ISSN 1674-3865  CN 21-1569/R
主管：国家卫生健康委员会
主办：中国医师协会
　　　辽宁省基础医学研究所
　　　辽宁中医药大学附属医院
中国中西医结合儿科学

中国中西医结合儿科学 ›› 2016, Vol. 8 ›› Issue (1): 4-7.doi: 10.3969/j.issn.1674-3865.2016.01.002

• 临床论著 • 上一篇    下一篇

影响推拿敷贴治疗小儿迁延性及慢性腹泻临床疗效的相关因素

陈艳霞，郭凯，毛娜，王红娟，张丽，龙小雅，黄长婷，侯甜甜，康博，孟颖超，肖和印   

  1. 100102 北京，中国中医科学院望京医院儿科(陈艳霞，郭凯，毛娜，王红娟，张丽，龙小雅，黄长婷，肖和印)；100020 北京，北京市朝阳区中医医院内科(侯甜甜)；100102 北京，北京中医药大学研究生院(康博)；100102 北京，中国中医科学院研究生院(孟颖超)
  • 出版日期:2016-02-25 发布日期:2018-11-19
  • 通讯作者: 肖和印，E-mail：xheyin@126.com
  • 作者简介:陈艳霞(1976-)，女，医学硕士，副主任医师。研究方向：中西医结合临床治疗小儿脾胃系统疾病
  • 基金资助:
    首都临床特色应用研究(Z121107001012101)

Related factors influencing clinical efficacy of combined massage and plastering therapy of TCM on children with chronic and persistent diarrhea

CHEN Yanxia，GUO Kai，MAO Na，WANG Hongjuan，ZHANG Li，LONG Xiaoya，HUANG Changting，HOU Tiantian，KANG Bo，MENG Yingchao，XIAO Heyin   

  1. Department of Pediatrics，Wangjing Hospital，Traditional Chinese Academy of Sciences，Beijing 100102，China
  • Online:2016-02-25 Published:2018-11-19

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摘要：
目的：评价中医推拿敷贴疗法对小儿迁延性及慢性腹泻的临床疗效，研究影响推拿敷贴治疗小儿迁延性及慢性腹泻临床疗效的相关因素。
方法：2014年3月至2015年2月中国中医科学院望京医院儿科门诊收治迁延性及慢性腹泻患儿82例，运用个体化饮食处方、中医推拿、穴位敷贴治疗，并对患儿治疗前及治疗后7 d的中医证候积分予以评价，将痊愈与好转病例作为有效人群，与无效病例的相关因素进行对比分析。
结果疗程7 d结束后，痊愈29例(35.4%)，好转46例(56.1%)，无效7例(8.5%)。将痊愈及好转的患儿全部归于临床治疗有效的范畴，共75例(91.5%)。患儿病前大便次数、特制奶粉与疗效呈负相关，辅食添加情况与疗效正相关。
结论：推拿敷贴疗法对小儿迁延性及慢性腹泻疗效显著，患儿病前大便次数、特制奶粉、辅食添加情况为影响疗效的相关因素。

关键词: 慢性腹泻, 迁延性腹泻, 相关因素, 推拿, 穴位敷贴, 儿童

Abstract:
Objective：To evaluate the clinical efficacy of combined massage and plastering therapy of TCM on children with chronic and persistent diarrhea.To investigate the related factors influencing clinical efficacy of combined massage and plastering therapy of TCM on children with chronic and persistent diarrhea.
Methods：Individual diet prescription，massage and plastering therapy of TCM were used for 82 children with chronic and persistent diarrhea.The scores of TCM syndrome were observed before and after 7 days of treatment.The effective group included cured and improved patients，and the contrastive analysis was made between the effective group and ineffective group.
Results：At the end of the 7 days of treatment，29 cases were cured（35.4%），46 cases were improved（56.1%），while 7 cases had no response（8.5%）.All the child patients who recovered and improved were included in the effective group，75 cases in total（91.5%）.The stool frequency of the children before sickness and the special milk powder were negatively correlated with efficacy，while the food supplement was positively correlated with efficacy.
Conclusion：Combined treatment of massage and plastering therapy of TCM has satisfactory effectiveness in treating children with chronic and persistent diarrhea.The stool times of the children before getting sick，the special milk powder and the supplementary food addition are relevant factor affecting curative effect.

Key words: Chronic diarrhea, Persistent diarrhea, Relevant factor, Massage, Plastering therapy, Child