推拿法联合丁桂运脾散穴位敷贴治疗小儿腹泻脾虚证的效果观察

Efficacy of Massage Therapy Combined with Dinggui Yunpi Powder Acupoint Application in the Treatment of Infantile Diarrhea with Syndrome of Spleen Deficiency

目的:探讨推拿法联合丁桂运脾散穴位敷贴治疗小儿腹泻脾虚证的效果。方法:选取2019年12月-2020年12月广东省妇幼保健院就诊的122例小儿腹泻,按照随机数字表分为对照组和观察组,每组61例。对照组采用双歧杆菌活菌胶囊治疗;观察组在对照组基础上采用推拿法联合丁桂运脾散穴位敷贴治疗。比较两组临床疗效、症状体征恢复时间及治疗前后的脾虚证症状评分。结果:观察组的愈显率为91.80%,高于对照组的77.05%,差异有统计学意义(P<0.05)。观察组退热、大便恢复正常、粪常规恢复正常、呕吐缓解、腹痛缓解时间均早于对照组,差异均有统计学意义(P<0.01)。治疗前,两组大便稀溏、食后即泻、面色萎黄、神疲倦怠评分比较,差异均无统计学意义(P>0.05);治疗后,两组大便稀溏、食后即泻、面色萎黄、神疲倦怠评分均低于治疗前,且观察组均低于对照组,差异均有统计学意义(P<0.01)。结论:推拿法联合丁桂运脾散穴位敷贴治疗小儿腹泻脾虚证的效果较好,能促进患儿症状体征和中医症候的好转。

Objective:To investigate the efficacy of massage therapy combined with Dinggui Yunpi Powder acupoint application in the treatment of infantile diarrhea with syndrome of spleen deficiency.Method:A total of 122 infantile diarrhea patents with syndrome of spleen deficiency admitted to Guangdong Maternal and Child Health Hospital from December 2019 to December 2020 were selected,they were divided into control group and observation group according to random number table,61 cases in each group.The control group was treated with Bifidobacteria Living Capsule,the observation group was treated with massage therapy combined with Dinggui Yunpi Powder acupoint application on the basis of the control group.The clinical efficacy,recovery time of symptoms and signs and symptom score of spleen deficiency syndrome before and after treatment were compared between two groups.Result:The healing rate in the observation group was 91.80%,which was higher than 77.05%in the control group,the difference was statistically significant(P<0.05).The fever,stool and routine stool returned to normal,vomiting relief,abdominal pain relief time in the observation group were earlier than those in the control group,the differences were statistically significant(P<0.01).Before treatment,there were no significant differences in scores of loose stool,diarrhea after eating,yellow complexion and fatigue between two groups(P>0.05);after treatment,scores of loose stool,diarrhea after eating,yellow complexion,fatigue of both groups were lower than those before treatment,and those in the observation group were lower than those in the control group,the differences were statistically significant(P<0.01).Conclusion:The efficacy of massage therapy combined with Dinggui Yunpi Powder acupoint application in the treatment of infantile diarrhea with syndrome of spleen deficiency is significant and can promote the improvement of children’s symptoms and signs and traditional Chinese medicine syndromes.