梁瑞芬 梁凤好

[摘要]目的 观察小儿推拿配合中药穴位贴敷治疗小儿腹泻的临床护理效果。方法 选取2017年1月～2018年1月就诊于我院儿科门诊的符合小儿腹泻的患儿80例，按随机分配原则分为护理组和对照组，每组各40例。对照组给予枯草杆菌二联活菌颗粒、蒙脱石散治疗及常规护理，护理组在对照组基础上实施小儿推拿配合穴位贴敷，比较两组的临床疗效及对护理的满意度。结果 护理组的临床疗效总有效率（97.5%）明显高于对照组（82.5%），差异有统计学意义（P<0.05）；护理组患儿家属对护理总满意度（97.5%）明显高于对照组（85.0%），差异有统计学意义（P<0.05）。结论 小儿腹泻在常规治疗及护理的基础上联合小儿推拿及穴位贴敷能明显提高其疗效及患儿家属对护理工作的满意度，值得临床推广。

[关键词]小儿推拿；穴位贴敷；中药；小儿腹泻；护理

[中图分类号] R244.1 [文献标识码] A [文章编号] 1674-4721（2018）6（b）-0194-03

Observation on clinical nursing of infantile diarrhea treated by infantile massage combined with acupoint application

LIANG Rui-fen LIANG Feng-hao

Department of Outpatient，Huatuo Hospital of Ruizhou District in Zhaoqing City，Guangdong Province，Zhaoqing 526000，China

[Abstract]Objective To explore and analyze the clinical nursing effect by infantile massage combined with acupoint application of traditional Chinese medicine in the treatment of infantile diarrhea.Methods From January 2017 to January 2018，a total of 80 children with diarrhea diagnosed in pediatric outpatient department of our hospital were selected and divided into nursing group and control group according to the principle of random distribution，40 cases in each group.The control group was given Bacillus subtilis binomial living bacteria granules，Montmorillonite dispersion and routine nursing care.The nursing group was performed infantile massage combined with acupoint application on the basis of the control group.The clinical efficacy and satisfaction with nursing were compared in two groups.Results The total effective rate of clinical efficacy of the nursing group（97.5%） was significantly higher than that of the control group（82.5%）.The difference was statistically significant（P<0.05）.The total satisfaction rate of the nursing group was significantly higher than that of the control group.The difference between the two groups was statistically significant（P<0.05）.Conclusion On the basis of routine treatment and nursing care，the combination of infantile massage and acupoint application can obviously improve the curative effect and the satisfaction of the children′s family to the nursing work.It is worth popularizing in clinic.

[Key words]Infantile massage；Acupoint application；Traditional Chinese medicine；Infantile diarrhea；Nursing

小兒腹泻是儿科常见病、多发病，在我国的发病率仅次于呼吸道感染疾病。据统计，在发展中国家每年大约有320万5岁以下的儿童死于腹泻病[1]。腹泻反复易变成慢性腹泻，引起患儿营养不良，妨碍其生长发育。如何采取有效的护理干预措施提高小儿腹泻的治愈率是当前亟待解决的护理难题。中医推拿疗法、中药穴位贴敷作为中医特色外治法之一，因临床效果良好，且有安全、经济、免除针药之苦等优点而受到人们广泛关注，用于儿科既可减少患儿服药痛苦，易取得患儿配合治疗，又可避免药物对胃的刺激及胃液对药物作用的影响，从而更易达到满意疗效[2]。本研究采用小儿推拿联合中药穴位贴敷方法护理腹泻患儿，并与常规方法护理对比观察，效果较满意，现报道如下。

1资料与方法

1.1一般资料

80例患儿选自2017年1月～2018年1月在我院儿科门诊就诊的患儿，年龄1～4岁，符合小儿腹泻诊断；……