小儿推拿手法联合脏腑点穴推拿手法治疗小儿肠套叠的效果

中华养生保健 ›› 2025, Vol. 43 ›› Issue (12): 18-21.

小儿推拿手法联合脏腑点穴推拿手法治疗小儿肠套叠的效果

陈瑞霞¹, 陈慧敏¹, 乔虹², 赵瑛³, 王瑞², 连小红^2,*

1.鄂尔多斯市中医医院针灸科, 内蒙古鄂尔多斯, 017000;
2.鄂尔多斯市中医医院小儿推拿科, 内蒙古鄂尔多斯, 017000;
3.鄂尔多斯市中医医院超声科, 内蒙古鄂尔多斯, 017000

发布日期:2025-10-14
通讯作者: ^*连小红,E-mail：15048152021@163.com。
作者简介:陈瑞霞（1974—）,女,汉族,籍贯：陕西省榆林市,本科,主任医师,研究方向：针灸推拿。
基金资助:
内蒙古自治区卫生健康科技计划项目（202201575）

Treatment of Intussusception in Children by Massage Combined with Zangfu Point Massage

CHEN Rui-xia¹, CHEN Hui-min¹, QIAO Hong², ZHAO Ying³, WANG Rui², LIAN Xiao-hong^2,*

1. Acupuncture Department, Erdos Hospital of Traditional Chinese Medicine, Erdos Inner Mongolia, 017000, China;
2. Department of Pediatric Massage, Erdos Hospital of Traditional Chinese Medicine, Erdos Inner Mongolia, 017000, China;
3. Ultrasonography Lab, Erdos Hospital of Traditional Chinese Medicine, Erdos Inner Mongolia, 017000, China

Published:2025-10-14

摘要/Abstract

摘要： 目的探讨小儿推拿手法联合脏腑点穴推拿手法治疗小儿肠套叠的效果。方法将2022年6月—2023年12月鄂尔多斯市中医医院收治的220例小儿肠套叠患儿,以随机数表法分为对照组与观察组,各110例。两组均采用基础治疗,对照组在此基础上采用小儿推拿手法治疗,观察组在对照组的基础上采用脏腑点穴推拿治疗。比较两组整复成功率、复位时间、临床症状评分、炎症因子及复发情况。结果观察组的复位成功率高于对照组,观察组的复位时间短于对照组,差异有统计学意义（P<0.05）。治疗前,两组的腹痛、呕吐、果酱样血便、烦躁不适、肠鸣音症状评分比较,差异无统计学意义（P>0.05）;治疗后,两组的腹痛、呕吐、果酱样血便、烦躁不适、肠鸣音症状评分均低于治疗前,且观察组低于对照组,差异有统计学意义（P<0.05）。治疗前,两组的血清肿瘤坏死因子α（TNF-α）、白细胞介素-6（IL-6）水平比较,差异无统计学意义（P>0.05）;治疗后,两组的血清TNF-α、IL-6水平均低于治疗前,且观察组低于对照组,差异有统计学意义（P<0.05）。观察组的总复发率低于对照组,差异有统计学意义（P<0.05）。结论小儿肠套叠患儿联合使用小儿推拿手法和脏腑点穴推拿手法,能显著改善临床症状和炎症,提高整复效果,降低复发风险。

关键词: 肠套叠, 小儿推拿手法, 脏腑点穴推拿手法, 炎症因子

Abstract: Objective To explore the effect of pediatric massage combined with Zangfu point massage on children's intussusception. Methods 220 children with intussusception admitted to Erdos Hospital of Traditional Chinese Medicine from June 2022 to December 2023 were divided into control group and observation group by random number table method, 110 cases in each group. Both groups were treated with basic treatment, the control group was treated with pediatric massage on this basis, and the observation group was treated with zang-fu point massage on the basis of the control group. The success rate, reduction time, clinical symptom score, inflammatory factors and recurrence were compared between the two groups. Results The successful rate of reduction in observation group was higher than that in control group, and the reduction time in observation group was shorter than control group, the difference was statistically significant (P<0.05). Before treatment, there was no significant difference in the scores of abdominal pain, vomiting, jam-like bloody stools, irritability and bowel ringing between the two groups (P>0.05). After treatment, the symptom scores of abdominal pain, vomiting, jam-like bloody stool, irritability and bowel sound in 2 groups were lower than before treatment, and the observation group was lower than the control group, the difference was statistically significant (P<0.05). Before treatment, there was no significant difference in serum tumor necrosis factor α (TNF-α) and interleukin-6 (IL-6) levels between the two groups (P>0.05). After treatment, serum TNF-α and IL-6 levels in 2 groups were lower than before treatment, and observation group was lower than control group, the difference was statistically significant (P<0.05). The total recurrence rate of the observation group was lower than control group, and the difference was statistically significant (P<0.05). Conclusion The combination of pediatric massage and zangfu point massage in children with intussusception can significantly improve clinical symptoms and inflammation, enhance the effect of rehabilitation, and reduce the risk of recurrence.

Key words: intussusception, massage techniques for children, zang-fu point massage technique, inflammatory factor

中图分类号:

R726

陈瑞霞, 陈慧敏, 乔虹, 赵瑛, 王瑞, 连小红. 小儿推拿手法联合脏腑点穴推拿手法治疗小儿肠套叠的效果[J]. 中华养生保健, 2025, 43(12): 18-21.

CHEN Rui-xia, CHEN Hui-min, QIAO Hong, ZHAO Ying, WANG Rui, LIAN Xiao-hong. Treatment of Intussusception in Children by Massage Combined with Zangfu Point Massage[J]. ZHONGHUA YANGSHENG BAOJIAN, 2025, 43(12): 18-21.

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