中国临床新医学
中國臨床新醫學
중국림상신의학
Chinese Journal of New Clinical Medicine
2015年
10期
925-928
,共4页
脾胃气虚%厌食症%儿童%临床疗效
脾胃氣虛%厭食癥%兒童%臨床療效
비위기허%염식증%인동%림상료효
Spleen-stomach qi deficiency%Anorexia%Children%Clinical effects
目的：探讨医务人员指导下的家庭推拿治疗社区儿童脾胃气虚型厌食症的疗效。方法将60例脾胃气虚型厌食症患儿随机分为推拿1组和推拿2组各30例，在行为干预和膳食指导的基础上，推拿1组由社区医师采用健脾益气法选取穴位推拿治疗，推拿2组由医务人员指导患儿家长推拿。8周为一个疗程。比较两组治疗前后中医症状积分及临床疗效，记录治疗过程中的不良反应。结果治疗后，两组患儿食欲、食量、面色、神疲、口气、腹胀、大便等症候评分均显著降低，与治疗前比较，差异有统计学意义（ P＜0.05）。推拿1组痊愈12例，显效8例，有效9例，无效1例；推拿2组痊愈9例，显效6例，有效13例，无效2例，两组疗效差异无统计学意义（ P＞0.05）。结论推拿治疗儿童脾胃气虚型厌食症安全有效且简便，在医务人员指导下的患儿家长的推拿也可达到相同的效果。
目的：探討醫務人員指導下的傢庭推拿治療社區兒童脾胃氣虛型厭食癥的療效。方法將60例脾胃氣虛型厭食癥患兒隨機分為推拿1組和推拿2組各30例，在行為榦預和膳食指導的基礎上，推拿1組由社區醫師採用健脾益氣法選取穴位推拿治療，推拿2組由醫務人員指導患兒傢長推拿。8週為一箇療程。比較兩組治療前後中醫癥狀積分及臨床療效，記錄治療過程中的不良反應。結果治療後，兩組患兒食欲、食量、麵色、神疲、口氣、腹脹、大便等癥候評分均顯著降低，與治療前比較，差異有統計學意義（ P＜0.05）。推拿1組痊愈12例，顯效8例，有效9例，無效1例；推拿2組痊愈9例，顯效6例，有效13例，無效2例，兩組療效差異無統計學意義（ P＞0.05）。結論推拿治療兒童脾胃氣虛型厭食癥安全有效且簡便，在醫務人員指導下的患兒傢長的推拿也可達到相同的效果。
목적：탐토의무인원지도하적가정추나치료사구인동비위기허형염식증적료효。방법장60례비위기허형염식증환인수궤분위추나1조화추나2조각30례，재행위간예화선식지도적기출상，추나1조유사구의사채용건비익기법선취혈위추나치료，추나2조유의무인원지도환인가장추나。8주위일개료정。비교량조치료전후중의증상적분급림상료효，기록치료과정중적불량반응。결과치료후，량조환인식욕、식량、면색、신피、구기、복창、대편등증후평분균현저강저，여치료전비교，차이유통계학의의（ P＜0.05）。추나1조전유12례，현효8례，유효9례，무효1례；추나2조전유9례，현효6례，유효13례，무효2례，량조료효차이무통계학의의（ P＞0.05）。결론추나치료인동비위기허형염식증안전유효차간편，재의무인원지도하적환인가장적추나야가체도상동적효과。
Objective To explore the clinical effects of medical staff guided-home massage on the communi-ty children with anorexia of spleen-stomach qi deficiency type.Methods Sixty cases were randomly divided into the massage group 1(n=30) and the massage group 2(n=30).Besides the behavioral intervention and dietary guid-ance, the children in the massage group 1 received acupoint selected massage by community medical staff;the chil-dren in the massage group 2 received massage by parents under the guidance of community medical staff.All patients were treated for 8 weeks.The clinical symptom scores and clinical efficiency were compared before and after the treat-ment in both of the two groups and their adverse reactions were recorded.Results After the treatment, the clinical symptom scores of appetite, colour of face, mental weariness, halitosis, abdominal distension and stools in the two groups decreased greatly(P<0.05).In the massage group 1, 12 cases were cured, 8 markedly effective, 9 effective and 1 ineffective;in the massage group 2, 9 cases were cured, 6 markedly effective, 13 effective and 2 ineffective. There were no significant differences between the two groups( P>0.05) .Conclusion Massage is a safe, effective, convenient and simple treatment for the children with anorexia.The medical staff guided-home massage has the simi-lar effect.
