推拿治疗小儿泄泻伤食证多中心随机对照研究  

Research of massage on children's diarrhea due to food damage by multi-center stratified randomization and equal control methods

作　　者：徐珊[1] 汪受传[2] 李江全[2] 陈秀珍[3,4] 徐玲 白凌军 

机构地区：[1]南京中医药大学研究生院,南京210029 [2]南京中医药大学中医儿科,南京210029 [3]南京中医药大学附属医院 [4]江苏省中医院儿科 [5]盐城市中医院儿科,江苏盐城224001 [6]镇江市中医院儿科,江苏镇江212000

出　　处：《中国中西医结合儿科学》2011年第3期210-212,共3页Chinese Pediatrics of Integrated Traditional and Western Medicine

基　　金：国家中医药管理局中医药科学技术研究专项课题(2009ZL25)

摘　　要：目的客观评价推拿治疗小儿泄泻伤食证的有效性。方法多中心、分层区组随机、平行对照临床研究方法。由3个中心协作完成小儿急性泄泻伤食证111例,包括观察组(推拿治疗)80例、对照组(培菲康和思密达治疗)31例。袪除脱落病例后,观察组76例、对照组30例。治疗2个疗程(6 d)后观察疗效。结果观察组疗效显著优于对照组(P<0.01)。2个疗程后,观察组主症总积分及分症(大便质地、质量)积分改善均优于对照组(P<0.01),而两组分症(大便次数、性状)积分改善差异无统计学意义。观察组总积分改善优于对照组(P<0.01)。结论推拿辨证疗法治疗小儿泄泻伤食证疗效优于西药(思密达+培菲康),值得推广应用。Objective To evaluate curative effect of massage treatment objectively on children with diarrhea due to food damage.Methods Multi-center stratified randomization and concurrent control methods.Totally 111 cases with food damage syndrome were observed in three centers.Except for 4 amotic cases in the test group and 1 amotic case in the control group,there were 76 cases in the test group and 30 cases in the control group totally.Results The total effect after one treatment course in the test group was significantly better than that in the control group（P0.01）.There were significant statistical difference between two groups in texture and quality of stool aspects,but not in stool frequency and character aspects.The test group was superior to control group.The total score after one treatment course between pre-treatment and post-treatment in the test group decreased more obviously than that in the control group（P0.01）.Conclusion Massage therapy is effective for children＇s diarrhea with food damage syndrome,which is better than western medicine（Bifico and Smectite） and should be popularized and applied to clinics.

关 键 词：泄泻 伤食证 推拿 外治法 腹泻 儿童 

分 类 号：R272[医药卫生—中医儿科学]