小儿推拿辅助治疗小儿厌食症食滞胃脘型42例临床观察  

Clinical observation on 42 cases of anorexia in children with retention of food in stomach type adjunctively treated by pediatric tuina

作　　者：方雪婷 FANG Xueting(Department of Tuina,Wenzhou Hospital of Integrated Traditional Chinese and Western Medicine,Wenzhou,Zhejiang,325000,China)

机构地区：[1]温州市中西医结合医院推拿科,浙江温州325000

出　　处：《中医儿科杂志》2022年第5期99-102,共4页Journal of Pediatrics of Traditional Chinese Medicine

基　　金：温州市科技计划项目(Y20190738)。

摘　　要：目的 观察小儿推拿辅助治疗小儿厌食症食滞胃脘型的临床疗效。方法 选取2017年1月至2019年1月温州市中西医结合医院推拿科收治的厌食症食滞胃脘型患儿83例,采用随机数字表法分为对照组41例和治疗组42例。对照组予醒脾养儿颗粒口服,治疗组在对照组治疗方法的基础上给予小儿推拿疗法。2组均以6 d为1个疗程,休息1 d再行下一疗程,共治疗2个疗程。结果 治疗前,2组中医证候评分比较,差异无统计学意义(P>0.05),具有可比性;治疗后2组中医证候评分均明显降低,与同组治疗前比较,差异有统计学意义(P<0.05),且治疗组降低更显著(P<0.05)。对照组总有效率为73.17%(30/41),治疗组为92.86%(39/42),2组比较,差异有统计学意义(P<0.01)。治疗组复发率为7.69%(3/39),对照组复发率为26.67%(8/30),2组比较,差异有统计学意义(P<0.05)。结论 小儿推拿辅助治疗小儿厌食症食滞胃脘型,能明显改善患儿临床症状,疗效确切,且复发率较低,值得临床推广应用。Objective To observe the clinical efficacy of pediatric tuina in adjunctive treatment of anorexia in children with retention of food in stomach type.Methods From January 2017 to January 2019,83 cases of anorexia in children with retention of food in stomach type admitted into tuina department of Wenzhou Hospital of Integrated Traditional Chinese and Western Medicine were divided into control group with 41 cases and treatment group with 42 cases according to random number table method.The control group was given Xingpi Yang’er Keli orally, on this basis,the treatment group was given pediatric tuina.Six days constituted 1 course of treatment for both group,rest for1 day before the next course of treatment,totally 2 courses of treatment.Results Before treatment,the difference was not statistically significant in TCM symptom scores between the 2 groups(P>0.05),indicating comparability.After treatment,TCM symptom scores of the 2 groups both significantly decreased,and the difference was not statistically significant as compared with the same group before treatment(P<0.05),moreover,the decrease was more significant in the treatment group(P<0.05).The total effective rate of the control group was 73.17%(30/41),that of the treatment group was 92. 86%(39/42),and the difference was statistically significant between the 2 groups(P<0.01).The recurrence rate in treatment group was 7. 69%(3/39), that in the control group was 26. 67%(8/30),and the difference was statistically significant between the 2 groups(P< 0. 05).Conclusion It can markedly alleviate the clinical symptoms with definite efficacy and low recurrence rate to use pediatric tuina in adjunctive treatment of anorexia in children with retention of food in stomach type,which deserves clinical promotion and application.

关 键 词：小儿 厌食症 食滞胃脘型 推拿 临床观察 

分 类 号：R272.4[医药卫生—中医儿科学]