饮食护理结合小儿推拿按摩改善小儿便秘临床有效性分析

对饮食护理+小儿推拿按摩改善小儿便秘症状和效果进行研究分析。方法 从2023年7月-11月这个时间段内选取样本数72例(便秘患儿),将72例中的前36例安排在对照组内,后36例安排在观察组内,分别将饮食常规护理及饮食护理+小儿推拿按摩提供给对照组和观察组,两组需要比对的指标是:治疗前后症候、便秘改善的总有效率、排便时间和排便频率的比对以及护理满意度。结果 以上四项指标对比中,观察组各项都优于对照组,组间差异为p<0.05。结论 临床利用饮食护理+小儿推拿按摩来共同对抗小儿便秘的种种不适具有积极效果。

小儿推拿按摩疗法治疗婴幼儿腹泻的疗效

目的:观察小儿推拿按摩疗法治疗婴幼儿腹泻的疗效。方法:选取腹泻患儿92例作为研究对象,按照随机数字表法分成观察组和对照组各46例。对照组给予思密达治疗,观察组给予小儿推拿按摩疗法,对比两组治疗疗效。结果:观察组大便次数治疗总有效率为97.83%,高于对照组的84.78%(P<0.05),治疗后观察组大便性状治疗总有效率为95.65%,高于对照组的78.26%(P<0.05),治疗后观察组治愈率为71.74%,显著高于对照组的43.48%(P<0.05)。治疗前两组腹泻症状积分差异无统计学意义(P>0.05),治疗后两组腹泻症状积分较治疗前降低,且观察组低于对照组(P<0.05)。结论:小儿推拿按摩疗法治疗婴幼儿腹泻的疗效优于思密达治疗疗效。

小儿推拿按摩疗法对婴幼儿腹泻的临床疗效及安全性分析

目的分析小儿推拿按摩疗法对婴幼儿腹泻的临床疗效及安全性。方法选取2018年4月~2019年10月临邑县第二人民医院收治的66例腹泻患儿为研究对象,按照随机数表法分为观察组与对照组,每组33例。对照组采用蒙脱石散治疗,观察组采用推拿按摩疗法,治疗结束后,评价两组临床治疗效果。结果治疗后,观察组腹泻症状积分低于对照组,差异具有统计学意义(P<0.05);观察组临床有效率高于对照组,差异具有统计学意义(P<0.05);两组患儿治疗期间,均未出现不良反应。结论采用推拿按摩疗法对腹泻患儿进行治疗,能有效减轻患儿临床症状,治疗效果好,且治疗期间未出现不良反应,安全性高,值得临床应用。

小儿推拿按摩加中药健脾散穴位敷贴治疗轮状病毒肠炎

考查小儿推拿按摩加中药健脾散穴位敷贴医治轮状病毒肠炎的疗效。方法:将诊断为轮状病毒肠炎的60例患儿随机分为实验组和对照组,实验组用小儿推拿按摩加中药健脾散穴位敷贴治疗,对照组采用静脉补液、口服补液盐、蒙脱石粉、双歧杆菌等常规疗法。对照实验组和对照组的临床症状消退时间,大便削减次数、大便性状转变的时间。结果:实验组总有效率为93.33%,对照组为80%。两组的总有效率有差别(P<0.05)。结论:小儿推拿按摩加中药健脾散穴位敷贴治疗轮状病毒肠炎疗效好,简单、绿色安全,易于患儿及家长接受。

饮食护理结合小儿推拿按摩改善小儿便秘的应用效果研究

观察饮食护理结合小儿推拿按摩改善小儿便秘的应用效。方法 从我院2022.5-2023.5月中选84例患儿,随机分为两组各42例,对照组(常规护理),观察组(饮食护理+推拿按摩),对比两组临床运用价值。结果 观察组护理满意度高于对照组;生活质量评分高于对照组;临床症状评分低于对照组;排便时间低于对照组,排便频次高于对照组(P<0.05)。结论 对小儿便秘患儿实施饮食护理联合小儿推拿按摩,能够促进小儿排便,缓解临床症状提升生活质量,可推广。

