摘要
目的探究小儿推拿联合振腹对积滞(脾虚夹积型)患儿临床症状改善的影响。方法从山东大学附属儿童医院推拿科门诊选取64例脾虚夹积型积滞患儿,随机分为观察组32例和对照组32例。对照组给予常规小儿推拿治疗约15 min,观察组在对照组的基础上增加振腹手法操作5 min,3次/周,共4周。观察两组总证候积分、主症积分和、次症积分和及各分症积分改善情况并进行对比。结果观察组总有效率高于对照组(P<0.05)。观察组总证候积分、主症积分和、次症积分和改善均优于对照组(P<0.01,P<0.05)。各分症积分方面,3个主症及神疲肢倦、面色萎黄2个次症积分改善情况,观察组均优于对照组(P<0.01,P<0.05),腹满喜按、形体消瘦两项差异无统计学意义(P>0.05)。结论常规小儿推拿之外增加振腹能提高小儿积滞(脾虚夹积型)的疗效,改善患儿证候积分,值得临床推广。
Objective To explore the effect of infantile massage combined with abdominal vibration on the improvement of clinical symptoms in children with indigestion of spleen deficiency and accumulation syndrome.Methods Sixty-four children with indigestion of spleen deficiency and accumulation syndrome admitted to the Massage Department of Children's Hospital Affiliated to Shandong University were enrolled and randomly divided into an observation group(32 cases)and a control group(32 cases).The control group received routine infantile massage treatment for about 15 min,while the observation group had an additional abdominal vibration manipulation for 5 min,three times a week,for a total of 4 weeks.The improvement in total syndrome scores,primary symptom scores,secondary symptom scores,and individual symptom scores of the two groups were observed and compared.Results The total effective rate of the observation group was higher than that of the control group(P<0.05).The improvement in total syndrome score,primary symptom score,and secondary symptom score of the observation group were better than those of the control group(P<0.01,P<0.05).Regarding the score of each symptom,the improvement in the scores of three primary symptoms and two secondary symptoms of mental fatigue,limb fatigue,and sallow complexion in the observation group were better than those in the control group(P<0.01,P<0.05),while there was no significant difference in abdominal fullness and emaciation(P>0.05).Conclusion Routine infantile massage combined with abdominal vibration can improve the therapeutic effect of infantile indigestion of spleen deficiency and accumulation syndrome and significantly improve the syndrome score of children.This approach is worthy of clinical promotion.
作者
王啸
范美丽
李成成
张瑞
孙均重
徐晓倩
WANG Xiao;FAN Meili;LI Chengcheng;ZHANG Rui;SUN Junzhong;XU Xiaoqian(Children's Hospital Affiliated to Shandong University,Jinan 250022,China)
出处
《基层中医药》
2024年第7期18-24,共7页
Basic Traditional Chinese Medicine
关键词
积滞
脾虚夹积
小儿推拿
振腹
indigestion
spleen deficiency and accumulation
infantile massage
abdominal vibration
