推拿手法治疗小儿湿热泻的临床研究

目的观察推拿手法治疗小儿湿热泻的临床疗效。方法将61例湿热泻患儿随机分为治疗组30例、对照组31例,治疗组采用推拿手法治疗,包括清补脾经、清补大肠经、揉板门、运内八卦、退六腑、摩腹、捏脊、推上七节骨、揉龟尾等。对照组以苍苓止泻口服液为主,并辅以双歧杆菌四联活菌片及蒙脱石散口服治疗。观察2组患儿的临床总疗效;症状和体征总积分;症状和体征积分,包括大便次数、大便性状、腹痛、呕吐、精神、发热、口渴、饮食、小便、肛门红;血常规、大便常规中白细胞改善情况。结果治疗组临床总疗效优于对照组(P<0.05)。2组治疗后症状和体征总积分较本组治疗前均降低(P<0.05),治疗组较对照组降低明显(P<0.05),治疗组疗效优于对照组。治疗组治疗后大便次数、大便性状、腹痛、呕吐、精神、发热、口渴、饮食、小便、肛门红积分较本组治疗前均降低(P<0.01)。对照组治疗后大便次数、大便性状、腹痛、精神、发热、口渴、饮食、小便、肛门红积分较本组治疗前均降低(P<0.05),呕吐积分与本组治疗前比较,差异无统计学意义(P>0.05)。大便次数、腹痛、呕吐积分治疗组较对照组降低明显(P<0.05),治疗组疗效优于对照组。大便性状、精神、发热、口渴、小便、饮食、肛门红积分2组比较差异无统计学意义(P>0.05)。血常规、大便常规中白细胞改善情况2组比较差异均无统计学意义(P>0.05)。结论推拿手法治疗小儿湿热泻具有较好的疗效。

Tuina therapy for treating infant damp-heat diarrhea

Objective To observe the curative effect of tuina therapy on infant damp-heat diarrhea.Methods The infant patients（n=61） were randomly divided into treatment group（n=30） and control group（n=31）.The treatment group was given tuina therapy including different manipulations and control group,Changling Zhixie Oral Solution mainly and supplemented by bifidobacterium tetravaccine tablets and Mengtuoshi San.The total curative effect,total integrals of symptoms,integrals of symptoms and signs and WBC in routine blood and stool examinations were observed in two groups.Results The total curative effect in treatment group was superior to that in control group.The total integrals of symptoms and signs after treatment decreased in two groups（P0.05）,which was more significant in treatment group（P0.05）.After treatment,the integrals of stool frequency and characters,abdominal pain,vomiting,spirit,fever,thirst,diet,urine and red anus decreased in treatment group（P0.01） and in control group（P0.05） except of vomiting.In control group,the integral of vomiting had no statistical difference（P0.05） before and after treatment.The integrals of stool frequency,abdominal pain and vomiting decreased more significantly in treatment group than in control group（P0.05）,while integrals of stool characters,spirit,fever,thirst,diet,urine and red anus had no statistical difference（P0.05） between two groups.The comparison in WBC in blood and stool routine examinations had no statistical difference（P0.05） between two groups.Conclusion Tuina therapy has good curative effect on infant damp-heat diarrhea.