饮食护理结合小儿推拿按摩对小儿便秘的应用价值

探究饮食护理结合小儿推拿按摩对小儿便秘的应用价值。方法 选择桂林市中医医院(平山社区卫生服务中心)收治的124例小儿便秘患儿,随机分为两个组,分别为对照组和实验组,每组62例,分别给予常规治疗和采用饮食护理结合小儿推拿按摩进行治疗。统计两组患儿治疗前后多个指标的治疗恢复情况。结果:观察组和对照组的患儿在治疗前后的排便情况得到了改善,包括排便次数、时间和难易度等方面。特别值得注意的是,观察组在这些方面明显优于对照组(P<0.05)。治疗后,观察组的治疗有效率显著提升(P<0.05)。在整个治疗过程中,观察组和对照组均没有发生明显的不良反应。结论:饮食护理结合小儿推拿按摩可有效缓解小儿便秘的症状,提高治疗有效率,且治疗过程中安全性高。

饮食护理结合小儿推拿按摩改善小儿便秘的应用效果研究

目的:分析饮食护理结合小儿推拿按摩对小儿便秘的改善效果.方法:选取2018年8月~2020年3月期间我院收治的70例便秘患儿为研究对象,随机分为对照组和观察组,每组35例.对照组采取饮食护理,观察组在对照组基础上联合小儿推拿按摩,护理结束后对比两组患者便秘病症改善情况、中医症候积分、排便时间及排便频率.结果:观察组治疗的总有效率为100.0%,对照组为88.6%,对照组显著低于观察组(P<0.05);在两组患儿分别治疗前中医症候积分可见两组并无明显差异(P>0.05),而在两组患儿分别干预后分析可见,观察组患儿的中医症候积分明显更低(P<0.05);对分析两组患儿治疗后的排便时间及排便频率可见,观察组患儿排便时间明显更短,排便频率明显提高,对比统计学差异明显(P<0.05).结论:饮食护理结合小儿推拿按摩能有效改善患者的便秘情况,促进患者身体康复,值得临床推广.

中医推拿按摩治疗小儿消化不良性腹泻的临床疗效观察

目的：研究中医推拿按摩治疗小儿消化不良性腹泻的效果.方法：前瞻性随机将120例小儿消化不良性腹泻患儿分为对照组和治疗组,对照组给予常规西药治疗,治疗组给予中医推拿按摩治疗,观察有效率及症状改善情况,并对患儿家属的满意度进行比较.结果：治疗组总有效率为93.33%,明显高于对照组的78.33%,两组比较差异有显著性意义（P 〈0.05）.并且治疗组治疗后患者满意度为95.00%,明显高于对照组的76.67%,两组数据相比差异具有统计学意义（P 〈0.05）.结论：中医推拿按摩治疗小儿消化不良性腹泻能够有效提升患儿满意度,其疗效优于常规西医治疗,因此具有很高临床推广价值.

Clinical study on the treatment of functional constipation in infants and younger children with pediatric Tuina based on Baliao points

Objective:To observe the clinical efficacy of Tuina(Chinese therapeutic massage),basically Yi Zhi Chan pushing at Baliao points in the treatment of functional constipation in infants and children aged 1-3 years old.Methods:Seventy kids were randomly divided into an observation group and a control group,with 35 cases in each group.The control group was treated with conventional Tuina manipulation,while the observation group was treated with Tuina manipulation based on Yi Zhi Chan pushing at Baliao points.Both groups were treated once every other day,with 10 times as 1 course of treatment.The score on the self-developed constipation rating scale and clinical efficacy were compared after 1 course of treatment.Results:The total effective rate was 90.6%in the observation group and 76.7%in the control group,and the difference between the two groups was statistically significant(P<0.05).The degree of defecation difficulty in the children in the observation group was milder than that in the control group(P<0.01).Conclusion:Tuina manipulation based on Yi Zhi Chan pushing at Baliao points can significantly improve the degree of defecation difficulty in children,and the total effective rate is better than that of conventional Tuina manipulation.

