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目的观察脐疗结合推拿治疗小儿非感染性腹泻的临床效果。方法选择2011年1月—2012年2月就诊的非感染性腹泻患儿491例,随机分为治疗组246例和对照组245例,治疗组给予(1)脐疗:吴茱萸30 g、肉桂9 g、砂仁6 g、白豆蔻15 g、小茴香15 g、乌药9 g、苍术9 g、大腹皮6 g,将上药烘干,研细末,过200目筛,使用时取药末3 g,加适量老陈醋调成糊状,贴于脐上,外用纱布固定,保留6 h,1次/d。(2)推拿:运板门、补脾经、清大肠、揉中脘、揉龟尾,1次/d,20 min/次。以上均连续治疗3 d。对照组给予蒙脱石散和妈咪爱口服,治疗剂量和次数参照小儿年龄及体重,治疗3 d。计数资料采用χ2检验,P<0.05为差异有统计学意义。结果总有效率治疗组93.50%,对照组77.15%,两组比较差异有统计学意义(P<0.05)。结论脐疗结合推拿治疗小儿非感染性腹泻疗效明显,且治疗方法简便,患儿易于接受,值得临床推广应用。
Objective To observe the clinical effect of navel therapy combined with massage on children with non-infectious diarrhea. Methods 491 children with non-infectious diarrhea admitted to our hospital from January 2011 to February 2012 were randomly divided into treatment group (246 cases) and control group (245 cases). The treatment group received (1) umbilical treatment: Evodia rutaecarpa 30 g, cinnamon 9 g, amomum 6 g, white cardamom 15 g, fennel 15 g, 9 g of Chinese medicine, herb 9 g, large belly skin 6 g, the drug drying, research fine, 200 mesh sieve, when used to take At the end of medicine 3 g, add appropriate amount of vinegar into a paste, affixed to the umbilical, external gauze fixed, retained 6 h, 1 time / d. (2) massage: transport board door, spleen and kidney, clear large intestine, rub Chungzhong, rubbed Gumi, 1 time / d, 20 min / times. The above are continuous treatment of 3 d. The control group was given montmorillonite powder and mommy orally. The therapeutic doses and times were determined according to the age and weight of infants, and were treated for 3 days. Count data using χ2 test, P <0.05 for the difference was statistically significant. Results The total effective rate was 93.50% in the treatment group and 77.15% in the control group, with significant difference between the two groups (P <0.05). Conclusion Umbilical therapy combined with massage treatment of children with non-infectious diarrhea significant effect, and the treatment is simple, easy to accept children, it is worth promoting the clinical application.