Clinical Study Of Selective Spinal Massage In The Treatment Of Infantile Malnutrition

ObjectiveObservation of the clinical efficacy of selective spinal manipulation for the treatment of infantile malnutrition, and compared with general symptomatic and supportive treatment.This study aimed to explore a safty and effective, shorter period of treatment and better compliance of treatment options. MethodWe choose 84 cases which accordance with the inclusion criteria of infantile malnutrition from the Outpatient or Inpatient department of child health care, the First Affiliated Hospital of Kunming Medical University, Department of Pediatrics, Yunnan Provincial Hospital of traditional Chinese Medicine and Yunnan University of Traditional Chinese Medicine Affiliated Hospital of traditional Chinese Medicine (August 2014 to 2016 January) excluding off 4 cases, actually included in 80 cases. 80 cases randomly divided into experimental group (n=40) and control group (n=40).The control group received conventional symptomatic treatment and the experimental group used selective spinal massage therapy basing on the control group. Two groups were given the same nutrition and health guidance. According to the syndrome integral scale to observe the changes of clinical symptoms before and after treatment and the integral value of the height and weight,compared with the clinical effect of the experimental group and the control group, statistically analyzed the results. Result1.Compared with the general information between experimental group and control group before treatment,two groups of children with gender, age, course of disease, the total score of symptoms before treatment, the difference has no statistically significant (P>0.05).2.Before and after treatment, the clinical symptom score comparison:before treatment, the two groups of clinical symptom score comparison, the difference was no statistically significant (P>0.05). After treatment, a course of treatment of the experimental group compared with before treatment, the clinical symptom integral value was significantly decreased, the difference has statistically significant (P<0.05). After two weeks treatment, compared with a course of treatment, clinical symptoms were also reduced, the difference has statistically significant (P<0.05).In the control group, after a course of treatment, the clinical symptom scores were significantly decreased, the difference has statistically significant (P<0.05). After two courses of treatment and a course of treatment, the integral value also decreased, the difference has statistically significant (P<0.05).The comparison between the two groups. After a course of treatment, changes of symptom score of experimental group was better than control group, the experimental group significantly improved the symptom of appetite and spirit. After two course of treatment, experimental group clinical symptom score was better than the control group.3.Changes in height and weight before and after treatment.Before a course of treatment, there was no significant difference in height and weight between the two groups (P>0.05). After a course of treatment, the height of the experimental group and the control group had no significant difference compared with before treatment (P> 0.05). After two courses of treatment, the height of the two groups increased, the experimental group was better than the control group, the difference has significant (P<0.05). Two groups of body weight after a course of treatment, compared with before treatment, the experimental group has significantly improved than the control group, the difference has statistically significant (P<0.05). After two courses of treatment, the weight gain of the experimental group was significantly higher than the control group, and the difference has statistically significant (P<0.05).4.Comparison of the total clinical efficacy of two groups. Compared with before treatment, after a course of treatment, the effective rate of the control group was 75.0%, and the experimental group was 80.0%. After two courses of treatment, the effective rate of the control group was 77.5%, and the experimental group was 90.0%. Both of them have statistical significance (P<0.05). The therapeutic effect of selective spinal manipulation is better than conventional symptomatic treatment. ConclusionSelective spinal massage can improve the clinical symptoms of infantile malnutrition, promote the growth and development, the overall effect is better than the conventional symptomatic support treatment, it can be a effective treatment for infantile malnutrition, worthy of further clinical research, and make a further promotion in clinical use.