Therapeutic effect observation on Nie-pinching the spine manipulation for infantile diarrhea due to spleen deficiency

Objective： To observe the influence of Nie-pinching the spine manipulation on the excretory rate ot urine D-xylose in the infants with diarrhea due to spleen deficiency, and to assess the clinical effects. Methods： Sixty infants in conformity with the diagnostic criteria of diarrhea due to spleen deficiency were randomly divided into a treatment group and a control group by the random digital table, 30 cases in each group. The infants in the treatment group were treated by Nie-pinching the spine manipulation and traditional infantile tuina, in addition to the routine basic treatment. The infants in the control group were treated by the same traditional infantile tuina in addition to the routine basic treatment. The infants in the two groups were treated once every day, 4 weeks as a course. Totally, the treatment was given for a course. The symptom integrals of spleen deficiency were used to assess the improvement in the symptoms. The colorimetry was used to determine the excretory rate of urine D-xylose. Results： in the comparison of the same group before and after the treatment, the differences in the global score of spleen deficiency symptoms and the excretory rate of urine D-xylose in the two groups were statistically significant （all P〈0.01）. After the treatment, the differences in the global score of spleen deficiency symptoms and the excretory rate of urine D-xylose between the two groups were all statistically significant （both P〈0.01）. Conclusion： Chiropractics can reduce the integrals of spleen deficiency symptoms and elevate the excretory rate of urine D-xylose in the infants with diarrhea due to spleen deficiency, so as to enhance the therapeutic effects by alleviating the symptoms of spleen deficiency and the absorptive function of the small intestine.

Efficacy observation on pediatric tuina plus Chinese medicine for exogenous fever in children

Objective: To observe the clinical effects of pediatric tuina plus Chinese medicine for exogenous fever in children. Methods: A total of 150 children withexogenous fever were randomly divided based on the random digital table into a control group (75 cases) and a treatment group (75 cases). The control group was treated with oral Xiao'er Chaigui Tuire Keli (<1 year old, 0.5 bag/time;1-3 years old, 1 bag/time;4-6 years old, 1.5 bags/time), 4 times/day. The treatment group was treated with pediatric tuina plus the intervention of the control group. The amount and usage of Chinese medicine were the same as those of the control group;tuina was conducted 1 time/day. The clinical effects and adverse reactions were observed after 3 d of treatment in both groups. The recurrence was observed within 7 d after the end of treatment. Results: The total effective rate was 92.0% in the treatment group and 81.3% in the control group. The difference between the two groups was statistically significant (P<0.05). There were no obvious adverse reactions in the two groups after treatment. The recurrence rate was 1.5% in the treatment group and 13.1% in the control group. The difference in the recurrence rate between the two groups was statistically significant (P<0.05). Conclusion: Pediatric tuina plus Chinese medicine is effective in treating children with exogenous fever.

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

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.

Clinical observation of pediatric Tuina plus oral Chinese medication for pediatric anorexia due to spleen failing in transportation

Objective To observe the clinical efficacy of pediatric Tuina(Chinese therapeutic massage)plus oral administration of Chinese medication for pediatric anorexia due to spleen failing in transportation.Methods A total of 94 children with anorexia due to spleen failing in transportation were randomized into an observation group and a control group by the random number table method at a ratio of 1:1,with 47 cases in each group.The control group was treated with modified Bu Huan Jin Zheng Qi San,and the observation group was treated with additional Tuina manipulation of Yun Shui Ru Tu based on the treatment in the control group.After 4 weeks of treatment,the clinical efficacy of the two groups was observed,and the traditional Chinese medicine(TCM)symptom score,serum leptin,neuropeptide Y,and serum zinc and calcium levels were compared.Results After 4 weeks of treatment,the total effective rate of the observation group was 87.2%,and that of the control group was 74.5%.The difference between the two groups was statistically significant( P<0.05).After treatment,the TCM symptom scores in both groups decreased significantly(P<0.05),and the scores in the observation group were lower than those in the control group(P<0.05).After treatment,the serum leptin level in both groups decreased,and the level in the observation group was lower than that in the control group(P<0.05).The serum neuropeptide Y,zinc,and calcium levels in both groups increased after treatment,and the levels in the observation group were higher than those in the control group(P<0.05).Conclusion Tuina manipulation of Yun Shui Ru Tu plus oral administration of Chinese medication is significantly effective in treating pediatric anorexia due to spleen failing in transportation,which can improve the appetite of children and improve the symptoms of anorexia,and the curative effect is better than that of oral administration of Chinese medication alone.

