湘西刘氏小儿推拿治疗小儿脾虚泄泻的疗效观察
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摘要
目的:评价湘西刘氏小儿推拿对于小儿脾虚泄泻的治疗效果。方法:选择2016年1月-2017年12月我院儿科及针灸推拿科收治的80例脾虚型泄泻患儿。对照组40例,给予口服药物(蒙脱石散每次1包,每天3次+双歧杆菌乳杆菌三联活菌片每次1粒,每天2次)治疗;治疗组40例,给予湘西刘氏小儿推拿治疗,1次/d。1个疗程(5天)后进行疗效评价:①两组临床症状有效率比较;②两组中医证候评分比较;③两组患儿不良反应及治疗依从性比较。结果:①对照组及治疗组治愈率分别为37.5%、42.5%,治疗组高于对照组(P <0.05)。而两组患者总有效率均为90.0%(P> 0.05)。②经治疗,两组患儿病情明显好转,对照组及治疗组中医证候总评分分别为(0.9±0.6)分、(0.9±0.5)分,数据差异比较无统计学意义(P> 0.05)。③对照组治疗期间约10例(25%)患者存在不同程度的恶心、呕吐反应,治疗组治疗期间未出现明显不良反应(P <0.05)。对照组患儿治疗依从性总得分为319分,平均7.975分;治疗组患儿治疗依从性总得分为471分,平均11.775分。治疗组治疗依从性明显高于对照组(P <0.05)。结论:湘西刘氏小儿推拿是治疗小儿脾虚泄泻的较好方法,较之药物治疗虽疗效相当,但安全性更高,无不良反应,且患儿更易配合,值得推广。
Objective: To evaluate the efficacy of Xiangxi Liu's infantile massage on diarrhea of Pixu( 脾虚) in children. Methods:80 children were selected. 40 cases in the control group were given montmorillonite, bifidobacterium lactobacillus triple live fungus tablets.40 cases in the treatment group were given Xiangxi Liu's infantile massage. Clinical symptoms efficiency, TCM syndromes scores, adverse reactions and compliances were evaluated after 1 course. Results: The cure rate in the control group and treatment group were 37.5% and42.5% respectively, and that in the treatment group was higher(P<0.05). The total efficiency was 90.0% in two groups respectively. After treatment, the condition in two groups was obviously improved. The total score of TCM syndromes in the control group and treatment group was(0.9±0.6) and(0.9±0.5) respectively, with no statistically significant difference(P>0.05). During the treatment, 10 patients(25.0%) had different degrees of nausea and vomiting in the control group, and there was no significant adverse reaction during treatment in the treatment group(P<0.05). The treatment compliance in the control group was 319 points, averaging 7.975 points, and that in the treatment compliance was 471 points, averaging 11.775 points. The treatment compliance in the treatment group was significantly higher than the control group(P<0.05). Conclusion: Xiangxi Liu's infantile massage is a good method, with high safety, no toxic side effect of drugs, more compatible, and is worth popularizing.
Objective: To evaluate the efficacy of Xiangxi Liu's infantile massage on diarrhea of Pixu( 脾虚) in children. Methods:80 children were selected. 40 cases in the control group were given montmorillonite, bifidobacterium lactobacillus triple live fungus tablets.40 cases in the treatment group were given Xiangxi Liu's infantile massage. Clinical symptoms efficiency, TCM syndromes scores, adverse reactions and compliances were evaluated after 1 course. Results: The cure rate in the control group and treatment group were 37.5% and42.5% respectively, and that in the treatment group was higher(P<0.05). The total efficiency was 90.0% in two groups respectively. After treatment, the condition in two groups was obviously improved. The total score of TCM syndromes in the control group and treatment group was(0.9±0.6) and(0.9±0.5) respectively, with no statistically significant difference(P>0.05). During the treatment, 10 patients(25.0%) had different degrees of nausea and vomiting in the control group, and there was no significant adverse reaction during treatment in the treatment group(P<0.05). The treatment compliance in the control group was 319 points, averaging 7.975 points, and that in the treatment compliance was 471 points, averaging 11.775 points. The treatment compliance in the treatment group was significantly higher than the control group(P<0.05). Conclusion: Xiangxi Liu's infantile massage is a good method, with high safety, no toxic side effect of drugs, more compatible, and is worth popularizing.
引文
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[15]李翠英,李金香.湘西刘氏小儿推拿“推经治脏”论治小儿遗尿[J].中国中医药信息杂志,2017,24(02):106-108.
[16]王英,王小军,邵湘宁.刘氏小儿推拿治疗小儿风寒咳嗽40例临床观察[J].湖南中医杂志,2014,30(05):85-86.
[17]蒋珞琦,顾星.湘西刘氏小儿推拿治疗小儿腹泻初探[J].中国民族民间医药,2016,25(06):82-83.
[2]Das JK, Salam RA, Bhutta ZA. Global burden of childhood diarrhea and interventions[J].Curr Opin Infect Dis,2014,27(05):451-458.
[3]白建民.益气运脾化湿方治疗小儿脾虚泄泻的临床观察[J].中医临床研究,2015,7(26):22-23.
[4]韩华刚.健脾宣肺汤治疗小儿脾虚泄泻53例临床疗效观察[J].中医临床研究,2016,8(28):100,102.
[5]高红丽.中医综合治疗小儿脾虚型泄泻的临床治疗研究[J].中医临床研究,2014,6(28):91-92.
[6]雷建波.湘西刘开运小儿推拿治疗小儿脾虚型泄泻的临床观察[D].长沙:湖南中医药大学,2013.
[7]叶晓青,刘雅玲,陈维清.高血压患者有关该病知识、信念及其对治疗依从性的影响[J].中华护理杂志,1998,23(11):4-6.
[8]徐君英,赵君平,王爱茹.中医综合治疗小儿脾虚型泄泻的临床治疗进展[J].现代中西医结合杂志,2013,22(11):1241-1243.
[9]利世顶.儿童腹泻病的治疗进展[J].基层医学论坛,2016,20(06):817-819.
[10]徐君英,赵君平,王爱茹.中医综合治疗小儿脾虚型泄泻的临床治疗进展[J].现代中西医结合杂志,2013,22(11):1241-1243.
[11]温玉成,蔡坚雄,吴大嵘.中医外治法治疗小儿腹泻的研究现状[J].中医药导报,2016,22(09):96-99.
[12]汤伟,邵湘宁,章薇,等.浅议湘西刘氏小儿推拿“推经治脏”的学术思想[J].中国针灸,2015,35(06):595-596.
[13]蒋珞琦,顾星.湘西刘氏小儿推拿治疗小儿腹泻初探[J].中国民族民间医药,2016,25(06):82-83.
[14]符明进,汤伟.湖南湘西刘氏小儿推拿特点简介[J].新中医,2012,44(04):159-160.
[15]李翠英,李金香.湘西刘氏小儿推拿“推经治脏”论治小儿遗尿[J].中国中医药信息杂志,2017,24(02):106-108.
[16]王英,王小军,邵湘宁.刘氏小儿推拿治疗小儿风寒咳嗽40例临床观察[J].湖南中医杂志,2014,30(05):85-86.
[17]蒋珞琦,顾星.湘西刘氏小儿推拿治疗小儿腹泻初探[J].中国民族民间医药,2016,25(06):82-83.