中医外治法治疗小儿功能性消化不良的研究进展
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摘要
功能性消化不良是儿科常见的消化系统疾病,对小儿的生长发育造成了较大的影响。目前西医主要用胃动力药、促消化药以及益生菌等进行治疗,然而鉴于小儿的特殊性,其服药的依从性及治疗效果一般。相比较而言,中医外治法疗效佳、依从性好,更易被广大家长及儿童所接受。本文从中医对小儿功能性消化不良的认识、中医外治法在儿科疾病中的应用现状以及中医外治法治疗小儿功能性消化不良的临床应用现状对中医外治法治疗小儿功能性消化不良的文献报道进行分析,认为中医外治法治疗小儿功能性消化不良是行之有效的方法,且安全、有效、简单易行,易于普及推广。
Functional dyspepsia is a common digestive system disease in pediatrics, which has a great impact on the growth and development of children. At present, Western medicine is mainly applied with gastric motility drugs, digestive tract drugs and probiotics. However, in view of the particularity of children, the compliance and treatment effects of drugs are general. In comparison, the external treatment of Chinese medicine has good curative effect and good compliance, and is more easily accepted by parents and children. This article introduces the Chinese medicine understanding of pediatric functional dyspepsia, the application of TCM external treatment in pediatric diseases and the clinical application of TCM external treatment in the treatment of pediatric functional dyspepsia. The literature reports that the treatment of pediatric functional dyspepsia is an effective method, and it is safe, effective, simple and easy to popularize.
Functional dyspepsia is a common digestive system disease in pediatrics, which has a great impact on the growth and development of children. At present, Western medicine is mainly applied with gastric motility drugs, digestive tract drugs and probiotics. However, in view of the particularity of children, the compliance and treatment effects of drugs are general. In comparison, the external treatment of Chinese medicine has good curative effect and good compliance, and is more easily accepted by parents and children. This article introduces the Chinese medicine understanding of pediatric functional dyspepsia, the application of TCM external treatment in pediatric diseases and the clinical application of TCM external treatment in the treatment of pediatric functional dyspepsia. The literature reports that the treatment of pediatric functional dyspepsia is an effective method, and it is safe, effective, simple and easy to popularize.
引文
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[22]王树霞,陈伟斌,乐瓅琳,等.董氏指压法治疗积滞患儿的临床疗效及对血清Ghrelin水平和胃肠动力的影响[J].现代生物医学进展,2018,18(03):500-503.
[23]胡雪飞.抱肚法治疗小儿厌食和积滞1 2 3例[J].河南中医,2013,33(04):572-573.
[24]张燕.腹部九法为主治疗小儿胃脘积滞型厌食症的临床观察[D].合肥:安徽中医药大学,2016.
[25]邱金菊.健脾消积推拿法治疗小儿积滞(脾虚夹积型)的临床研究[D].济南:山东中医药大学,2017.
[26]王华.针灸学(中医药类专业用)[M].北京:高等教育出版社,2008.
[27]娄立娟,杨丽萍,张拴成.毫针点刺治疗小儿功能性消化不良65例(英文)[J].World Journal of Acupuncture-Moxibustion,2014,24(01):55-57.
[28]张姝媗,赵悦,郭义.点刺四缝穴治疗小儿疳积临床疗效的Meta分析[J].针灸临床杂志,2016,32(07):63-65.
[29]胡少华.热敏灸治疗脾虚气滞证儿童餐后不适综合征型功能性消化不良临床疗效观察[D].合肥:安徽中医药大学,2017.
[30]王莹莹,杨金生.刮痧疗法临床治疗病种研究与展望[J].中国针灸,2009,29(02):167-171.
[31]王玉荣,高林花,姜成林.刮痧疗法治疗小儿功能性消化不良59例[J].中国民间疗法,2013,21(04):23-23.
[32]付晓敏.推拿配合针刺四缝穴治疗小儿消化不良性腹泻疗效观察[J].山西中医,2014,30(09):39-39.
[33]杨卫华.四缝挑刺放血加神阙穴隔姜灸治疗小儿消化不良26例[J].中国民间疗法,2009,17(03):7-7.
[34]王嘉毅.点刺四缝穴结合穴位贴敷与捏脊综合治疗小儿疳积50例[J].中医临床研究,2012,04(13):43-44.
[2]赵力芳,李元霞.小儿功能性消化不良的研究进展[J].医学综述,2013,19(24):4501-4503.
[3]李新茹,李国莹,王燕侠,等.小儿功能性消化不良的中西医疗法研究进展[J].西部中医药,2018,31(02):146-148.
