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【目的】评价基于经络腧穴理论的“调运枢纽”推拿术在小儿厌食症的中医临床护理中的效果。【方法】选取小儿厌食症患儿120例,随机分为试验组和对照组,每组各60例。对照组在常规护理基础上给予捏脊疗法治疗,试验组在常规护理基础上给予以“调运枢纽”推拿术为核心的推拿治疗,包括清补脾胃经、平运内八卦、揉板门、揉腹、平调穴位(中脘、天枢、足三里)、捏脊为主线,结合虚实辨证,隔天治疗1次,3次为1个疗程,2个疗程后,评价2组患儿的临床疗效以及护理治疗前后中医证候积分、体格测量评价指标[身高、体质量、头围、胸围、年龄别身高(HT/A)、年龄别体质量(WT/A)等]的变化情况。【结果】(1)试验组有5例患儿中途脱落、退出试验(其中实证3例,虚证2例),对照组有6例患儿中途脱落、退出试验。(2)经2个疗程的护理治疗后,试验组的总有效率为94.55%,对照组为87.04%,试验组的疗效优于对照组,差异有统计学意义(P<0.05)。(3)治疗后,2组患儿的食欲和食量、面色和唇色、饮水情况、烦急情况、小便情况评分和中医证候积分,以及试验组的WT/A均较治疗前有明显改善(P<0.05);且试验组在改善食欲和食量、面色和唇色、烦急情况评分和中医证候积分方面明显优于对照组(P<0.05或P<0.001),在改善体质量、身高、头围、HT/A等体格测量评价项目方面也明显优于对照组(P<0.05)。【结论】“调运枢纽”推拿术是一种基于经络腧穴理论及中医辨证论治理论的有效护理手段,用于小儿厌食症的治疗,起效快,临床效果满意,症状改善明显。
【Objective】 To evaluate the effect of “transfer hub” massage based on the theory of meridian acupoints in clinical nursing of children with anorexia. 【Methods】 120 children with anorexia nervosa were selected and randomly divided into experimental group and control group with 60 cases in each group. The control group was given chiropractic therapy on the basis of routine nursing. The experimental group was given massage therapy based on the routine nursing with “transfer hub ” massage technique as the core, including clearing up the spleen and stomach, flattening the gossip, kneading the door , Kneading belly, flat acupoints (Zhongli, Tianshu, Zusanli), the main line of chiropractic, combined with the actual situation dialectical, the next day treatment 1, 3 times for a course of treatment, after 2 courses of treatment, two groups of children (Including body height, body mass, head circumference, chest circumference, HT / A, WT / A, etc.) of TCM syndromes before and after the nursing treatment were analyzed. . 【Results】 (1) In the test group, 5 cases of children dropped off halfway and exit the trial (3 cases were positive and 2 cases were deficiency). Six children in the control group dropped off halfway and quit the experiment. (2) After 2 courses of nursing, the total effective rate of the experimental group was 94.55% and that of the control group was 87.04%. The curative effect of the experimental group was better than that of the control group (P <0.05). (3) After treatment, the appetite and food intake, complexion and lip color, water intake, irritability, urine score and TCM syndrome score in both groups and WT / A in experimental group were significantly improved than those before treatment (P <0.05), and the experimental group was significantly better than the control group (P <0.05 or P <0.001) in improving appetite and food intake, complexion and lip color, anxiety score and TCM syndrome score, Body height, head circumference, HT / A and other physical measurement evaluation items are also significantly better than the control group (P <0.05). 【Conclusion】 The “transfer hub” massage is an effective nursing method based on the theory of meridian acupoints and syndrome differentiation of traditional Chinese medicine. It is used in the treatment of pediatric anorexia. It has rapid onset, satisfactory clinical effect and obvious improvement of symptoms.