Therapeutic effect observation of Shanghai-style tuina method for infantile diarrhea

Objective： To observe the clinical efficacy of Shanghai-style tuina method based on syndrome differentiation in treating infantile diarrhea. Methods： Sixty patients were randomly divided into an observation group and a control group, 30 cases in each group. The patients in the observation group were treated by Shanghai-style tuina method based on syndrome differentiation, while the patients in the control group were treated by conventional Shanghai-style tuina method, once per day, continuous 5 d for a treatment course. The efficacy was evaluated according to the score of the quantization table for symptoms differentiation in infantile diarrhea after one course. Results： During the treatment, two cases in the control group dropped out. After treatment, the scores were significantly decreased in both groups and the intra-group differences were statistically significant （both P〈0.01）, indicating the two treatment methods were effective with infantile diarrhea. In the efficacies of traditional Chinese medicine （TCM） syndrome, the cured and markedly effective rate in the observation group was significantly higher than that in the control group （P〈0.05）, suggesting that Shanghai-style tuina method based on syndrome differentiation was more effective than conventional Shanghai-style tuina method. Conclusion： Conventional Shanghai-style tuina method is characterized by fixed acupoints, remembering easily and operating conveniently. It has a significant effect in treating children with diarrhea, and is worthy of clinical promotion and popularization. However, Shanghai-style tuina method based on syndromes differentiation requires the solid theoretical foundation and rich clinical experience of TCM. And because Shanghai-style tuina method based on syndromes differentiation is applied under the guidance of syndrome differentiation and TCM theory, it can improve the clinical efficacy.

Clinical experience of Xiangxi Liu's infantile tuina for exogenous fever in children

Xiangxi (the western part of Hunan province) Liu's infantile tuina,as one main school of current infantile tuina in China,highlights the compatibility of the specific points of Wujing in children,the idea of treatment by syndrome differentiation,and produces unique efficacy in the treatment of common diseases in children.Exogenous fever in children can be treated with this method with excellent efficacy.Based on the clinical experience and effective cases treated by this tuina school,the authors elaborated the clinical thought and experience from the perspective view of tuina,for the promotion of Xiangxi Liu's infantile tuina in clinic.

Manipulation parameter optimization in Liu's back tuina therapy for kids'cough variant asthma in remission stage

Objective:To determine the optimal manipulation parameters in Liu's back tuina therapy for remission-stage cough variant asthma(CVA)in kids.Methods:A 5-factor 3-level L18(37)orthogonal design was adopted.The experimental factors and levels were selected:A,the number of times of Rou-kneading Feishu(BL 13);B,the frequency of Rou-kneading Feishu(BL 13);C,the number of times of Tui-pushing in a'介'-like pattern;D,the frequency of Tui-pushing in a'介'-like pattern;E,the intensity of red color after Ca-scrubbing Feishu(BL 13)with salt.A1,A2 and A3 stood for 10 times,20 times and 30 times,respectively;B1,B2 and B3 stood for 200 times/min,240 times/min and 280 times/min,respectively;C1,C2 and C3 stood for 50 times,75 times and 100 times,respectively;D1,D2 and D3 stood for 150 times/min,175 times/min and 200 times/min,respectively;E1,E2 and E3 stood for pinkish,bright red and dark red,respectively.A total of 108 kids with CVA in remission stage were divided into 18 groups using the random number table method,with 6 cases in each group.Changes in the cough score and fractional exhaled nitric oxide(FENO)level were observed after 15-day treatment.Results:The cough score and FENO level changed significantly in every group after treatment(all P<0.01).By the effect in improving cough score,the factors were listed as D,B,A,C and E in descending order;the most optimal manipulation parameter combination was group 17(A3B2C1D3E1);the second optimal parameter combinations were group 7(A3B1C2D1E3),group 13(A2B1C2D3E1)and group 14(A2B2C3D1E2).Regarding the effect in down-regulating the level of FENO,the factors were listed as C,A,E,B and D in descending order;the most optimal manipulation parameter combination was group 13(A2B1C2D3E1);the second optimal parameter combinations were group 18(A3B3C2D1E2),group 16(A3B1C3D2E3)and group 14(A2B2C3D1E2).Conclusion:Two most effective manipulation parameter combinations were selected out of 18 different parameter combinations in Liu's back tuina therapy for remission-stage CVA in kids.Doctors can choose an appropriate manipulation based on the symptom features of the disease.

