王文奕 王桂茂 蔡君豪 纪清

    [摘要] 小儿推拿是中医学的重要组成部分，作为一种中医特色外治疗法，由于其在儿童保健和儿科临床常见病的治疗中具有独到的优势，正被广泛应用于儿童疾病的防治中。目前运用小儿推拿进行临床治疗过程中，有时会发生临床疗效并不理想的情况，甚至不同医生对同一病种的治疗效果也会存在较大差别。本文从影响小儿推拿临床治疗效果的多种因素，包括介入时机、适应证及禁忌证、辨证、选穴组方、手法操作、患儿心理状态、医患关系、日常饮食起居等入手，进行深入的分析阐述，以期为从事小儿推拿的医生更好地掌握该疗法，为进一步提高临床疗效提供理论依据，开拓诊疗思路。

    [关键词] 小儿推拿;疗效;影响因素;推拿手法

    [中图分类号] R244.1 ? ? ? ? ?[文献标识码] A ? ? ? ? ?[文章编号] 1673-7210(2019)10(a)-0147-04

    Discussion on the related factors influencing the clinical therapeutic effect of infantile massage in children

    WANG Wenyi ? WANG Guimao ? CAI Junhao ? JI Qing

    Department of Massage， Shanghai Municipal Hospital of Traditional Chinese Medicine Affiliated to Shanghai University of Traditional Chinese Medicine， Shanghai ? 200071， China

    [Abstract] Infantile massage is an important part of traditional Chinese medicine. As a special external therapy of traditional Chinese medicine， infantile massage is widely used in the prevention and treatment of children′s diseases because of its unique advantages in the treatment of children′s health care and common clinical diseases in pediatrics. As present ......