三字经流派推拿治疗脾虚证及伤食证小儿泄泻的临床研究

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　　 〔摘要〕 目的  觀察三字经流派推拿治疗脾虚证及伤食证小儿泄泻病的临床疗效。方法 分别将60例脾虚证及60例伤食证小儿泄泻病患儿分别随机分入脾虚证治疗组、脾虚证对照组及伤食证治疗组、伤食证对照组，每组30例。治疗组予对应的三字经推拿手法，对照组予口服蒙脱石散及枯草杆菌二联活菌颗粒，同时两组均予基础治疗，两组疗程均为3 d。比较症状积分的变化情况，观察临床疗效。结果 （1）脾虚证泄泻患儿治疗前后组内比较，两组主症积分水平差异均有统计学意义（P<0.05）;治疗后组间比较，主症积分水平差异有统计学意义（P<0.05）。（2）伤食证泄泻患儿治疗前后组内比较，两组主症积分水平差异均有统计学意义（P<0.05）;治疗后组间比较，主症积分水平差异有统计学意义（P<0.05）。（3）脾虚证和伤食证泄泻患儿治疗组、对照组临床总有效率比较，差异均无统计学意义（P>0.05）。结论 三字经推拿手法治疗脾虚证及伤食证小儿泄泻，减轻了泄泻症状，减少了药物的使用，疗效满意。
　　 〔关键词〕 三字经流派;推拿;小儿泄泻;脾虚证;伤食证
　　 〔中图分类号〕R244.1       〔文献标志码〕B       〔文章编号〕doi：10.3969/j.issn.1674-070X.2019.06.015
　　〔Abstract〕 Objective To observe the clinical efficacy of Three-character-scripture School massage in the treatment of infantile diarrhea with spleen deficiency syndrome and food damage syndrome. Methods Respectively， 60 cases with spleen deficiency syndrome and 60 cases with food damage syndrome of patients with infantile diarrhea were randomly divided into a spleen deficiency treatment group， a spleen deficiency control group， a food damage treatment group and a food damage control group， with 30 cases in each group. Three-character-scripture School massage was applied in the 2 treatment groups， while oral montmorillonite powder and live combined bacillus subtilis were used in the 2 control groups. Meanwhile， the 2 groups were given basic treatment， with 3-day course of treatment. The changes in symptom scores were compared， and the clinical efficacy was observed. Results （1） Before and after the treatment， child patients with diarrhea of spleen deficiency syndrome were compared within each group， with statistically significant difference in the score levels of main symptoms （P<0.05）. After the treatment， the comparison between the groups was performed. There was statistically significant difference in the score levels of main symptoms （P<0.05）. （2） Before and after the treatment， child patients with diarrhea of food damage syndrome were compared within each group， with statistically significant difference in the score levels of main symptoms （P<0.05）. After the treatment， the comparison between the groups was performed. There was statistically significant difference in the score levels of main symptoms （P<0.05）. （3） The total clinical effective rates among the treatment groups and the control groups of child patients with spleen deficiency syndrome and food damage syndrome were compared， and the differences were not statistically significant （P>0.05）. Conclusion Three-character-scripture School massage in treating infantile diarrhea with spleen deficiency syndrome and food damage syndrome， can relieve diarrhea symptoms and reduce the use of drugs， with satisfying efficacy.
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