| 摘要: |
| ［摘要］ 目的 探讨医务人员指导下的家庭推拿治疗社区儿童脾胃气虚型厌食症的疗效。方法 将60例脾胃气虚型厌食症患儿随机分为推拿1组和推拿2组各30例，在行为干预和膳食指导的基础上，推拿1组由社区医师采用健脾益气法选取穴位推拿治疗，推拿2组由医务人员指导患儿家长推拿。8周为一个疗程。比较两组治疗前后中医症状积分及临床疗效，记录治疗过程中的不良反应。结果 治疗后，两组患儿食欲、食量、面色、神疲、口气、腹胀、大便等症候评分均显著降低，与治疗前比较，差异有统计学意义（P<0.05）。推拿1组痊愈12例，显效8例，有效9例，无效1例；推拿2组痊愈9例，显效6例，有效13例，无效2例，两组疗效差异无统计学意义（P>0.05）。结论 推拿治疗儿童脾胃气虚型厌食症安全有效且简便，在医务人员指导下的患儿家长的推拿也可达到相同的效果。 |
| 关键词: 脾胃气虚 厌食症 儿童 临床疗效 |
| DOI：10.3969/j.issn.1674-3806.2015.10.09 |
| 分类号:R 244 |
| 基金项目:广州市天河区科信局资助项目（编号：2013KW013） |
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| Clinical observation of massage on the community children with anorexia of spleen-stomach qi deficiency type |
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LUO Ting
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Community Health Centre of Shipai Street of Tianhe District, Guangzhou 510630, China
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| Abstract: |
| ［Abstract］ Objective To explore the clinical effects of medical staff guided-home massage on the community children with anorexia of spleen-stomach qi deficiency type.Methods Sixty cases were randomly divided into the massage group 1(n=30) and the massage group 2(n=30). Besides the behavioral intervention and dietary guidance, the children in the massage group 1 received acupoint selected massage by community medical staff; the children in the massage group 2 received massage by parents under the guidance of community medical staff. All patients were treated for 8 weeks. The clinical symptom scores and clinical efficiency were compared before and after the treatment in both of the two groups and their adverse reactions were recorded.Results After the treatment, the clinical symptom scores of appetite, colour of face, mental weariness, halitosis, abdominal distension and stools in the two groups decreased greatly(P<0.05). In the massage group 1, 12 cases were cured, 8 markedly effective, 9 effective and 1 ineffective; in the massage group 2, 9 cases were cured, 6 markedly effective, 13 effective and 2 ineffective. There were no significant differences between the two groups(P>0.05).Conclusion Massage is a safe, effective, convenient and simple treatment for the children with anorexia. The medical staff guided-home massage has the similar effect. |
| Key words: Spleen-stomach qi deficiency Anorexia Children Clinical effects |
