湖湘流派五步法小儿推拿治疗脾虚型小儿泄泻临床观察

Clinical observation of treatment of infantile diarrhea due to spleen deficiency using five-step pediatric tuina of Huxiang school

目的:探讨湖湘流派五步法小儿推拿治疗脾虚型小儿泄泻的临床疗效。方法:采用随机、对照临床试验设计,将符合纳入标准的60例脾虚型泄泻患儿随机分为观察组和对照组,每组30例,观察组采用湖湘流派五步法小儿推拿治疗,对照组采用传统推拿治疗。每天治疗1次,连续治疗5 d为1疗程,疗程间休息2 d,连续治疗4个疗程。观察脾虚泄泻的主要、次要症状评分变化,并进行疗效评价。结果:治疗后,两组脾虚泄泻的主要、次要症状评分和总分均有改善,观察组在改善脾虚证大便性状和次数、食欲减退、食后饱胀及神疲肢倦症状方面效果优于对照组。结论:湖湘流派五步法小儿推拿与传统推拿均能改善脾虚型小儿泄泻患儿的主要和次要症状,湖湘流派五步法小儿推拿疗效优于传统推拿。

Objective:To observe the clinical efficacy of treating infantile diarrhea due to spleen deficiency with five-step pediatric tuina of Huxiang school.Methods:Using a randomized controlled trial design,sixty eligible kids with diarrhea due to spleen deficiency were randomized into an observation group and a control group,with 30 cases in each group.The observation group was intervened by the five-step pediatric tuina method of Huxiang school,and the control group received conventional tuina treatment.The intervention was conducted once a day,consecutive 5-day treatment as 1 course,at a 2-day interval between courses,successively for a total of 4 courses.Changes in the primary and secondary symptoms of diarrhea due to spleen deficiency were observed,and the clinical efficacy was evaluated.Results:After treatment,the scores of primary and secondary symptoms and the general score of diarrhea due to spleen deficiency were improved;the improvements in fecal form and frequency,decreased appetite,bloating after meals and fatigue and sluggishness were more significant in the observation group than in the control group.Conclusion:The five-step pediatric tuina method of Huxiang school and conventional tuina both can improve the primary and secondary symptoms in infantile diarrhea due to spleen deficiency,while the former one can produce more significant efficacy.