推拿结合参苓白术散治疗小儿脾虚型泄泻的临床研究

• 作 者: 李佳 张馥晴
• 出 处: 针灸推拿医学（英文版）
• 发表日期: 2022年1期
• 关键词: Massage Pediatric Tuina Diarrhea Infantile Spleen Deficiency Shen Ling Bai Zhu S

目的:观察推拿结合参苓白术散治疗脾虚型小儿泄泻的临床疗效.方法:选择脾虚型小儿泄泻患者105例,采用随机数字表法分为2组.对照组52例予口服参苓白术散治疗,观察组53例在此基础上加用推拿治疗.治疗后比较两组临床疗效,观察中医症状评分变化.结果:研究过程中,观察组脱落3例,对照组脱落2例.治疗后,观察组总有效率100.0％,对照组总有效率90.0％,两组差异有统计学意义(P<0.05).两组主症评分、次症评分及症状总分较本组治疗前显著降低(P<0.05),观察组治疗后主症评分、次症评分及症状总分均低于对照组(P<0.05).两组治疗期间均无明显不良反应.结论:推拿结合参苓白术散治疗小儿脾虚型泄泻的疗效优于参苓白术散单独使用.“,”Objective: To observe the clinical efficacy of Tuina (Chinese therapeutic massage) plus Shen Ling Bai Zhu San for pediatric diarrhea due to spleen deficiency.Methods: A total of 105 children with diarrhea due to spleen deficiency were selected and randomized into two groups by the random number table method. Fifty-two cases in the control group were treated with oral Shen Ling Bai Zhu San, and 53 cases in the observation group were treated with additional Tuina treatment. The clinical efficacy was evaluated after treatment, and the changes of traditional Chinese medicine (TCM) symptom scores were observed. Results: During the trial, there were three dropouts in the observation group, and two in the control group. After the treatment, the total effective rate was 100.0％ in the observation group, and 90.0％ in the control group. The difference between the two groups was statistically significant (P<0.05). The scores of primary and secondary symptoms, and the total scores of TCM symptoms in both groups were significantly lower than those before treatment (P<0.05). And the scores of primary and secondary symptoms, and the total score of TCM symptoms in the observation group after treatment were lower than those in the control group (P<0.05). There were no obvious adverse reactions in either group during the treatment. Conclusion: Tuina plus Shen Ling Bai Zhu San has a better therapeutic effect in treating pediatric diarrhea due to spleen deficiency than Shen Ling Bai Zhu San alone.