运脾调中推拿治疗脾胃虚弱型小儿慢性腹泻30例

Observation on the Curative Effect of Activating the Spleen and Modifying the Middle Treatment for Children's Chronic DiarrheaCaused by the Spleen and Stomach Deficiency

目的观察运脾调中推拿手法治疗小儿慢性腹泻的临床疗效。方法将60例慢性腹泻患儿,随机分为治疗组30例,对照组30例,治疗组在一般常规治疗的基础上加用运脾调中推拿手法治疗,对照组仅作一般常规治疗。6 d为1个疗程,1个疗程后观察疗效,并检测治疗前后2组患儿血清免疫球蛋白IgAI、gG、IgM水平等,与20例正常体检儿作对照。结果治疗组的总体疗效为90.0%,对照组73.3%,2组比较有显著性差异(P<0.05);推拿组治疗前后血清免疫球蛋白(IgAI、gMI、gG)水平比较有非常显著性差异(P<0.01),与对照组相比,治疗后2组间比较有显著性差异(P<0.05)。结论运脾调中推拿治疗脾虚型小儿慢性腹泻有较好的疗效,能在一定程度上提高患儿免疫功能。

OBJECTIVE To observe the clinic outcomes of activating the spleen and modifying the middle treatment for children＇s chronic diarrhea caused by the deficiency of spleen and stomach.METHODS 60 children with chronic diarrhea were equally randomized into treatment group,which were treated by activating the spleen and modifying the middle tuina manipulation besides conventional therapy,and control group with only conventional therapy for 6 days as 1 course.Afterwards,serum immune globulin like gA,IgG and IgM were detected and compared with those of 20 healthy children tested by physical examination to observe the curative effect.RESULTS The overall curative rate of treatment group and control group were 90.0% and 73.3% respectively with significant difference（P0.05）,which also occurred between treatment and control groups after treatment.Besides,there were a great differences among the level of IgA,IgM and IgG of tuinan group between before and after treatment（P0.01）.CONCLUSION Activating the spleen and modifying the middle treatment has a good effect on children＇s chronic diarrhea caused by the deficiency of spleen and stomach and to some extent improves the immunity of the patients.