小儿推拿治疗240例婴幼儿急性腹泻技术手法特点  

Technical Characteristics of Infantile Massage in the Treatment of 240 Infants with Acute Diarrhea

作　　者：彭玉[1] 冷丽[1] 孙海鹏[1] 杨见辉[1] 汪惠尧[1] 彭跃[2] 

机构地区：[1]贵阳中医学院第二附属医院,贵阳550001 [2]贵阳医学院附属医院省政府机关门诊部,贵阳550004

出　　处：《世界科学技术-中医药现代化》2013年第4期774-779,共6页Modernization of Traditional Chinese Medicine and Materia Medica-World Science and Technology

基　　金：财政部国家中医药行业科技专项"50项中医特色临床诊疗技术规范化的示范研究项目"(国中医药函(2009)9号-2009ZL40):推拿手法治疗婴幼儿急性腹泻技术;负责人:彭玉;贵州省中医药管理局中医药;民族医药科学技术研究专项(黔中医药发(2009)79号-7):小儿推拿手法治疗腹泻病相关文献研究与应用;负责人:彭玉;国家中医药管理局2010年全国各老中医药专家传承工作室建设项目(国中医药人教发〔2010〕59号):黄建业名老中医药专家传承工作室建设;负责人:彭玉

摘　　要：目的:客观评价规范化推拿手法治疗240例婴幼儿急性腹泻技术的有效性和安全性,以普及和推广小儿推拿应用技术。方法:采用多中心随机对照研究240例婴幼儿急性腹泻病,推拿治疗组(180例)取主穴脾经、大肠、阑门等与配穴三关等,对照组(60例)口服思密达治疗,用SPSS 15.0软件统计分析,评价小儿推拿技术治疗腹泻病综合疗效、时点疗效、安全性、技术稳定性。结果:治疗组腹泻综合疗效痊愈率为75.6%(136/180),对照组21.7%(13/60),治疗组显著优于对照组(P<0.001);时点疗效上治疗组中医证候总积分改善显著优于对照组(P<0.001);3个研究中心推拿技术稳定(P>0.05);两组均无不良反应。结论:推拿治疗婴幼儿急性腹泻技术疗效显著,安全稳定,值得推广。This study was aimed to objectively evaluate the validity and safety of normalized Tuina massage therapy on the treatment of 240 infants with acute diarrhea,thus disseminate and promote the application of infantile Tuina massage therapy.This study is a multicenter,randomized,controlled trial of 240 cases with acute infantile diarrhea.The experimental group（180 cases） was treated with Tuina massage therapy.The main acupoints are Pi-jing,Da-chang,Lan-men.And the combining acupoint is San-guan.In the control group（60 cases）,the patients were orally administered with Smecta.The statistical analysis was conducted with SPSS 15.0.The comprehensive curative effect,time point effect,safety and technical stability of infantile Tuina massage were evaluated in the treatment of acute diarrhea.The results showed that the comprehensive effect of cure rate in the experimental group was 75.6%（136/180）,and that of the control group was 21.7%（13/60）.It showed that the effect in the experimental group was significantly better than the control group（P〈0.001）.Time point effect showed that the TCM Syndrome Total Score was significantly improved in experimental group compared with control group（P〈0.001）.Tuina massage techniques were stable in each research center（P〈0.05）.Furthermore,there was no side effect in both groups.It was concluded that the infantile massage technique is an effective therapy for the treatment of acute diarrhea.Meanwhile,it is a safe and stable therapy and is worth popularizing.

关 键 词：婴幼儿 急性腹泻 推拿技术 手法特点 

分 类 号：R244.1[医药卫生—针灸推拿学]