摘要
目的:观察推拿配合穴位点刺治疗小儿风热型外感发热的临床疗效。方法:符合诊断标准及纳入标准的180例患儿,随机分为治疗组(推拿配合穴位刺血组)和单纯推拿组各90例。治疗组综合采用推拿(开天门、推坎宫、揉太阳、清肺经、清天河水、退六腑)+穴位刺血(取穴:①左侧少商、商阳、关冲及双侧耳尖穴;②右侧少商、商阳、关冲穴;③大椎穴)。推拿组治疗方法、疗程同治疗组中的推拿治疗。3次为1疗程,1个疗程后对两组的临床疗效和症状、体征综合评分进行比较。结果:两组总有效率、显效率比较差异均具有统计学意义(P<0.05);两组症状与体征综合评分与治疗前及治疗后组间比较差异均具有统计学意义(P<0.05)。结论:推拿配合穴位点刺是治疗小儿风热型外感发热安全有效的外治方法,优于单纯推拿治疗。
Objective:To investigate the therapeutic efficacy and safety of tuina manipulation combined with bloodletting therapy in treating exopathogenic wind-heat type fever in children.Methods:A total of 180 children with the exopathogenic wind-heat type fever were randomly divided into the treatment group(tuina manipulation combined with acupoint bloodletting therapy)and the only tuina manipulation group,with 90 cases in each group.The treatment group was treated with Manipulation therapy combined with acupoint bloodletting therapy.The tuina manipulation therapy included pushing Tianmen and Kangong,kneading Taiyang,clearing Feijing,clearing Tianheshui and rubbing Liufu.The Acupoint bloodletting therapy:select following acupoints and then apply the bloodletting in sequence.Acupoint:①left Shangyang,Shaoyang Guanchong and bilateral Ear-apex.②Shaoshang,Shangyang and Guanchong acupoint on the right side.③Dazhui.The control group:the treating duration and the manipulation of tuina were the same as those of the treatment group.After one session,the therapeutic effect and symptom scores of the two groups were observed and compared.Results:The differences of the total effective rate and the significant efficiency between the two groups were both statistically significant(P<0.05).The differences of comprehensive scores of symptoms and signs between the two groups were also statistically significant(P<0.05).Conclusions:Tuina manipulation combined with bloodletting therapy is a safe and effective therapeutic approach for children with the exopathogenic wind-heat type fever,and it is better than only tuina manipulation.
作者
王琳
井夫士
张静
林庆学
井夫杰
WANG Lin;JING Fushi;ZHANG Jing;LIN Qingxue;JING Fujie(Shandong University of Traditional Chinese Medicine,Jinan 250355,China;Juxian People’s Hospital,Juxian 276502,China;Juxian Hospital of Traditional Chinese Medicine,Juxian 276502,China)
出处
《山东中医杂志》
2019年第9期849-852,共4页
Shandong Journal of Traditional Chinese Medicine
基金
山东省科技攻关计划资助项目(编号:2013G0021807)
关键词
小儿外感发热
风热型
推拿
穴位
穴位点刺
外治法
exopathogenic fever
wind-heat type
Manipulation
acupoint
acupoint pricking
children
