捏脊疗法治疗脾虚型小儿泄泻的临床疗效观察

Therapeutic effect observation on Nie-pinching the spine manipulation for infantile diarrhea due to spleen deficiency

目的:观察捏脊疗法对脾虚型泄泻患儿尿D-木糖排泄率和脾虚症状的影响,评价捏脊疗法治疗脾虚型泄泻的临床疗效。方法:将符合纳入标准的60例脾虚型泄泻患儿按随机数字表随机分为治疗组和对照组,每组30例。治疗组患儿在常规基础治疗基础上接受捏脊疗法和传统小儿推拿治疗,对照组患儿在常规基础治疗基础上接受与治疗组相同的传统小儿推拿治疗。两组患儿均每日治疗1次,治疗4星期为1个疗程,共治疗1个疗程。采用脾虚症状积分评价症状改善情况,采用比色法测定尿D-木糖排泄率。结果:同组治疗前后比较,两组患儿的脾虚症状总积分、尿D-木糖排泄率差异有统计学意义(均P<0.01);治疗后,治疗组的脾虚症状积分、尿D-木糖排泄率与对照组差异均有统计学意义(均P<0.01)。结论:捏脊疗法能降低脾虚型泄泻患儿的脾虚症状积分,升高尿D-木糖排泄率,通过改善患儿的脾虚症状和小肠的吸收功能提高临床疗效。

Objective： To observe the influence of Nie-pinching the spine manipulation on the excretory rate ot urine D-xylose in the infants with diarrhea due to spleen deficiency, and to assess the clinical effects. Methods： Sixty infants in conformity with the diagnostic criteria of diarrhea due to spleen deficiency were randomly divided into a treatment group and a control group by the random digital table, 30 cases in each group. The infants in the treatment group were treated by Nie-pinching the spine manipulation and traditional infantile tuina, in addition to the routine basic treatment. The infants in the control group were treated by the same traditional infantile tuina in addition to the routine basic treatment. The infants in the two groups were treated once every day, 4 weeks as a course. Totally, the treatment was given for a course. The symptom integrals of spleen deficiency were used to assess the improvement in the symptoms. The colorimetry was used to determine the excretory rate of urine D-xylose. Results： in the comparison of the same group before and after the treatment, the differences in the global score of spleen deficiency symptoms and the excretory rate of urine D-xylose in the two groups were statistically significant （all P〈0.01）. After the treatment, the differences in the global score of spleen deficiency symptoms and the excretory rate of urine D-xylose between the two groups were all statistically significant （both P〈0.01）. Conclusion： Chiropractics can reduce the integrals of spleen deficiency symptoms and elevate the excretory rate of urine D-xylose in the infants with diarrhea due to spleen deficiency, so as to enhance the therapeutic effects by alleviating the symptoms of spleen deficiency and the absorptive function of the small intestine.