小儿推拿及药浴改善气虚体质的临床观察

Clinical observation on the improvement of qi deficiency constitution by pediatric massage and medicinal bath

关键词:  中医  治未病辨识  药浴  推拿  气虚体质

Key words:  traditional Chinese medicine  disease identification  medicinal bath  massage  qi deficiency constitution

摘要:

[目的] 通过小儿药浴及推拿的中医干预方式达到调和阴阳、提高免疫的功效，构建并实施可复制、可推广的“治未病”学龄前儿童服务模式。[方法]通过人工望、闻、问诊结合体质辨识仪对南阳地区1 000例3~6岁不同体质的学龄前儿童进行筛查，筛选出200例气虚体质儿童作为研究对象，采用随机数字表法分为对照组与药浴组，每组100例。对照组实施常规生活指导，药浴组在对照组基础上给予中药（黄芪、炒白芍、紫苏叶、青蒿）药浴及推拿干预。3个月后比较两组儿童体质转变情况。[结果] 药浴组儿童治疗1、3个月后，体质量及各时间段疾病改善率高于对照组（P＜0.05），同时药浴组小儿毛发不荣、面色萎黄、爪甲不荣、多汗、乏力、多涎、纳少、易感冒、易咳嗽、偏食、嗜食异物、腹部不适感、大便夹有不消化食物残渣、面色苍白、面部花斑、地图舌、皮肤干燥或粗糙、大便量少评分低于对照组（P＜0.05），免疫球蛋白M（IgM）、免疫球蛋白G（IgG）、免疫球蛋白A（IgA）的改善情况优于对照组（P＜0.05），患病率低于对照组（P＜0.05），转健康体质率高于对照组（P＜0.05）。[结论] 药浴联合推拿可以促进学龄前儿童体质转变，降低常见病发病率，改善机体免疫功能。

Abstract:

[Objective] To achieve the effect of harmonizing yin and yang and improving immunity through the traditional Chinese medicine intervention method of pediatric medicine bath and massage,and to construct and implement the replicable and popularized "cure without disease" service mode for preschool children.[Methods] The 1 000 preschool children with different constitution aged 3~6 were screened through artificial observation,hearing and consultation combined with constitution identification instrument,200 children with qi deficiency constitution were selected as the research objects,and the random number table was divided into control group and medicine bath group,with 100 cases and 100 cases respectively. The control group gave routine life guidance,and the medicine bath group gave traditional Chinese medicine(raw astragalus,fried white peony root,perilla leaf,artemisia annua) on the basis of routine life guidance. After 3 months,the two groups were compared.[Results] Body weight and disease improvement rate were higher than the control group(P<0.05);at the same time,medicine bath group, hair,yellow complexion,claw,sweat,fatigue,saliva,less,cold,easy cough,partial food,foreign body appetite, abdominal discomfort,stool with indigestion food residue,pale,facial spots,map tongue,dry or rough skin,less stool volume score lower than the control group (P<0.05);the improvement of IgM,IgG and IgA was better than the control group (P<0.05);prevalence was lower than that in the control group (P<0.05);the fitness rate was higher than that of the control group(P<0.05).[Conclusion] Medicine bath combined with massage can promote the physical transformation of preschool children,reduce the incidence of common diseases,and improve the immune function of the body.