Ginger-partitioned moxibustion plus pediatric massage for treating infantile diarrhea due to spleen deficiency:a randomized controlled clinical trial  

隔姜灸加小儿推拿治疗小儿脾虚型泄泻的临床随机对照研究

作　　者：Ma Jie Yu Fang-hui Tao Shan-ping Chu Xiao-yan Zhou Li-yan Bing Xing-hong Wu Dan-yan Duan Xi-dong Ding Jin-lei He Tian-feng Song Yin-hua 马洁;余方辉;陶善平;褚晓彦;周丽艳;邴兴红;吴丹艳;段希栋;丁金磊;何天峰;宋银花(Jiading Hospital of Traditional Chinese Medicine,Shanghai,Shanghai 201800,China)

机构地区：[1]Jiading Hospital of Traditional Chinese Medicine,Shanghai,Shanghai 201800,China

出　　处：《Journal of Acupuncture and Tuina Science》2021年第1期30-36,共7页针灸推拿医学（英文版）

基　　金：上海市嘉定区卫生和计划生育委员会,No.2016-KY-ZYY-ll.

摘　　要：Objective:To observe the clinical efficacy of ginger-partitioned moxibustion plus pediatric massage(tuina)in treating infantile diarrhea due to spleen deficiency.Methods:Ninety infants were randomly divided into a massage plus moxibustion group,a massage group and a drug group by the random number table method,with 30 cases in each group.The intervention was conducted for two consecutive courses.The infants in the massage plus moxibustion group were treated with pediatric massage and ginger-partitioned moxibustion at Shenque(CV 8).The infants in the massage group were treated with pediatric massage alone,while those in the drug group were treated with smecta.The primary and secondary symptom scales were assessed before and after treatment and at the follow-ups,and the total effective rate was evaluated after treatment.Results:The total effective rate in the massage plus moxibustion group was significantly different from that in the massage group and drug group(both P<0.05).After treatment,the scores of primary and secondary symptoms decreased in all three groups,with statistically significant intra-group differences(all P<0.05);the scores of primary symptoms were significantly different between the massage plus moxibustion group and the drug group(P<0.05);the scores of secondary symptoms in the massage plus moxibustion group and the massage group were significantly different from that in the drug group(both P<0.05).The differences in the time to recover normal bowel movement frequency among the three groups were not statistically significant(P>0.05).Conclusion:Ginger-partitioned moxibustion plus pediatric massage compared with pediatric massage or smecta monotherapy shows superior clinical efficacy in treating infantile diarrhea due to spleen deficiency,and has the advantages of appetite improvement,physique strengthening and short course.目的:观察隔姜灸加小儿推拿治疗小儿脾虚型泄泻的临床疗效.方法:将90例患儿根据随机数字表分为推拿加灸组、推拿组及药物组,每组30例,连续治疗2个疗程.推拿加灸组采用小儿推拿加隔姜灸神阙穴治疗,推拿组采用单纯小儿推拿治疗,药物组采用思密达治疗.治疗前后及随访时进行主要症状量表及次要症状量表评估,治疗后统计疗效.结果:推拿加灸组总有效率与推拿组及药物组均有显著差异(均P<0.05);治疗后,3组主要症状及次要症状评分均与本组治疗前有显著差异(均P<0.05).治疗后,推拿加灸组的主要症状评分与药物组有显著差异(P<0.05);推拿加灸组和推拿组的次要症状评分与药物组有显著差异(均P<0.05).三组患儿大便次数恢复正常的时间无显著差异(P>0.05).结论:隔姜灸加小儿推拿治疗小儿脾虚型泄泻的疗效优于单纯小儿推拿及思密达治疗,能改善患儿食欲及抵抗力,且疗程短.

关 键 词：Moxibustion Therapy Indirect Moxibustion Ginger-partitioned Moxibustion MassagePediatric Massage(Tuina) DIARRHEA Spleen Deficiency INFANT 

分 类 号：R246.4[医药卫生—针灸推拿学]