“Four-Step Massage” in Treating Childhood Spleen-Deficiency Diarrhea

目的:观察一种改良的推拿方法治疗小儿腹泻的疗效。方法:究采用随机对照,单盲方法、通过对"四步推拿法"治疗30例脾虚型腹泻患儿的临床观察,并设立对照组,将小儿腹泻症状分级量化评分作为疗效评价的客观指标。结果:治疗组治疗后症状量化总评分为1.4±1.92,对照组治疗后症状量化总评分为3.3±3.45,经统计学处理,两者有明显差异,治疗组优于对照组,说明四步推拿法疗效更佳。结论:推拿治疗小儿脾虚型腹泻的疗效确切。为进一步规范推拿临床诊疗评价体系提供了依据。

Objective： To observe the clinical effects of a modified Tuina method in the treatment of childhood diarrhea. Methods： Thirty children with diarrhea of spleen deficiency were treated by ＂Four-Step Tuina＂（treatment group）; and control group was treated with routine Tuina methods. The scale of children diarrhea was used as an objective index for therapeutic effect evaluation. Results： After treatment, the scale was 1.4±1.92 in treatment group and 3.3±3.45 in control group; the statistical analysis showed that there was a difference between the scales; the treatment group had better effects than control group, in another word, the ＂Four-Step Tuina ＂ was quite effective for children diarrhea. Conclusion： Tuina has positive effects on children diarrhea of spleen deficiency, which provides evidences for the standardization of clinical therapeutic effects.