益气通督手法治疗小儿脾虚泻的多中心随机对照研究  

Multi-central randomized controlled investigation on the massage for supplementing qi and removing obstruction in the Governor Vessel for treatment of infantile diarrhea due to spleen deficiency

作　　者：王华兰[1] 张世卿[2] 张璞璘[1] 耿香菊[3] 严晓慧[1] 张淑君[1] 郎敏 王喆[2] 林国平[1] 陈建辉[1] 

机构地区：[1]河南中医学院第三附属医院推拿科,郑州450008 [2]河南中医学院第一附属医院 [3]郑州市儿童医院 [4]郑州市中医院

出　　处：《中国针灸》2008年第11期813-816,共4页Chinese Acupuncture & Moxibustion

基　　金：国家中医药管理局中医临床诊疗技术整理与研究项目:国中医药科2003ZL42号

摘　　要：目的:对益气通督手法治疗小儿脾虚泻的疗效进行评价。方法:将275例患儿采用多中心、随机、对照方法分为观察组(n=137)和对照组(n=138),观察组采用益气通督手法治疗,对照组采用中医院校教材《推拿学》中所规定手法治疗。治疗7天后比较两组疗效。结果:观察组治愈率为83.2%,对照组治愈率为69.6%,差异有统计学意义(P<0.05),观察组疗效优于对照组。两组平均治愈时间比较,观察组平均治愈时间(3.22±1.04)天,对照组平均治愈时间(4.20±1.11)天,差异有统计学意义(P<0.05),观察组短于对照组。结论:益气通督手法治疗小儿脾虚泻疗效确切,起效快,适宜普及推广应用。Objective To make multi-central clinical evaluation of the massage for supplementing qi and removing obstruction in the Governor Vessel for treatment of infantile diarrhea due to spleen deficiency. Methods By using multi-central, randomized and controlled method, 275 cases were randomly divided into an observation group （n= 137） and a control group （n= 138）. The observation group were treated by the massage for supplementing qi and removing obstruction in the Governor Vessel, and the control group by routine massage therapy in Tuina Science, a teaching material for college and school of TCM. After treatment for 7 days, their therapeutic effects were compared. Results The cured rate was 83.2X in the observation group and 69.6% in the control group with a significant difference between the two groups （P〈0.05）, the former being better than the latter. The mean cured time was （3.22±1.04） days in the observation group and （4. 20±1.11） days in the control group with a significant difference between the two groups （P〈0.05）, the former being shorter than the latter. Conclusion The massage for supplementing qi and removing obstruction in the Governor Vessel has a definite therapeutic effect on infantile diarrhea due to spleen deficiency, with rapid effect.

关 键 词：脾虚 腹泻 婴儿 手法 捏脊 督脉 益气通督手法 小儿推拿 

分 类 号：R246.4[医药卫生—针灸推拿学]