影响小儿推拿临床治疗效果的相关因素探讨  

Discussion on the related factors influencing the clinical therapeutic effect of infantile massage in children

作　　者：王文奕[1] 王桂茂[1] 蔡君豪[1] 纪清[1] WANG Wenyi;WANG Guimao;CAI Junhao;JI Qing(Department of Massage,Shanghai Municipal Hospital of Traditional Chinese Medicine Affiliated to Shanghai University of Traditional Chinese Medicine,Shanghai 200071,China)

机构地区：[1]上海中医药大学附属市中医医院推拿科

出　　处：《中国医药导报》2019年第28期147-150,共4页China Medical Herald

基　　金：上海市科学技术委员会科研计划项目（16401932000）;上海市中医特色诊疗技术提升项目[ZY(2018-2020)-ZYJS-16];上海市卫生和计划生育委员会科研课题（20154Y0056）

摘　　要：小儿推拿是中医学的重要组成部分,作为一种中医特色外治疗法,由于其在儿童保健和儿科临床常见病的治疗中具有独到的优势,正被广泛应用于儿童疾病的防治中。目前运用小儿推拿进行临床治疗过程中,有时会发生临床疗效并不理想的情况,甚至不同医生对同一病种的治疗效果也会存在较大差别。本文从影响小儿推拿临床治疗效果的多种因素,包括介入时机、适应证及禁忌证、辨证、选穴组方、手法操作、患儿心理状态、医患关系、日常饮食起居等入手,进行深入的分析阐述,以期为从事小儿推拿的医生更好地掌握该疗法,为进一步提高临床疗效提供理论依据,开拓诊疗思路。Infantile massage is an important part of traditional Chinese medicine.As a special external therapy of traditional Chinese medicine,infantile massage is widely used in the prevention and treatment of children′s diseases because of its unique advantages in the treatment of children′s health care and common clinical diseases in pediatrics.As present,in the course of clinical treatment with infantile massage,sometimes unsatisfactory clinical effects may occur,and even the therapeutic effects of different doctors on the same diseases will be quite different.This article starts with the various factors that influence the clinical therapeutic effect of infantile massage,including intervention time,indications and contraindications,syndrome differentiation,acupoint selection and prescription,manipulation,psychological state of infantile children,physician-patient relationship,daily diet,daily living and so on,and makes an in-depth analysis and elaboration,in order to provide a theoretical basis for doctors engaged in pediatric massage to better grasp the therapy,further improve the clinical efficacy,and open up the thinking of diagnosis and treatment.

关 键 词：小儿推拿 疗效 影响因素 推拿手法 

分 类 号：R244.1[医药卫生—针灸推拿学]