健脾和胃推拿法治疗小儿厌食症的临床观察

目的：观察健脾和胃推拿法治疗小儿厌食症的临床疗效。方法：120例厌食症患儿根据证候分为实证组60例和虚证组60例，按照优诊顺序抽取实证组30例和虚证组30例分别组成治疗组和对照组各60例。治疗组采取健脾和胃推拿法治疗。对照组采取教材中的常规治疗方法，观察记录两组患儿治疗前后症状改善积分，评价临床疗效。结果：两种治疗都有效。治疗组疾病总有效率95．00％，对照组疾病总有效率91．67％，差异无统计学意义（P〉0．05）。治疗后治疗组平均症状总积分、食欲评分低于对照组（P〈0．05）；食量、面色、精神情绪、出汗、腹部不适、大便不调、呕吐等方面的评分比较差异无统计学意义（P〉0．05）；实证组，治疗组平均总积分低于对照组（P〈0．05），虚证组差异无统计学意义（P〉0．05）；治疗组症状总积分实证组与虚证组之间差异无统计学意义（P〉0．05）。结论：健脾和胃推拿法治疗小儿厌食症安全有效，具有临床借鉴意义。

健脾消化汤联合胃推拿法治疗小儿脾胃气虚型厌食症的临床观察

目的观察健脾消化汤联合胃推拿法治疗小儿脾胃气虚型厌食症的临床疗效。方法将我院的150例患有厌食症的患儿随机分为汤药组、推拿组和联合组3个组,每组50例患者,分别施与健脾消化汤服用、胃推拿法治疗以及两者的联合治疗。疗程均为4周。观察3组在接受治疗的前后中医证候的变化,并据此判断疗效。结果汤药组有效率为70%,推拿组有效率为76%,联合组有效率为88%;联合组的有效率均明显高于汤药组和推拿组,比较差异有统计学意义(P<0.05)。结论健脾消化汤联合胃推拿法治疗小儿厌食症,优于施与单一治疗手段,可以有效改善患儿的症状,提高临床治疗效果。

Clinical Observation on Infantile Chronic Superficial Gastritis Treated by Acupuncture and Tuina

Objective：To observe the clinical effects of acupuncture and Tuina treatment for infantile chronic superficial gastritis.Methods：50 cases of patients were treated with acupuncture and Tuina.to observe the changes in the electrogastrograph before and after treatment.10 sessions made one course.The therapeutic effects were evaluated after three courses.Results：The differences in various indexes of the electrogastrograph before and after the treatments were statistically significant（P〈0.01）,almost normal,and the clinical symptoms were refieved or disappeared.Conclusion：Acupuncture and Tuina treatment can be used to relieve the clinical symptoms of infantile chronic superficial gastritis and noticeably improve the electrogastrograph of the patients.The electrogastrograph can be used to provide reference to the diagnosis of organic diseases like gastritis and also used in the basic and clinical study of gastric diseases.