Comparison of curative effect of different media in pediatric tuina for infantile muscular torticollis

Objective:To observe the clinical efficacy of different media in pediatric tuina treatment for children with muscular torticollis.Methods:A total of 80 children with muscular torticollis were randomized into an observation group and a control group,40 cases in each group.Both groups received conventional pediatric tuina therapy.The observation group was treated with Bai Mai ointment as the massage medium,while the common lubrication oil was used as medium in the control group.Both groups were treated five times a week,20 min for each time,20 times constituted a course of treatment.The traditional Chinese medicine(TCM)syndrome scores were evaluated before and after treatment,and the curative effect was observed after 3 courses and 6 courses of treatment respectively.Results:The TCM syndrome scores improved in both groups after treatment,and the intra-group differences were statistically significant(both P〈0.01).The score of the observation group was statistically different from that in the control group(P〈0.05).In the observation group,the total effective rates after 3 courses and 6 courses of treatment were 95.0%and 100.0%,respectively,versus 87.5%and 95.0%in the control group.The total effective rates of the two groups were statistically different(both P〈0.05).Conclusion:Bai Mai ointment has a better curative effect than the common lubricating oil as a massage medium in the treatment of children with muscular torticollis.

Clinical efficacy observation on pediatric massage for chronic cough in children

Objective To observe the clinical efficacy of pediatric massage(tuina)for chronic cough in children.Methods A total of 96 cases were randomized into a control group and an observation group,with 48 cases in each group.Cases in the control group received routine pediatric massage manipulations.Cases in the observation group received additional Mo-rubbing abdomen manipulation.The treatment was done 3 times a week and 12 times made up a treatment session.The cough symptom scores were evaluated before treatment and after 3,6,9 and 12 treatments respectively.Results There were 8 dropouts in the observation group and 5 dropouts in the control group.Before treatment,there was no statistical difference in coughing score between the two groups(P>0.05).After 9 times of treatment,the total coughing scores were significantly reduced in both groups(both P<0.05);however,there were no statistical differences between the two groups in the score differences between before treatment and after 3,6 and 9 times of treatment(all P>0.05).After 12 times of treatment,the total coughing scores were significantly reduced in both groups(both P<0.05),along with a statistical difference between the two groups in the score difference between before treatment and after 12 times of treatment(P<0.05).There was a statistical difference between the two groups in overall response(P<0.05).The total effective rate in the observation group was 92.5%,versus 86.0%in the control group,showing a statistical difference(P<0.05).Conclusion The routine pediatric massage manipulations alone or in combination with Mo-rubbing abdomen manipulation both can significantly improve chronic cough in children;however,the combination obtains a better effect.

Therapeutic efficacy and safety rating of Tui-Pushing chest-back manipulation for children with cough variant asthma Therapeutic efficacy and safety rating of Tui-Pushing chest-back manipulation for children with cough variant asthma

Objective:To observe and evaluate the clinical efficacy and safety of using pediatric Tuina(Chinese therapeutic massage),Tui-Pushing chest-back manipulation,in treating children with cough variant asthma(CVA).Methods:Seventy-two kids with CVA were divided into two groups using the random number table method,with 36 cases in each group.The control group received the conventional Tuina treatment,and the observation group received additional Tui-Pushing chest-back manipulation.The clinical efficacy and adverse reactions were observed and recorded for the two groups.Results:After three treatment courses,compared with the control group,the observation group showed advantages in the total effective rate,reducing the number and intensity of cough and improving the nature of cough(P<0.05).However,at the one-month follow-up,there were no significant differences between the two groups in these parameters(P>0.05).Regarding the adverse reaction rate,there was no significant between-group difference(P>0.05).Conclusion:It is effective and safe to use pediatric Tuina,Tui-Pushing chest-back manipulation,plus the conventional treatment protocol to treat CVA in children.

Summary of Professor Jin Yi-cheng's academic thoughts on pediatric tuina therapy

To introduce Prof. Jin Yi-cheng’s academic thoughts on pediatric tuina therapy, in order to promote the extensive application of the relevant tuina techniques and the inheritance of famous doctor’s experience, and enhance the clinical effects of tuina in treatment of children’s diseases.