基于Z评分系统运用通督健脾手法促脾虚质学龄前儿童生长发育研究

Promoting the Growth and Development of Preschoolers with Spleen Deficiency by Tongdu Jianpi Manipulation Based on Z-score System

目的探讨小儿推拿“通督健脾手法”对脾虚质学龄前儿童生长发育的影响。方法将南昌市洪都中医院收治的60例符合标准的脾虚质学龄前儿童随机分为对照组与治疗组,每组30例。对照组给予饮食指导、健康宣教和密切观察病情等常规保健护理,治疗组在对照组基础上给予通督健脾手法治疗,比较两组治疗前后的脾虚质体质表现积分、生长发育指标及体格测量评分(Z评分)。结果治疗后,两组患儿的脾虚质体质表现积分均下降,且治疗组低于对照组(P<0.05);治疗组身高、体质量指标增值高于对照组(P<0.05),但两组胸围、腰围增值比较差异无统计学意义(P>0.05);两组Z评分(WAZ、WHZ、HAZ)均增加,且治疗组高于对照组(P<0.05)。结论通督健脾手法对改善脾虚质儿童的生长发育及体质转变情况有良好效果,能有效提高患儿免疫力,具有良好的社会效益,值得临床推广与应用。

Objective To explore the effect of Tongdu Jianpi manipulation on the growth and development of preschoolers with spleen deficiency.Methods Sixty preschoolers with spleen deficiency admitted to Nanchang Hongdu Hospital of Traditional Chinese Medi⁃cine were randomly divided into control group and treatment group,with 30 cases in each group.The control group received routine health care such as diet guidance,health education and close observation.The treatment group received Tongdu Jianpi manipulation on the basis of the control group,with a period of 12 weeks.The physical performance score of spleen deficiency,growth and develop⁃ment indicators and physical measurement score(Z-score)were compared between the two groups before and after treatment.Results After treatment,the scores of spleen deficiency constitution in the two groups decreased,and the scores in the treatment group were lower than those in the control group,with a statistically significant difference(P<0.05).The increment of height and weight in the treatment group was higher than that in the control group(P<0.05),but there was no significant difference between the two groups in chest circumference and waist circumference(P>0.05).The Z-score(WAZ,WHZ,HAZ)of the two groups increased,and the treat⁃ment group was higher than the control group,and the difference was statistically significant(P<0.05).Conclusion Tongdu Jianpi ma⁃nipulation has a good effect on improving the growth and development and physical transformation of children with spleen deficiency.It can effectively improve the immunity of children,has good social benefits,and is worthy of clinical promotion and application.