清运脾胃推拿法治疗小儿食积内热型夜啼的临床疗效观察  

Clinical Observation on Massage Therapy for Clearing and Regulating Spleen-stomach in Treating Infantile Night Crying with Indigestion and Internal Heat Syndrome

作　　者：王南田 刘希琳 WANG Nan-Tian;LIU Xi-Lin(Clinical Medical School of Acupuncture,Moxibustion and Rehabilitation,Guangzhou University of Chinese Medicine,Guangzhou 510006 Guangdong,China)

机构地区：[1]广州中医药大学针灸康复临床医学院,广东广州510006

出　　处：《广州中医药大学学报》2022年第12期2864-2869,共6页Journal of Guangzhou University of Traditional Chinese Medicine

摘　　要：【目的】观察清运脾胃推拿法治疗小儿食积内热型夜啼的临床疗效。【方法】将72例食积内热型夜啼患儿随机分为观察组和对照组,每组各36例。对照组给予中成药保和丸口服治疗,治疗组给予清运脾胃推拿法治疗,疗程为1周。观察2组患儿治疗前后改进型Spiegel量表评分和中医证候量表评分的变化情况,并评价2组患儿的临床疗效、复发情况和安全性。【结果】(1)脱落情况:研究过程中,观察组脱落2例,对照组脱落3例,共完成67例,其中观察组34例,对照组33例。(2)疗效情况:治疗1周后,观察组的总有效率为94.12%(32/34),对照组为75.76%(25/33),组间比较,观察组的疗效明显优于对照组(P<0.05)。(3)改进型Spiegel量表评分情况:治疗后,2组患儿的改进型Spiegel量表各项评分(包括入睡时间、夜啼次数、24 h睡眠时间)及其总分均较治疗前明显改善(P<0.05或P<0.01),且观察组的改善作用均明显优于对照组(P<0.05或P<0.01)。(4)中医证候量表评分情况:治疗后,2组患儿的中医证候量表各项评分(包括纳差、腹胀、口臭、烦躁等)及其总分均较治疗前明显改善(P<0.05或P<0.01),但治疗后组间比较,差异均无统计学意义(P>0.05)。(5)复发情况:观察组复发率为11.11%(1/9),对照组为75.00%(3/4),组间比较,观察组的复发率明显低于对照组(P<0.05)。(6)安全性评价:治疗过程中,2组患儿均无明显不良反应发生。【结论】清运脾胃推拿法治疗小儿食积内热型夜啼疗效确切,可有效改善患儿的夜啼症状和相关中医证候,减少夜啼的复发。Objective To observe the clinical efficacy of massage therapy for clearing and regulating spleenstomach in treating infantile night crying with indigestion and internal heat syndrome.Methods Seventy-two children with night crying differentiated as indigestion and internal heat syndrome were randomly divided into observation group and control group,with 36 cases in each group.The control group was given oral use of the Chinese patent medicine Baohe Pills,while the treatment group was given the massage therapy for clearing and regulating spleen-stomach.The treatment for both groups lasted one week.The changes in the improved Spiegel scale scores and the traditional Chinese medicine(TCM)syndrome scale scores of the two groups were observed before and after treatment,and the clinical efficacy,recurrence and clinical safety in the two groups were also evaluated.Results(1)During the trial,2 cases in the observation group and 3 cases in the control group fell off,and a total of 67 cases completed the trial,including 34 cases in the observation group and 33 cases in the control group.(2)After one week of treatment,the overall effective rate of the observation group was 94.12%(32/34)and that of the control group was 75.76%(25/33).The intergroup comparison showed that the efficacy of the observation group was significantly superior to that of the control group(P<0.05).(3)After treatment,the improved Spiegel scale scores of time for falling asleep,frequency of night crying,and 24-hour sleep time as well as the total scores in both groups were significantly improved compared with those before treatment(P<0.05 or P<0.01),and the effect on improving the scores in the observation group was significantly superior to that in the control group(P<0.05 or P<0.01).(4)After treatment,the scores of TCM syndrome of poor appetite,abdominal distention,bad breath and restlessness as well as the total scores in the two groups were significantly improved compared with those before treatment(P<0.05 or P<0.01),but the differences between the t

关 键 词：小儿食积 内热证 夜啼 推拿 清运脾胃 改进型Spiegel量表评分 中医证候量表评分 

分 类 号：R244.1[医药卫生—针灸推拿学]