脏腑图点穴法治疗小儿厌食症的随机对照临床观察(1)
[摘要] 目的 觀察脏腑图点穴法治疗小儿厌食的临床效果。 方法 选取2013年7月～2016年7月在中国中医科学院西苑医院儿科门诊治疗的厌食症患儿共80例，采用随机数字表法将其分为脏腑推拿组及药物组，每组40例。脏腑推拿组给予脏腑图点穴法治疗，药物组给予口服健胃消食口服液治疗。观察比较两组临床疗效及中医证候积分。 结果 脏腑推拿组总有效率为97.5%，药物组总有效率为80.0%，差异有统计学意义(P < 0.05)。治疗后，脏腑推拿组中医证候总积分及及主症(食欲、食量、就餐时间)、次症(面色、腹胀、精神、口渴、大便、恶心呕吐)各项积分均较治疗前显著降低，差异均有统计学意义(P < 0.05)。药物组面色及口渴积分组内治疗前后差异无统计学意义(P > 0.05)，余证候积分治疗前后差异有统计学意义(P < 0.05)。治疗后，脏腑推拿组中医证候总积分及主症、次症各项积分均明显低于药物组，差异均有统计学意义(P < 0.05)。 结论 脏腑图点穴法治疗小儿厌食可显著改善患儿的食欲，增加食量，并在改善其他胃肠道症状上有显著疗效。
[关键词] 小儿厌食症；脏腑；点穴疗法；推拿；按摩
[中图分类号] R725.7 [文献标识码] A [文章编号] 1673-7210(2017)08(b)-0064-04
[Abstract] Objective To observe the clinical effects of zang-fu viscera acupoint pressure therapy in the treatment of infantile anorexia. Methods Eighty children with anorexia treated in Outpatient Department of Pediatrics， Xiyuan Hospital， China Academy of Chinese Medical Sciences from July 2013 to July 2016 were chosen and randomly divided into viscera massage group and medicine group according to the random number table， each group had 40 cases. Viscera massage group was treated with viscera acupoint pressure therapy， while medicine group was given Jianwei Xiaoshi Oral Solution. The clinical efficacy and TCM syndrome scores of the two groups were observed and compared. Results The total effective rate was 97.5% in viscera massage group and 80.0% in the medicine group， there was statistically significant difference between the two groups (P < 0.05). After treatment， the total scores of TCM syndrome and the scores of main symptoms (appetite， food intake， mealtime) and the secondary symptoms (complexion， abdominal distension， spirit， thirsty， defecation， nausea and vomiting) in the viscera massage group were all lower than those before treatment， the differences were all statistically significant (P < 0.05). The scores of complexion and thirsty in medicine group before and after treatment were not statistically significant (P > 0.05)， the scores of the other symptoms in the medicine group before and after treatment were all statistically significant (P < 0.05). After treatment， the total scores of TCM syndrome and the scores of main symptoms and the secondary symptoms in the viscera massage group were all lower than those of medicine group， the differences were all statistically significant (P < 0.05). Conclusion Zang-fu viscera acupoint pressure therapy show good effects on infantile anorexia， which can significantly improve the appetite of children and increase the food intake， and it has good effects in improving the other gastrointestinal symptoms., http://www.100md.com(芮娜 彭征屏 潘璐)
[关键词] 小儿厌食症；脏腑；点穴疗法；推拿；按摩
[中图分类号] R725.7 [文献标识码] A [文章编号] 1673-7210(2017)08(b)-0064-04
[Abstract] Objective To observe the clinical effects of zang-fu viscera acupoint pressure therapy in the treatment of infantile anorexia. Methods Eighty children with anorexia treated in Outpatient Department of Pediatrics， Xiyuan Hospital， China Academy of Chinese Medical Sciences from July 2013 to July 2016 were chosen and randomly divided into viscera massage group and medicine group according to the random number table， each group had 40 cases. Viscera massage group was treated with viscera acupoint pressure therapy， while medicine group was given Jianwei Xiaoshi Oral Solution. The clinical efficacy and TCM syndrome scores of the two groups were observed and compared. Results The total effective rate was 97.5% in viscera massage group and 80.0% in the medicine group， there was statistically significant difference between the two groups (P < 0.05). After treatment， the total scores of TCM syndrome and the scores of main symptoms (appetite， food intake， mealtime) and the secondary symptoms (complexion， abdominal distension， spirit， thirsty， defecation， nausea and vomiting) in the viscera massage group were all lower than those before treatment， the differences were all statistically significant (P < 0.05). The scores of complexion and thirsty in medicine group before and after treatment were not statistically significant (P > 0.05)， the scores of the other symptoms in the medicine group before and after treatment were all statistically significant (P < 0.05). After treatment， the total scores of TCM syndrome and the scores of main symptoms and the secondary symptoms in the viscera massage group were all lower than those of medicine group， the differences were all statistically significant (P < 0.05). Conclusion Zang-fu viscera acupoint pressure therapy show good effects on infantile anorexia， which can significantly improve the appetite of children and increase the food intake， and it has good effects in improving the other gastrointestinal symptoms., http://www.100md.com(芮娜 彭征屏 潘璐)