推拿联合中药热奄包治疗小儿夜啼心脾积热证临床研究  

Clinical study on pediatric Tuina combined with traditional Chinese medicine hot compress in treating children with nocturnal crying heart and spleen heat syndrome

作　　者：付倩 钟振环[1] 乔晓阳 苏小霞[1] 苏庆伟 Fu Qian;Zhong Zhenhuan;Qiao Xiaoyang;Su Xiaoxia;Su Qingwei(Department of Pediatrics,Eastern Hospital of Shijiazhuang Traditional Chinese Medicine,Shijiazhuang 050000,China)

机构地区：[1]河北省石家庄市中医院东院区儿科,050000

出　　处：《国际中医中药杂志》2020年第11期1079-1082,共4页International Journal of Traditional Chinese Medicine

基　　金：河北省中医药管理局科研计划项目(2019408)。

摘　　要：目的评价推拿联合中药热奄包治疗小儿夜啼心脾积热证的疗效。方法将符合入选标准的2017年4月-2019年1月石家庄市中医院儿科90例小儿夜啼心脾积热证患儿按随机数字法分为2组,每组45例。对照组口服钙剂与维生素D,观察组采用小儿推拿联合中药热奄包治疗。2组均治疗7 d。分别于治疗前后进行中医证候评分,并采用改良的SPIEGEL睡眠量表评估患儿的睡眠质量,评价啼哭疗效与中医证候疗效。结果观察组治疗后主症、次症评分及总分均低于对照组(t值分别为44.449、46.204、56.476,P值均<0.001);SPIEGEL睡眠量表评分[(4.7±0.9)分比(8.3±1.4)分,t=14.715]低于对照组(P<0.01);2组治疗后舌苔与指纹异常无明显变化(χ^2值分别为0.403、0.401,P值均>0.05)。观察组啼哭总有效率为91.1%(41/45)、对照组为62.2%(28/45),2组比较差异有统计学意义(χ^2=10.497,P<0.01);观察组中医证候总有效率为97.8%(44/45)、对照组为48.9%(22/45),2组比较差异有统计学意义(χ^2=27.500,P<0.01)。结论推拿联合中药热奄包可有效改善小儿夜啼心脾积热证患儿的中医证候,缓解睡眠功能障碍,提高临床疗效。Objective To observe the clinical effect of children’s massage combined with traditional Chinese medicine hot compress in the treatment of children with night crying heart and spleen fever syndrome.Methods From April 2017 to January 2019,90 children with nocturnal crying heart and spleen fever syndrome in the Department of Pediatrics,Shijiazhuang Traditional Chinese Medicine Hospital,who met the selection criteria were divided into 2 groups according to random numbers,with 45 cases in each group.The control group was given oral calcium and vitamin D,and the observation group was given children’s massage combined with traditional Chinese medicine hot compress treatment.Both groups were treated for 7 days.The scores of TCM syndromes were performed before and after treatment,and the improved SPIEGEL sleep scale was used to evaluate the sleep quality of the children,and to evaluate the efficacy of crying and TCM syndromes.Results After treatment,the scores of the primary and secondary symptoms in the observation group were significantly lower than those in the control group(t values were 44.449,46.204,56.476,respectively,all Ps<0.001);SPIEGEL sleep scale score(4.7±0.9 vs.8.3±1.4,t=14.715)was significantly lower than that of the control group(P<0.01).While the tongue coating and fingerprint abnormalities did not change significantly after treatment in both groups(χ^2 values were 0.403,0.401,respectively,all Ps>0.05).The total effective rate of crying in the observation group was 91.1%(41/45)and that in the control group was 62.2%(28/45).The difference between the two groups was statistically significant(χ^2=10.497,P<0.01).The total effective rate of TCM syndromes in the observation group was 97.8%(44/45)and the control group was 48.9%(22/45).The difference between the two groups was statistically significant(χ^2=27.500,P<0.01).Conclusions Pediatric massage therapy combined with traditional Chinese medicine hot pack can improve the TCM syndromes and symptoms of children with night crying heart and spleen fever

关 键 词：小儿推拿疗法 热敷疗法 心脾积热 夜啼 睡眠异常 中医病因证候 

分 类 号：R272[医药卫生—中医儿科学]