基于冬病夏治论穴位贴敷结合小儿推拿治疗小儿慢性咳嗽.docxVIP

基于“冬病夏治”论穴位贴敷结合小儿 推拿治疗小儿慢性咳嗽 王列马铁明于本性马帅沈红岩 辽宁中医药大学针灸推拿学院 沈阳市第七人民医院 神经内科辽宁中医药大学第一附属医院儿科 摘要： 目的:观察、比较穴位贴敷法、小儿推拿法及两者结合法治疗小儿慢性咳嗽疗效 差异，为小儿慢性咳嗽的治疗提供参考。方法：90例小儿慢性咳嗽患者随机分为 穴位贴敷组、小儿推拿组、两者结合组，每组30例。穴位贴敷组选用辽宁中医 药大学第一附属医院的“伏九贴膏”在每年的三伏进行穴位贴敷，每10天1次, 3次为1个疗程;小儿推拿组通过选取肺经、肝经、内八卦、膻中等进行穴位按 摩，每天1次，连续10 d为1个疗程，两者结合组采用“伏九贴膏”与小儿推 拿的结合方法，操作次数与疗程和另两组相同。通过回访观测证候量表分数的变 化，从而比较单纯及结合疗法的不同疗效。结果:穴位贴敷组、小儿推拿组和两 者结合组的总有效率分别为90. 0%. 86. 7%和93.3%,治疗后3组证候积分比较， 差异具有统计学意义(P0. 05)。结论:穴位贴敷疗法、小儿推拿疗法及两者结 合法对小儿慢性咳嗽均具有良好的治疗效果，但两者结合效果更为显著，安全 有效适宜推广。 关键词： 穴位贴敷;小儿推拿;慢性咳嗽; 作者简介：王列(1985-)，女，吉林德惠人，讲师，博士，研究方向:针灸推拿 基础与临床。 作者简介：马铁明(1964-),男，辽宁北镇人，教授，博士，研究方向:针刺机 理，E-mail:matieming999@sohu. com。 收稿日期：2017-06-11 基金：辽宁省高等学校创新团队课题(LT2015016) Treatment of Children s Chronic Cough Based on Acupoint Application Combined with Pediatrie Massage on Basis of aTreating Winter Disease in Summer WANG Lie MA Tieming YU Benxing MA Shuai SHEN Hongyan Acupuncture and Tuina College of Liaoning University of Traditiorml Chinese Medicine; Department of Neurology, Seventh Peoples Hospital of Shenyang; Department of Pediatries Firs t Aff ilia ted Hosp itol of Liaoning Universi ty of Traditional Chinese Medicine; Abstract： Objective: To observe and compare the differences among acupoint sticking method, pediatric massage, the combination of the two methods of chiIdren with chronic cough so as to provide the reference for treatment. Methods: Ninety cases of children with chronic cough were randomly divided into acupoint sticking group, pediatric massage group, the com bi nation group, each group 30 cases. Acupoint sticking group selected Fujiu plaster in the First Affiliated Hospital of Liaoning University of Traditional Chinese Medicine, every 10 days, 3 times as a course of treatment. Pediatrie massage group selected the acupoints in lung, liver meridians and internal Bagua and Danzhong, once a day, 10 days for a course of treatment. The combination group used Fujiu paste and the combination of pediatric massage method, the times and treatme