Clinical efficacy observation of'Tong Du Yun Pi'manipulation for infantile diarrhea in autumn

"通督运脾"手法治疗小儿秋季腹泻的临床疗效观察

Objective:To observe the clinical efficacy of ‘Tong Du Yun Pi’(Governor Vessel-unblocking and spleen-promoting)manipulation in treating infantile diarrhea in autumn.Methods:Eighty-four kids were divided into a control group and an observation group using the random number table method,with 42 cases in each group.The control group was intervened by oral administration of montmorillonite powder;and the observation group was given additional‘Tong Du Yun Pi’pediatric massage(tuina)treatment.After treatment,the traditional Chinese medicine(TCM)symptoms scores,symptom improvement time,clinical efficacy and immune function indicators were compared between the two groups.Results:After treatment,the total effective rate was 95.2%in the observation group versus 76.2%in the control group,and the between-group difference was statistically significant(P<0.05);each item score in TCM symptoms was notably lower in the observation group than in the control group(all P<0.05);among the effective cases,the times to restore normal defecation,relieve abdominal bloating,arrest vomiting,and bring down the fever were markedly shorter in the observation group than in the control group,and the betwee regroup differences were statistically sign ificant(all P<0.05);the levels of immunoglobulin(Ig)G,IgM,CD4^(+)and CD4^(+)/CD8^(+)were significantly higher and CD8^(+)was significantly lower in the observation group than in the control group(all P<0.05).Conclusion:In the treatment of infantile diarrhea in autumn,based on oral administration of montmorillonite powder,‘Tong Du Yun Pi’manipulation can notably improve diarrheal symptoms,shorten disease duration,and strengthen the immunity of kids,producing more significant efficacy than oral administration of montmorillonite powder.

目的:观察"通督运脾"手法治疗小儿秋季腹泻的临床疗效.方法:将84例患儿按随机数字表法分为对照组和观察组,每组42例.对照组给予口服蒙脱石散治疗,观察组在对照组治疗基础上加用"通督运脾"推拿手法治疗.治疗后比较两组患儿中医证候评分、症状改善时间、临床疗效及免疫功能指标.结果:治疗后观察组总有效率为95.2%,对照组为76.2%,组间差异有统计学意义(P<0.05);观察组患儿的中医证候各项评分均明显低于对照组(均P<0.05);观察组有效患儿大便正常时间、腹胀消失时间、呕吐消失时间及退热时间均明显短于对照组,组间差异均有统计学意义(均P<0.05);观察组患儿免疫球蛋白(Ig)G、IgM以及CD4^(+)和CD4^(+)/CD8^(+)均明显高于对照组,而CD8^(+)明显低于对照组(均P<0.05).结论:口服蒙脱石散基础上加用"通督运脾"手法治疗小儿秋季腹泻可明显改善患儿的腹泻症状,缩短病程,增强患儿机体免疫能力,其疗效优于口服蒙脱石散单独使用.