摘要
目的:系统评价推拿对正常儿童生长发育的影响。方法:检索CNKI、CBM、VIP、万方数据库自建库至2018年8月30日内容,筛选推拿对正常儿童生长发育影响的随机对照试验和半随机对照试验。通过筛选文献、提取资料以及方法学质量评价,运用Rev Man 5.3软件进Meta分析。结果:最终纳入9项研究,共计1389名儿童,对具体项目进行分析。①平均身高水平:推拿结合抚触对比抚触(MD=1.77,95%CI=0.64~2.90,P<0.00001),单纯推拿对比常规护理保健(MD=2.78,95%CI=1.59~3.97,P<0.00001),差异均有统计学意义;②平均体质量(体重)水平:推拿结合抚触对比抚触(MD=0.46,95%CI=0.21~0.71,P<0.00001),单纯推拿对比常规护理保健(MD=0.85,95%CI=0.39~1.31,P=0.0003),差异均有统计学意义;③平均身高增长值水平:推拿结合抚触对比抚触(MD=2.32,95%CI=1.93~2.71,P<0.00001),单纯推拿对比常规护理保健(MD=2.24,95%CI=1.38~3.10,P<0.00001),差异均有统计学意义;④平均体质量(体重)增长值水平:推拿结合抚触对比抚触(MD=0.49,95%CI=0.40~0.57,P<0.00001),单纯推拿对比常规护理保健(MD=0.86,95%CI=0.57~1.15,P<0.00001),差异均有统计学意义;⑤平均头围水平:推拿结合抚触对照抚触(MD=0.48,95%CI=0.10~0.87,P=0.59),单纯推拿对照常规护理保健(MD=0.47,95%CI=-0.10~1.05,P=0.28),差异均无统计学意义。结论:推拿对正常儿童生长发育有促进作用。
Objective:To systematically evaluate the effects of Tuina on the growth and development of normal children.Methods:The contents of CNKI,CBM,VIP and Wanfang databases from the building date of the datebase to August 30,2018 were retrieved to screen the randomized controlled trials and semi-randomized controlled trials of the effects of Tuina on the growth and development of normal children.Through literature screening,data extraction and methodological quality evaluation,Rev Man 5.3 software was used for meta-analysis.Results:In the end,9 studies with a total of 1389 children were included to analyze specific projects.①Average height level:In the comparison of Tuina combined with touch and simple touch(MD=1.77,95%CI:0.64 to 2.90,P<0.00001),and the comparison of simple Tuina and conventional care(MD=2.78,95%CI:1.59 to 3.97,P<0.00001),the differences were statistically significant.②Average body mass(weight)level:In the comparison of Tuina combined with touch and simple touch(MD=0.46,95%CI:0.21 to 0.71,P<0.00001),and the comparison of simple Tuina and conventional care(MD=0.85,95%CI:0.39 to 1.31,P=0.0003),the differences were statistically significant.③Average height growth value:In the comparison of Tuina combined with touch and simple touch(MD=2.32,95%CI:1.93 to 2.71,P<0.00001),and the comparison of simple Tuina and conventional care(MD=2.24,95%CI:1.38 to 3.10,P<0.00001),the differences were statistically significant.④Average body mass(weight)growth value:In the comparison of Tuina combined with touch and simple touch(MD=0.49,95%CI:0.40 to 0.57,P<0.00001),and the comparison of simple Tuina and conventional care(MD=0.86,95%CI:0.57 to 1.15,P<0.00001),the differences were statistically significant.⑤Average head circumference level:In the comparison of Tuina combined with touch and simple touch(MD=0.48,95%CI:0.10 to 0.87,P=0.59),and the comparison of simple Tuina and conventional care(MD=0.47,95%CI:-0.10 to 1.05,P=0.28),the differences were not statistically significant.Conclusion:Tuina has a positive effect on the growth and development of normal children.
作者
肖侠
燕翔琳
章冰
韩阿拉坦敖其尔
王艳国
XIAO Xia;YAN Xianglin;ZHANG Bing;HANALATAN Aoqier;WANG Yanguo(Tianjin University of Traditional Chinese Medicine,Tianjin 300193,China;Second Affiliated Hospital of Tianjin University of Traditional Chinese Medicine,Tianjin 300150,China)
出处
《山东中医杂志》
2020年第8期801-808,共8页
Shandong Journal of Traditional Chinese Medicine
基金
国家自然科学基金项目(编号:81574091)。
关键词
推拿
正常儿童
生长发育
身高
体质量
头围
系统评价
Tuina
normal children
growth and development
height
weight
head circumference
systematic evaluation
