[临床研究]捏脊配点穴疗法对脾胃虚弱型小儿厌食症的影响

Time:2016-02-22 00:04:02 来源:518048 深圳市福田区慢性病防治医院上沙社康 等 作者:霍敏俐 林日扬 何慕清 赵云鹏

《国际中医中药杂志》[ISSN:1673-4246/CN:CN11-5398/R]

卷: 35 期数: 2013年06期

页码: 497-500

栏目: 临床研究

出版日期: 2013-06-05

文章信息/Info

Title: Chiropractic and acupuncture therapy in the treatment of spleen deficiency anorexia in children: clinical observation of 50 cases

作者: 霍敏俐 林日扬 何慕清 赵云鹏 518048 深圳市福田区慢性病防治医院上沙社康

Author(s): HUO Min-li;  LIN Ri-yang;  HE Mu-qing;  ZHAO Yun-peng. Futian chronic diseases control hospitai, Shenzhen 518048, China

关键词: 捏脊; 点穴; 小儿厌食症; 脾胃虚弱型

Keywords: Chiropractic; Point massage; Anorexia; Weakness of spleen and stomach

DOI: 10.3760/cma.j.issn.1673-4246.2013.06.006

摘要: 目的 探讨捏脊配点穴疗法对脾胃虚弱型小儿厌食症的影响。方法 收集2010年9月至2012年9月辖区全科诊疗及儿童保健工作时诊治的2~6岁厌食症患儿,按就诊顺序,采用随机排列区组法分组,将符合条件的患儿按1∶1比例随机纳入脾胃气虚组与脾胃阴虚组,各25例。两组患儿均予以捏脊治疗,在此基础上气虚组穴位点揉胃俞、脾俞,足三里;阴虚组穴位点揉胃俞、肝俞、肾俞。结果 ①疾病与症候疗效比较:气虚组疾病疗效总有效率为92.0%(23/25),对照组为88.0%(22/25),两组比较差异无统计学意义(χ2=0.886,P>0.05);气虚组症状疗效总有效率为92.0%(23/25),对照组为76.0%(19/25),两组比较差异有统计学意义(χ2=0.625,P<0.05)。②症状积分比较:气虚组治疗前后主症积分分别为[(18.32±2.42)分、(4.12±0.17)分],兼症积分分别[(16.80±3.77)分、(5.30±0.41)分];阴虚组治疗前后主症积分分别为[(18.18±2.10)分、(4.45±0.30)分],兼症积分分别为[(19.66±3.62)分、(6.01±1.02)分],两组治疗后主症与兼症积分均较同组治疗后明显改善(P<0.01),但两组治疗后比较,差异无统计学意义(P>0.05)。结论 捏脊配合点穴可有效治疗脾胃虚弱型厌食症患儿。

Abstract: Objective To explore the Chinese massage therapy for the treatment of infantile anorexia of spleen and stomach type clinical curative effect. Methods 2 to 6 years old anorexia children treated from September 2010 to September 2012 for general treatment and health care in our hospital were randomly recruited into a Qi deficiency of both spleen and stomach group and a Yin deficiency of both spleen and stomach group with 25 cases in each group. Both groups were treated with chiropractic therapy. On this basis, Qi deficiency of both spleen and stomach group was applied point-massage on Weishu, Pishu, and Zusanli; Yin deficiency of both spleen and stomach group was applied point-massage on Weishu, Ganshu, and Shenshu. Results ① The comparison of disease and syndromes: the total effective rate was 92%(23/25)and 88% (22/25)in Qi deficiency of both spleen and stomach group and Yin deficiency of both spleen and stomach group separately, showing no significant difference (χ2=0.886, P>0.05); the total symptoms improving rate was 92%(23/25) and 76%(19/25)in Qi deficiency of both spleen and stomach group and Yin deficiency of both spleen and stomach group separately, the difference showing statistically significant (χ2=0.625, P<0.05). ② Symptom score comparison before and after treatment: The main symptoms score and accompanied symptoms score before and after the treatment were [(18.32±2.42)%, (4.12±0.17) points] and [(16.80±3.77)%, (5.30±0.41) points] in the Qi deficiency group and [(18.18±2.10), (4.45±0.30) points] and [(19.66 ± 3.62)%, (6.01±1.02) points] in the Yin deficiency group. Both groups showed obvious improvements in the main and accompanied symptom scores after the treatment (P<0.01), but no significant difference between the two groups (P>0.05). Conclusion The treatment of anorexia due to deficiency of both spleen and stomch with chiropractic and point-massage was effective.

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