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1、提要目的:观察推拿配合刺四缝治疗小儿便秘(胃肠燥热型)的临床疗效,以期为小儿便秘的防治提供安全、规范、有效的综合治疗技术。方法:符合诊断标准、纳入标准的胃肠燥热型便秘患儿90例,随机分为推拿配合刺四缝组、单纯刺四缝组及单纯推拿组。推拿配合刺四缝组:采用推拿特定穴(清大肠、运内八卦、揉二马、退六腑、揉膊阳池、摩腹、推下七节骨、揉龟尾)配合四缝穴交替刺血治疗;单纯刺四缝组:单纯采用四缝穴交替刺血治疗;单纯推拿组:单纯采用推拿特定穴(穴位同上)治疗,观察各组的临床疗效,并对各组疗效进行比较分析,得出优
2、化治疗方案。结果:1.临床疗效方面,推拿配合刺四缝组痊愈6例(20.0%)、显效15例(50.0%)、有效8例(26.7%)、无效1例(3.3%);单纯推拿组痊愈2例(6.7%)、显效3例(10%)、有效19例(63.3%)、无效6例(20.0%);单纯刺四缝组痊愈2例(6.7%)、显效7例(23.3%)、有效17例(56.7%)、无效4例(13.3%)。2.推拿配合刺四缝组总有效率最高(96.7%),单纯推拿组总有效率最低(80.0%),单纯刺四缝组总有效率居中(86.7%),三组总有效率比较
3、,P<0.05,有显著性差异。结论:推拿配合刺四缝治疗胃肠燥热型小儿便秘的疗效优于单纯刺四缝及单纯推拿的治疗疗效,为临床治疗小儿便秘提供了较好的综合治疗方法,值得临床推广应用。关键词推拿;刺血疗法;四缝穴;便秘;胃肠燥热型ClinicalResearchontheTreatmentofChildrenwithConstipation(GastrointestinalHotType)byTuinaandTheBarbedFourSeamSpeciality:Acupunctureandmoxibu
4、stionAuthor:FuMinminTutor:Prof.JingFujieAbstractObjective:Toobservetheeffectofmassageandspinefourjointtreatmentofconstipationinchildren(gastrointestinaltractdryness-heattype)clinicalefficacy,withperiodforpediatricconstipationpreventionandcontroltopro
5、videasafe,standard,effectivecomprehensivetreatmenttechnology.Methods:thediagnosticcriteria,inclusioncriteriaforthegastrointestinaltractdryness-heatconstipationpatientswererandomlydividedinto90cases,massageandthornfourseamgroup,simplestingfourseamgrou
6、pandsimplemassagegroup.Massagecombinedwiththornfourseamgroupwithmassage:specificacupoints(Qinge.,gossip,andtwohorsestransportedinside,backrubbingshouldersYangChi,sixholloworgans,abdominalmassage,pushingthesevensectionofbone,andGumi)withthefourapertur
7、ealternatingprickingbloodtherapy;simplestingfourseamgroup:thefouraperturealternatingprickingbloodtherapy;simplemassagegroup:treatedbymassagegivenpoints(pointsibid.)treatment,observeclinicalcurativeeffect,andtheeffectofeachgroupwereanalyzed,theoptimal
8、treatmentregimen.Results:1clinicalefficacy,massageandspinefourseamgroup6caseswerecured(20%),15cases(50%),effectivein8cases(26.7%),invalidin1cases(3.3%);simplemassagegroup2caseswerecured(6.7%),3cases(10%),effectivein19cases(63.3%),6casesareinvalid(20%