五步小儿推拿治疗小儿厌食症脾胃虚弱型64例临床观察

Clinical observation on 64 cases of anorexia in children with spleen and stomach weakness type treated by five-step pediatric tuina

目的观察五步小儿推拿治疗小儿厌食症脾胃虚弱型的临床疗效。方法选取2018年4月至2019年6月温州市中西医结合医院推拿科门诊收治的127例厌食症患儿,采用随机数字表法分为治疗组64例和对照组63例,2组均予基础性护理和葡萄糖酸锌口服液口服,对照组在基础治疗和护理的基础上予常规小儿推拿治疗,治疗组予五步小儿推拿治疗。治疗8周后观察2组的中医证候积分、临床疗效以及血锌和血红蛋白(Hb)水平的变化情况。结果治疗前2组主要证候积分和次要证候积分比较,差异无统计学意义(P>0.05),具有可比性;治疗后2组主要证候积分和次要证候积分均显著改善,与同组治疗前比较,差异均有统计学意义(P<0.01),且治疗组改善更显著(P<0.05)。对照组痊愈率为1.59%(1/63),治疗组为10.94%(7/64),2组比较,差异有统计学意义(P<0.05)。治疗前2组血锌和Hb水平比较,差异无统计学意义(P>0.05),具有可比性;治疗后2组血锌和Hb水平均显著升高,与同组治疗前比较,差异有统计学意义(P<0.01),且治疗组升高更显著(P<0.05)。结论五步小儿推拿治疗小儿厌食症脾胃虚弱型,能明显改善患儿的临床症状、体征,升高血锌和Hb水平,疗效显著,且操作方便、患儿易于接受,值得临床推广应用。

Objective To observe the clinical efficacy of five-step pediatric tuina in the treatment of anorexia in children with spleen and stomach weakness type.Methods From April 2018 to June 2019,127 children admitted into outpatient service of tuina department in Wenzhou Hospital of Integrated Traditional Chinese and Western Medicine were chosen and divided into treatment group with 64 cases and control group with 63 cases according to random number table method.The 2 groups were given basic nursing and oral administration of zinc gluconate oral solution,on this basis,the control group was given routine pediatric tuina therapy while the treatment group was given five-step pediatric tuina.After 8 weeks of treatment,the TCM symptom scores,clinical efficacy,blood zinc and hemoglobin(Hb)levels of the 2 groups were observed.Results Before treatment,the difference was not statistically significant in the main symptom scores and minor symptom scores between the 2 groups(P>0.05),and they were comparable.After treatment,the main symptom scores and minor symptom scores in the 2 groups improved significantly,and the difference was statistically significant compared with the same group before treatment(P<0.01),moreover,the improvement in the treatment group was more significant(P<0.05).The recovery rate of the control group was 1.59%(1/63),that of the treatment group was 10.94%(7/64),and the difference between the 2 groups was statistically significant(P<0.05).Before treatment,there was no significant difference in the blood zinc and Hb levels between the two groups(P>0.05),and they were comparable.After treatment,the blood zinc and Hb levels of the 2 groups significantly increased,and the difference was statistically significant compared with those of the same group before treatment(P<0.01),moreover,the increase of the treatment group was more significant(P<0.05).Conclusion It can markedly improve the clinical symptoms and signs of the children patients,increase blood zinc and Hb levels with marked efficacy,convenient operation and easy acceptance by children patients to use five-step pediatric tuina in the treatment of anorexia in children with spleen and stomach weakness type,which deserves clinical promotion and application.