三字经流派推拿适宜技术推广方式研究
|
摘要
目的筛选三字经流派小儿推拿最佳培训方案,以利于更好地推广应用。方法采用短期(2～3 d)、中期(2周)、长期(3～6个月)培训,以小儿泄泻为例,选取2009年10月至2015年6月在青岛市中医医院及5家合作单位就诊的符合纳入排除标准的泄泻患儿660例作为观察对象,证型包括伤食泄泻、脾虚泄泻、风寒泄泻、脾肾阳虚泄泻、湿热泻。培训2周学员进入第一期验证(302例),培训3个月学员进入第二期验证(240例),培训6个月学员进入第三期验证(118例)。采用推拿治疗3 d后观察临床疗效及合并用药情况。结果 (1)经不同方案培训的临床医师进行操作,第一、二、三期临床验证总有效率分别为94.0%(284/302)、95.0%(228/240)、96.6%(114/118),不良反应发生率为0。(2)培训2周的学员,合并用药率为32.78%(99/302),培训3个月的学员,合并用药率为6.67%(16/240),培训6个月的学员,合并用药率为4.24%(5/118)。结论三字经流派推拿治疗小儿泄泻临床疗效显著和具有安全性,2周即可掌握,长期培训可降低合并用药率,是易掌握的一项适宜推广的技术。
Objective To screen for the best training program of Three-Character-Classic-school massage for children, in order to have better promotion and application.Methods The training was divided into 3 types: short-term(2-3 days), medium-term(2 weeks) and long-term(3-6 months). Take the childhood diarrhea as an example. A total of 660 children with diarrhea were included according to the inclusion and exclusion criteria, who were treated in Qingdao TCM Hospital and 5 other hospitals form October 2009 to June 2015. The type of diarrhea were: improper diet, spleen insufficiency, wind and cold, Yang-insufficiency of spleen and kidney, and wetness and heat. The trainees were tested at the first term(302 cases) after two weeks of training; the trainees were tested at the second term(240 cases) after 3 months of training; the trainees were tested at the third term(118 cases) after 6 months of training. Observe the clinical effect and the combination use of drugs after 3 days of massage treatment.Results(1) In the treatment by clinical physicians who were trained according to different training programs, the clinical total effective rate of the first, second and third term was 94.0%(284/302), 95.0%(228/240) and 96.6%(114/118), respectively; the incidence rate of adverse reactions were 0.(2) The rate of combination use of drugs was 32.87%(99/302) in the trainees with 2 weeks of training, 6.67%(16/240) in those with 3 months, and 4.24%(5/118) in those with 6 months.Conclusion The Three-Character-Classic-school massage treatment is significantly effective and safe in the clinical management of childhood diarrhea, which can be learned in 2 weeks. Long-term training can reduce the rate of combination use of drugs. It is easy to learn and suitable to be promoted.
Objective To screen for the best training program of Three-Character-Classic-school massage for children, in order to have better promotion and application.Methods The training was divided into 3 types: short-term(2-3 days), medium-term(2 weeks) and long-term(3-6 months). Take the childhood diarrhea as an example. A total of 660 children with diarrhea were included according to the inclusion and exclusion criteria, who were treated in Qingdao TCM Hospital and 5 other hospitals form October 2009 to June 2015. The type of diarrhea were: improper diet, spleen insufficiency, wind and cold, Yang-insufficiency of spleen and kidney, and wetness and heat. The trainees were tested at the first term(302 cases) after two weeks of training; the trainees were tested at the second term(240 cases) after 3 months of training; the trainees were tested at the third term(118 cases) after 6 months of training. Observe the clinical effect and the combination use of drugs after 3 days of massage treatment.Results(1) In the treatment by clinical physicians who were trained according to different training programs, the clinical total effective rate of the first, second and third term was 94.0%(284/302), 95.0%(228/240) and 96.6%(114/118), respectively; the incidence rate of adverse reactions were 0.(2) The rate of combination use of drugs was 32.87%(99/302) in the trainees with 2 weeks of training, 6.67%(16/240) in those with 3 months, and 4.24%(5/118) in those with 6 months.Conclusion The Three-Character-Classic-school massage treatment is significantly effective and safe in the clinical management of childhood diarrhea, which can be learned in 2 weeks. Long-term training can reduce the rate of combination use of drugs. It is easy to learn and suitable to be promoted.
引文
[1] 葛湄菲,张新建,高树彬,等.三字经流派推拿治疗小儿泄泻302例的临床分析[J].光明中医,2011,26(2):295-297.
[2] 国家中医药管理局.中医病证诊断疗效标准[M].南京:南京大学出版社,994:201-202.
[3] 葛湄菲,高岱清.英汉对照小儿推拿[M].上海:上海科学技术出版社,2009:14.
[4] 葛湄菲,郭晓琳.三字经流派推拿的学术特点[J].中华中医药杂志,2013,28(12):3500-3501.
[2] 国家中医药管理局.中医病证诊断疗效标准[M].南京:南京大学出版社,994:201-202.
[3] 葛湄菲,高岱清.英汉对照小儿推拿[M].上海:上海科学技术出版社,2009:14.
[4] 葛湄菲,郭晓琳.三字经流派推拿的学术特点[J].中华中医药杂志,2013,28(12):3500-3501.