Therapeutic effect observation of Shanghai-style tuina method for infantile diarrhea  

海派推拿法治疗小儿腹泻的疗效观察

作　　者：沈一菁 陈志伟 邓樱(译) 

机构地区：[1]Yueyang Hospital of Integrated Chinese and Western Medicine,Shanghai University of Traditional Chinese Medicine,Shanghai 200437,China [2]不详

出　　处：《Journal of Acupuncture and Tuina Science》2016年第5期347-352,共6页针灸推拿医学（英文版）

基　　金：supported by‘Science-technology Yueyang’Talent Cultivation Project of Yueyang Hospital of Integrative Chinese and Western Medicine,Shanghai University of Traditional Chinese Medicine(No.30304115274);Training Program of the Talents for TCM Rare Clinics and Specific Diagnostic and Therapeutic Techniques(Only Love Angle Fund of Shanghai Charity Foundation);Construction Item of National Clinical Key Specialties(No.ZK0901TN007);Ding’s Tuina Project of Three-year Action Plan of Shanghai Chinese Medicine Development(Inheritance Project of Shanghai-style Chinese Medicine)(No.ZYSNXD-CC-HPGC-JD-011)~~

摘　　要：Objective： To observe the clinical efficacy of Shanghai-style tuina method based on syndrome differentiation in treating infantile diarrhea. Methods： Sixty patients were randomly divided into an observation group and a control group, 30 cases in each group. The patients in the observation group were treated by Shanghai-style tuina method based on syndrome differentiation, while the patients in the control group were treated by conventional Shanghai-style tuina method, once per day, continuous 5 d for a treatment course. The efficacy was evaluated according to the score of the quantization table for symptoms differentiation in infantile diarrhea after one course. Results： During the treatment, two cases in the control group dropped out. After treatment, the scores were significantly decreased in both groups and the intra-group differences were statistically significant （both P〈0.01）, indicating the two treatment methods were effective with infantile diarrhea. In the efficacies of traditional Chinese medicine （TCM） syndrome, the cured and markedly effective rate in the observation group was significantly higher than that in the control group （P〈0.05）, suggesting that Shanghai-style tuina method based on syndrome differentiation was more effective than conventional Shanghai-style tuina method. Conclusion： Conventional Shanghai-style tuina method is characterized by fixed acupoints, remembering easily and operating conveniently. It has a significant effect in treating children with diarrhea, and is worthy of clinical promotion and popularization. However, Shanghai-style tuina method based on syndromes differentiation requires the solid theoretical foundation and rich clinical experience of TCM. And because Shanghai-style tuina method based on syndromes differentiation is applied under the guidance of syndrome differentiation and TCM theory, it can improve the clinical efficacy.目的:观察海派推拿法辨证分型治疗小儿腹泻的临床疗效。方法:将符合诊断标准的60例受试者随机分为观察组和对照组,每组30例,观察组采用海派推拿辨证分型方治疗,对照组采用海派推拿基础方治疗。每天治疗1次,连续治疗5 d为1个疗程,治疗1个疗程后根据小儿泄泻病症状分型量化表评分评价疗效。结果:治疗过程中,对照组脱落2例。治疗后,两组症状评分均明显下降,与本组治疗前有统计学差异(均P<0.01),说明两种治疗方案对小儿腹泻均有效。两组中医证候疗效比较,观察组愈显率明显高于对照组(P<0.05),说明海派推拿辨证分型治疗小儿腹泻临床疗效优于海派推拿基础方治疗。结论:海派推拿基础方具有手法取穴固定、方便记忆与操作的特点,在治疗小儿腹泻方面具有显著疗效,值得临床推广与普及。海派推拿辨证分型方则需要扎实的中医理论基础和丰富的临床经验,在中医辨证论治理论指导下应用推拿手法,能提高临床疗效。

关 键 词：TUINA MASSAGE Pediatric Tuina Spleen Deficiency DIARRHEA INFANT 

分 类 号：R244.1[医药卫生—针灸推拿学]