健脾和胃推拿法治疗小儿厌食症的临床观察  

Application of Tui Na Manipulation of Invigorating Spleen and Harmonizing Stomach in Child Anorexia

作　　者：杨华[1] 张黎[1] 李冬梅[1] 

机构地区：[1]云南中医学院

出　　处：《山东中医杂志》2018年第3期201-204,211,共5页Shandong Journal of Traditional Chinese Medicine

摘　　要：目的：观察健脾和胃推拿法治疗小儿厌食症的临床疗效。方法：120例厌食症患儿根据证候分为实证组60例和虚证组60例，按照优诊顺序抽取实证组30例和虚证组30例分别组成治疗组和对照组各60例。治疗组采取健脾和胃推拿法治疗。对照组采取教材中的常规治疗方法，观察记录两组患儿治疗前后症状改善积分，评价临床疗效。结果：两种治疗都有效。治疗组疾病总有效率95．00％，对照组疾病总有效率91．67％，差异无统计学意义（P〉0．05）。治疗后治疗组平均症状总积分、食欲评分低于对照组（P〈0．05）；食量、面色、精神情绪、出汗、腹部不适、大便不调、呕吐等方面的评分比较差异无统计学意义（P〉0．05）；实证组，治疗组平均总积分低于对照组（P〈0．05），虚证组差异无统计学意义（P〉0．05）；治疗组症状总积分实证组与虚证组之间差异无统计学意义（P〉0．05）。结论：健脾和胃推拿法治疗小儿厌食症安全有效，具有临床借鉴意义。Objectives：To observe and compare the clinical effect of child anorexia treated with tui na manipulation of invigorating spleen and harmonizing stomach. Methods：There were 120 child anorexia patients divided into excessive type and deficient type according to the syndrome,60 patients in each group. 30 cases of the excessive type and 30 cases of the dificient type were selected according to the priority treatment order. The treatment group and control group were respectively composed of 60 patients. In the treatment group,patients were treated with tui na manipulations of invigorating the spleen and harmonizing stomach, while in the control group,patients were treated with routine tui na manipulations from the textbook. The symptom scores were recorded and the clinical effects were compared. Results：Both tui na manipulations showed certain effect. In the treatment group,the total effective rate was 95.00% ,while in the control group is 91.67%,there was no difference between them（P〉0.05）. The symptom score and appetite score in the treatment group were lower than those in the control group;there was no difference on the food intake,com- plexion,mood,sweating,abdominal discomfort,stool irregularity and vomiting. In the anorexia patients of excessive type,the average total score in the experimental group was lower than that in the control group（P〈 0.05） ,while in the anorexia patients of deficient type,there was no difference between the treatment group and control group（P〉0.05）;In the treatment group,there was no significant difference between the excessive type and deficient type on the total symptom score（P〉0.05）. Conclusion：Tui na manipulation of invigorating spleen and harmonizing stomach for child anorexia is safe and effective ,and is of clinical significance.

关 键 词：健脾和胃推拿法 小儿厌食症 临床观察 

分 类 号：R244.154[医药卫生—针灸推拿学]