兒脾虛征的臨床觀察[A];全國中西醫(yī)結(jié)合兒科第十次學(xué)術(shù)會(huì)議論文集[C];2002年

7 王君;張世卿;高清順;;捏脊療法在兒科“治未病”中的應(yīng)用[A];第十二次全國推拿學(xué)術(shù)年會(huì)暨推拿手法調(diào)治亞健康臨床應(yīng)用及研究進(jìn)展學(xué)習(xí)班論文集[C];2011年

8 崔瑾;吳高鑫;蔣青;;單用捏脊療法治療小兒脾虛證的療效評(píng)定[A];中國針灸學(xué)會(huì)2009學(xué)術(shù)年會(huì)論文集（下集）[C];2009年

9 王曉鳴;陳健;季聰華;徐彩飛;殷瑛;;經(jīng)絡(luò)調(diào)理(捏脊推拿)技術(shù)在兒童保健系統(tǒng)管理中的應(yīng)用研究[A];首屆“之江中醫(yī)藥論壇”暨浙江省中醫(yī)藥學(xué)會(huì)2011年學(xué)術(shù)年會(huì)論文集[C];2011年

10 楊麗霞;鄭明;;捏脊配合針?biāo)目p治療兒童情緒障礙的臨床體會(huì)[A];全國中醫(yī)小兒推拿學(xué)術(shù)沙龍會(huì)議論文匯編[C];2009年

相關(guān)重要報(bào)紙文章 前10條

1 施文;捏脊有助于孩子長(zhǎng)高[N];中國中醫(yī)藥報(bào);2006年

2 上海中醫(yī)藥大學(xué)附屬曙光醫(yī)院推拿科 朱國苗;成人睡前多捏捏脊[N];健康時(shí)報(bào);2009年

3 張正修;捏脊幫您除腹痛[N];中國中醫(yī)藥報(bào);2006年

4 健康時(shí)報(bào)特約記者 戴秀娟;“捏脊”能消除疲勞嗎？[N];健康時(shí)報(bào);2008年

5 河南中醫(yī)學(xué)院第一附屬醫(yī)院推拿科 王君;小兒捏脊治未病[N];中國中醫(yī)藥報(bào);2009年

6 河南 張孟庚 湖南湘雅醫(yī)院 李煒 教授;捏脊健兒[N];家庭醫(yī)生報(bào);2004年

7 北京同仁醫(yī)院傳統(tǒng)醫(yī)學(xué)科 陳陸泉;天涼捏捏脊 方便又健康[N];光明日?qǐng)?bào);2013年

8 王國瑋;中醫(yī)捏脊 巧治疳積[N];家庭醫(yī)生報(bào);2006年

9 欣欣;捏脊幫你除腹痛[N];保健時(shí)報(bào);2006年

10 王寧;捏脊治療“小兒露睛”[N];醫(yī)藥養(yǎng)生保健報(bào);2007年

相關(guān)碩士學(xué)位論文 前4條

1 邱冰心;捏脊療法對(duì)哮喘兒童身高影響的臨床研究[D];廣州中醫(yī)藥大學(xué);2016年

2 黃新堯;捏脊對(duì)小兒反復(fù)上呼吸道感染的影響[D];廣州中醫(yī)藥大學(xué);2012年

3 黃睦仁;捏脊對(duì)小兒支氣管哮喘發(fā)作的影響[D];廣州中醫(yī)藥大學(xué);2012年

4 葛金玲;捏脊療法治療小兒外感發(fā)熱的免疫和腸道微生態(tài)機(jī)制研究[D];廣州中醫(yī)藥大學(xué);2007年

，

本文編號(hào)：2503287