CAJ | 학술논문

目的观察腹部推拿治疗老龄患者巨幼细胞贫血的临床疗效。方法将符合入选患者50例随机分为两组,对照组采取标准治疗方案,叶酸10mg,1日3次口服,维生素B12500μg,1周肌注2次。治疗组采取标准方案联合腹部推拿中脘、下脘、关元、气海穴,每穴3分钟,重复5遍,1周3次,14天为1个疗程。结果治疗后两组血红蛋白比较,差异无显著性(P=0.560>0.05)；经字2检验,治疗后两组贫血症状与体征差异有显著性(P=0.047<0.05)；治疗后两组精神神经症状差异有显著性(P=0.002<0.05)。结论腹部推拿对提升血红蛋白无明显优势,但可有效地缓解老龄患者的贫血症状,尤其在改善精神神经症状方面效果突出。
목적관찰복부추나치료노령환자거유세포빈혈적림상료효。방법장부합입선환자50례수궤분위량조,대조조채취표준치료방안,협산10mg,1일3차구복,유생소B12500μg,1주기주2차。치료조채취표준방안연합복부추나중완、하완、관원、기해혈,매혈3분종,중복5편,1주3차,14천위1개료정。결과치료후량조혈홍단백비교,차이무현저성(P=0.560>0.05)；경자2검험,치료후량조빈혈증상여체정차이유현저성(P=0.047<0.05)；치료후량조정신신경증상차이유현저성(P=0.002<0.05)。결론복부추나대제승혈홍단백무명현우세,단가유효지완해노령환자적빈혈증상,우기재개선정신신경증상방면효과돌출。
Objective To evaluate the efficiency of abdominal Tuina therapy in elderly patients with megaloblastic a-nemia. Method This study equally randomized the elderly patients who meet the standards in two groups. The con-trol group was treated with standard treatment (folic acid 10mg 3 times a day po, VitB12 500μg 2 times a week im). The treatment group was treated with standard treatment and abdominal Tuina therapy ( zhongwan, xiawan, guanyuan, qihan etc, 3 minutes, 5 times, 3 times a week ) . 14 days were a treatment cycle. Results The two groups after treatment of HGB had no statistical significance(P=0. 560>0. 05);anemia signs and symptoms of two groups after treatment was statistically significant (P=0. 047<0. 05);mental and nervous symptoms of two groups after treatment was statistically significant(P=0. 002<0. 05). Conclusion Abdominal Tuina has no obvious advan-tage in raising HGB,but it can effectively alleviate signs and symptoms of elderly patients with megaloblastic anemi-a,especially to improve the mental and nervous symptoms.