| Objective1.To observe the effect of tuina therapy combined“brown sugar,ginger and Chinese date tea”on the spleen yang deficiency sub-health children.2.To synchronously observe the effect of health education method based on mobile education on parents' behaviors for cultivating preschoolers'health-related behaviors.MethodsThis is a prospective randomized controlled trial.Totally 60 spleen yang deficiency sub-health children from one kindergarten were selected and assigned into an control group with 30 samples and a experimental group with 30 samples by random.Control group was given tuina therapy 3 times a week and lasted for 8 weeks.Beside these treatments,the experimental group was also given 200ml“brown sugar,ginger and Chinese date tea" 3 times a week.There were brown sugar 10g,ginger 2g and Chinese date lOg for each sample every time,and the pediatric tuina lasted for 25?30 minutes for everyone in a time.Tuina manipulations were supplying spleen meridian,pushing four horizontal stripes,clockwise arc-pushing inside gossip,kneading Zhongwan acupuncture point,rubbing the abdomen,pressing and kneading Zusanli acupuncture point on the two side,pinching the spine.For the spleen deficiency children with loose stool or diarrhea,tuina manipulation also included pushing up Qijiegu and kneading Guiwei.What' s more,parents also received health education for 12 weeks,of which included receiving mobile health education,reading health education materials,communicating face to face and giving a call.To evaluate preschoolers' yang deficiency sub-health state and health-related behaviors before pre-intervention,and at the 4th week of intervention,the 8th week of intervention and the 12th week of intervention.Results were compared with itself pre-and post-intervention,also compared between two groups by t-test,chi-square test,Wilcoxon signed-rank test and Wilcoxon rank sum test using IBM SPSS Statistics 24.0.Results1.Before the experiment,spleen yang deficiency symptoms,syndrome and questionnaire results of preschoolers' health-related behaviors between two groups had no statistically significance differences(P>0.05).2.Evaluation for Traditional Chinese medicine effectiveness:(1)For the appetite,the appetite performance of the two groups was better than that before the intervention(P<0.01),but the appetite performance and 8 week improvement of experimental group were better than that in the control group(P<0.05),but the 12th week appetite performance and 12 week improvement were the same as the control group(P>0.05).(2)For the stool and bowel movement,after 8 weeks intervention,the performance of experimental group was better than before(P<0.01),but it was the same as before intervention for the control group(P>0.05),what' s more,the experimental group' s performance was better than the control group(P<0.01),but the improvement of them had no statistic significance(P>0.05).After 12 weeks of intervention,the performance of these two groups were all better than before intervention(P<0.01),the symptom of the 12th week in the experimental group,and the improvement in 12 weeks were the same as the control group(P>0.05).(3)For the complexion,after 8 weeks of intervention,the complexion of the experimental group was better than that before intervention(P<0.01),but the complexion of the control group was the same as that before the intervention(P.0.05),the performance of the experimental group was better than that of the control group(P<0.05),and after 12 weeks of intervention,both groups had better complexion than before intervention(P<0.01),the symptoms of the 12th week in the experimental group,the level of improvement in the 12-week complexion was the same as the control group(P>0.05).(4)For the mental state,after 8 weeks intervention,the performance of the two groups were better than that before(P<0.01),the mental state and its 8 weeks improvement of experimental group were the same as the control group(P>0.05).During the 9th to 12th week intervention,the efficacy of the experimental group was consolidated(P>0.05),but the mental state of the control group was worse(P<0.05),and there was statistic difference between the improvement of mental state of the two groups(P<0.05).What' s more,the performance at 12th week of the experimental group was better than the control group(P<0.01).(5)For the limbs,after interventions,the symptoms of two groups were all better than before(P<0.01),the 8th week performances,8 weeks improvement,12th week performances,12 weeks improvement were all the same between two groups(P>0.05).(6)For the abdomen discomfort,after interventions,symptoms of two groups were all better than before(P<0.05,P<0.01),the 8th week abdominal performance and 8 weeks improvement of experimental group were better than that of control group(P<0.05).During the 9th to 12th week intervention,the efficacy of the experimental group was consolidated(P>0.05),but the effect of control group was increased(P<0.01),as a result,the improvement of abdomen discomfort in the two groups had statistic difference(P<0.01),and the 12th week performance of control group was same as the experimental group(P>0.05).(7)For the syndrome efficacy,after 8th week intervention,the syndrome efficacy of experimental group was better than the control group(P<0.01).During the 9th to 12th week intervention,the efficacy of the experimental group was consolidated(P>0.05),but the effect of control group was increased(P<0,01),as a result,the improvement of syndrome efficacy in the two groups had statistic difference(P<0.01).The 12th week syndrome efficacy of the control group was better than that at the 8th week(P<0.05),but was worse than the 12th week syndrome efficacy of the experimental group(P<0.05).3.For preschoolers' health-related behaviors,after 8 weeks of intervention,there were statistically significant differences between of negative habits,regularity of rest and the scores of total questionnaires of experimental group compared with those before the intervention(P<0.01).There were statistically significant differences between of negative habits and the total questionnaires scores of control group compared with those before the intervention(P<0.01).After 12 weeks of intervention,there were statistically significant differences between dietary norms,physical fitness,unhealthy habits,and total questionnaire scores of two groups compared with those before the intervention(P<0.05,P<0.01).Conclusion1.In the treatment of sub-health children with spleen-yang deficiency,compared with simple use of tuina therapy,tuina therapy combined with "brown sugar,ginger and Chinese date tea”,has better effectiveness on the children's appetite and abdomen discomfort,the improvement of complexion is faster,is more stable for the improvement of the spirit of cowardice,and the overall syndrome improvement is better,but the improvement of defecate is only a slight advantage,and the improvement of limb burnout has no advantage.2.The health education method based on mobile education can instruct parents to feed correctly,cultivate children's good eating and living habits,promote the recovery of spleen and stomach function,consolidate the curative effect of Chinese medicine. |
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