三字经流派推拿法治疗小儿厌食症临床观察  

Clinical Observation on Three-character Classic School Tuina for Anorexia in Children

作　　者：邓丽君[1] 杜洪煊 李彦昕[1] 陈秀梅[1] 杨京华[1] DENG Lijun;DU Hongxuan;LI Yanxin;CHEN Xiumei;YANG Jinghua

机构地区：[1]广东省中医院儿科,广东广州510120 [2]广州市妇女儿童医疗中心,广东广州510623

出　　处：《新中医》2018年第9期168-171,共4页New Chinese Medicine

基　　金：广东省中医院中医特色与优势临床专题研究课题(YN2014TS02)

摘　　要：目的:观察三字经流派推拿法治疗脾胃气虚、脾失健运型小儿厌食症的临床疗效。方法:选取136例符合试验标准的厌食症患儿,按随机数字表法分为对照组和推拿组,各68例。对照组口服赖氨肌醇维B12口服液,推拿组接受三字经流派推拿方案。观察治疗前后患儿食欲、食量、中医症状体征情况,评估临床疗效及中医症候改善情况。治疗结束2周后随访疗效评估为有效的患儿,评估厌食症的复发情况。结果:推拿组总有效率为88.24%,对照组总有效率为52.94%,2组比较,差异有统计学差异(P<0.01)。治疗前,2组食欲积分、食量积分、中医症候总积分比较,差异无统计学意义(P>0.05)。治疗后,2组食欲积分、食量积分、中医症候总积分显著降低(P<0.01);推拿组食量积分、症候总积分低于对照组(P<0.01)。推拿组复发率为30.36%,对照组复发率为27.7 8%,2组比较,差异无统计学意义(P>0.05)。结论:三字经流派推拿法治疗脾胃气虚、脾失健运型小儿厌食症疗效较好,优于常规西药。Objective： To observe the clinical effect of three-character classic school Tuina for anorexia in children of type of qi deficiency of spleen and stomach or type of dysfunction of spleen in transportation. Methods： Selected 136 cases of children with anorexia who met the test criteria and randomly divided them into the control group and the Tuina group,68 cases in each group. The control group received oral liquid of lysine-inositol-vitamin B12,while the Tuina group was given the therapy of three-character classic school Tuina. Observe the appetite,food consumption,Chinese medicine symptoms and signs of children before and after treatment,and evaluated the clinical effect and improvements of Chinese medicine syndromes. Two weeks after the treatment, a follow-up was given to those whose assessment of curative effect were effective and then the recurrence of anorexia was evaluated. Results：The total effective rate was 88.24% in the Tuina group and 52.94% in the control group,difference being significant（P〈0.01）. Before treatment,there was no significant differences being found in the comparisons of scores of appetite and food consumption as well as the total scores of Chinese medicine syndromes between the two groups（P〉0.05）. After treatment,scores of appetite and food consumption as well as the total scores of Chinese medicine syndromes in the two groups were significantly decreased（P〈0.01）. The food consumption score and the total score of syndromes in the Tuina group were lower than those in the control group（P〈0.01）. The recurrence rate was30.36% in the Tuina group and 27.78% in the control group, difference being insignificant（P〉0.05）. Conclusion： The therapy of three-character classic school Tuina for anorexia in children of type of qi deficiency of spleen and stomach or type of dysfunction of spleen in transportation has a better curative effect than routine western medicine.

关 键 词：厌食症 儿童 小儿推拿 外治法 三字经流派 赖氨肌醇维B12 

分 类 号：R244.1[医药卫生—针灸推拿学] R272[医药卫生—中医临床基础]