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湖湘流派五步法小儿推拿改善脾虚型小儿泄泻的作用研究

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目的:探讨湖湘流派五步法小儿推拿改善脾虚型小儿泄泻的作用。方法:按照随机数字表法将长沙县妇幼保健院2022年5月~2023年3月期间收治的68例脾虚型泄泻患儿分为对照组(n=34,常规治疗联合捏脊疗法)和观察组(n=34,常规治疗联合湖湘流派五步法小儿推拿)。对比两组疗效、中医证候积分、临床症状改善时间(大便性状恢复时间、腹泻消失时间)、不良反应发生率。结果:观察组的临床总有效率高于对照组(P<0。05)。观察组治疗后久泻不止、大便稀薄、神疲纳呆、面色少华评分低于对照组(P<0。05)。观察组腹泻消失时间、大便性状恢复时间均短于对照组(P<0。05)。研究过程中两组患儿均未出现皮肤破溃,红肿痛,斑丘疹等不良反应,同时两组患儿治疗前后的小便常规、血常规以及肝肾功能无明显变化。结论:湖湘流派五步法小儿推拿治疗脾虚型小儿泄泻,可促进临床症状恢复,提高临床疗效。
Study on the Effect of Huxiang School's Five Step Method Pediatric Massage on Improving Children with Diarrhea of Spleen Deficiency Syndrome
Objective:To explore the effect of huxiang school's five step method pediatric massage on improving children with di-arrhea of spleen deficiency syndrome.Methods:68 children with diarrhea of spleen deficiency syndrome who were admitted to Changsha County Maternal and Child Health Hospital from May 2022 to March 2023 were divided into control group(n=34,routine treatment combined with chiropractic therapy)and observation group(n=34,routine treatment combined with huxiang school's five step method pediatric massage)according to the random number table method.The efficacy,traditional chinese medicine syndrome score,clinical symptom improvement time(stool character recovery time,diarrhea disappearance time)and incidence of adverse reactions were com-pared in two groups.Results:The total clinical effective rate in observation group was higher than that in control group(P<0.05).The scores of prolonged diarrhea,thin stool,fatigue and less complexion in observation group were lower than those in control group after treatment(P<0.05).The disappearance time of diarrhea and recovery time of stool traits in observation group were shorter than those in control group(P<0.05).There were no adverse reactions such as skin ulceration,red swelling pain,and maculopapule in two groups dur-ing the study,and there were no significant changes in urine routine,blood routine and liver and kidney function before and after treat-ment in two groups.Conclusion:Huxiang school's five step method pediatric massage in the treatment of children with diarrhea of spleen deficiency syndrome,which can promote the recovery of clinical symptoms,and improve the clinical efficacy.

Huxiang school's five step methodPediatric massageChildren with diarrhea of spleen deficiency syndromeCurative effect

李逢春、唐雨兰、黎帅、陈楚淘、田浩梅

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湖南中医药大学针灸推拿与康复学院 湖南长沙 410100

长沙县妇幼保健院儿童康复科 湖南长沙 410100

湖湘流派五步法 小儿推拿 脾虚型小儿泄泻 疗效

湖南中医药大学中医学国内一流建设学科开放基金

2018ZYX33

2024

现代生物医学进展
黑龙江省森工总医院 哈尔滨医科大学附属第四医院

现代生物医学进展

CSTPCD
影响因子:0.755
ISSN:1673-6273
年,卷(期):2024.24(7)
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