[4]方晓琳.功能性消化不良发病机制研究进展综述[J/CD].转化医学电子杂志,2015,2(10):117-118.
[5]Soo S,Forman D,Delaney B C,et al.A Systematic Review of Psychological Therapies for Nonulcer Dyspepsia[J].American Journal of Gastroenterology,2004,99(09):1817-1822.
[6]马融,许华.中医儿科学[M].北京:人民卫生出版社,2015.
[7]潘青青,张骠.张骠教授治疗小儿积滞的经验[J].浙江中医药大学学报,2017,41(05):394-396.
[8]宋雨,赵敏,宋明锁.宋明锁治疗小儿积滞及相关疾病经验[J].中医药临床杂志,2016(12):1671-1674.
[9]汪莉,李在林.中药外治的研究概况与展望[C]//中华中医药学会中医外治学术年会,2011.
[10]李忠.中医内病外治的研究进展及思路-全身性疾病药物外治的文献回顾、发展趋势及技术要点[J].中医外治杂志,2003,12(06):3-5.
[11]陈宜,王蕊娟,赵琼.中医儿科外治法的临床应用进展[J].中医儿科杂志,2012,08(05):63-65.
[12]王昕,金轶.中医外治法与儿科疾病治疗[J].实用中医内科杂志,2015,29(02):114-116.
[13]魏振装.中医脐疗[M].北京:解放军出版社,1992.
[14]黄华竖.中医儿科常用外治法临床应用举隅[J].中医临床研究,2013(13):70-71.
[15]邢荣.消积辅助贴治疗小儿积滞(乳食内积型)的临床疗效观察[D].哈尔滨:黑龙江中医药大学,2016.
[16]钟兰芳.中药穴位贴敷佐治小儿消化不良型腹泻的效果观察[J].中国当代医药,2015,22(24):117-119.
[17]郭永红.复方丁香开胃贴临床应用研究进展[J].世界最新医学信息文摘,2017,17(95):61-62.
[18]刘西建,韩涛.中药穴位贴敷研究现状及思路[J].中医药信息,2014,31(05):130-132.
[19]许正.穴位药物贴敷法治疗小儿消化不良二百五十例报告[J].河北中医,1983,5(01):28-28.
[20]黄明桂,肖华强,袁明艳.中药健脾消导散穴位敷贴治疗小儿积滞病疗效观察[J].四川中医,2016,34(12):197-198.
[21]杨清显.小儿推拿治疗儿童功能性消化不良的临床研究[D].广州:广州中医药大学,2016.
[22]王树霞,陈伟斌,乐瓅琳,等.董氏指压法治疗积滞患儿的临床疗效及对血清Ghrelin水平和胃肠动力的影响[J].现代生物医学进展,2018,18(03):500-503.
[23]胡雪飞.抱肚法治疗小儿厌食和积滞1 2 3例[J].河南中医,2013,33(04):572-573.
[24]张燕.腹部九法为主治疗小儿胃脘积滞型厌食症的临床观察[D].合肥:安徽中医药大学,2016.
[25]邱金菊.健脾消积推拿法治疗小儿积滞(脾虚夹积型)的临床研究[D].济南:山东中医药大学,2017.
[26]王华.针灸学(中医药类专业用)[M].北京:高等教育出版社,2008.
[27]娄立娟,杨丽萍,张拴成.毫针点刺治疗小儿功能性消化不良65例(英文)[J].World Journal of Acupuncture-Moxibustion,2014,24(01):55-57.
[28]张姝媗,赵悦,郭义.点刺四缝穴治疗小儿疳积临床疗效的Meta分析[J].针灸临床杂志,2016,32(07):63-65.
[29]胡少华.热敏灸治疗脾虚气滞证儿童餐后不适综合征型功能性消化不良临床疗效观察[D].合肥:安徽中医药大学,2017.
[30]王莹莹,杨金生.刮痧疗法临床治疗病种研究与展望[J].中国针灸,2009,29(02):167-171.
[31]王玉荣,高林花,姜成林.刮痧疗法治疗小儿功能性消化不良59例[J].中国民间疗法,2013,21(04):23-23.
[32]付晓敏.推拿配合针刺四缝穴治疗小儿消化不良性腹泻疗效观察[J].山西中医,2014,30(09):39-39.
[33]杨卫华.四缝挑刺放血加神阙穴隔姜灸治疗小儿消化不良26例[J].中国民间疗法,2009,17(03):7-7.
[34]王嘉毅.点刺四缝穴结合穴位贴敷与捏脊综合治疗小儿疳积50例[J].中医临床研究,2012,04(13):43-44.
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