中药取穴贴敷并推拿联合西药治疗脾虚肝旺型儿童功能性便秘的临床观察

发布时间：2019-02-13 13:22

【摘要】：目的观察中药取穴贴敷并推拿联合西药治疗脾虚肝旺型儿童功能性便秘(functional constipation,FC)的临床疗效。方法将2014年1月—2015年12月收治的186例FC患儿按随机数字表法分为观察组(95例)和对照组(91例)。对照组予非比麸小麦纤维素颗粒+乳果糖口服液方案,观察组在上述基础上联合采用中药取穴贴敷并手法推拿,疗程均为3周,治疗结束后进行肛门直肠动力学检查,比较两组大便次数、大便性状改善情况。结果治疗结束后,直肠最低敏感量[(41.4±10.7 vs.46.8±11.6)mL]、直肠最大耐受量[(121.5±17.8 vs.128.6±17.1)mL]观察组显著低于对照组(P0.05);治疗后周平均大便次数[(5.44±0.82 vs.5.03±0.75)次]观察组显著多于对照组(P0.05);大便性状评分[(1.72±0.34 vs.1.93±0.41)分]则观察组显著低于对照组(P0.05)。治疗结束后4周观察组总有效率[94.7%(90/95)]明显高于对照组[85.7%(78/91)],差异有统计学意义(P0.05);治疗结束后8周,观察组复发率为3.3%,低于对照组(9.0%),差异无统计学意义(χ2=2.375,P=0.1230.05)。结论在小麦纤维素颗粒+果糖等综合治疗基础上,联合采用中药取穴贴敷并推拿脾虚肝旺型儿童FC能进一步降低直肠敏感度,改善大变性状,增进临床疗效。
[Abstract]:Objective to observe the clinical effect of acupoint application and massage combined with western medicine in the treatment of functional constipation (functional constipation,FC) in children with spleen deficiency and liver hypertrophy. Methods from January 2014 to December 2015, 186 children with FC were randomly divided into observation group (n = 95) and control group (n = 91). The control group was treated with non-gluten wheat cellulose granulated lactulose oral solution, and the observation group was treated with traditional Chinese medicine for acupoint application and manipulation massage for 3 weeks. The anorectal dynamic examination was performed after the treatment. The number of defecation and the improvement of defecation traits were compared between the two groups. Results after the treatment, the lowest rectal sensitivity [(41.4 卤10.7 vs.46.8 卤11.6) mL] and the maximal rectal tolerance [(121.5 卤17.8 vs.128.6 卤17.1) mL] in the observation group were significantly lower than those in the control group (P0.05). The average defecation times after treatment [(5.44 卤0.82 vs.5.03 卤0.75) times] were significantly higher in the observation group than in the control group (P0.05). The scores of stool traits [(1. 72 卤0. 34 vs.1.93 卤0. 41)] were significantly lower in the observation group than in the control group (P0.05). The total effective rate in the observation group [94.7% (90 / 95)] was significantly higher than that in the control group [85.7% (78 / 91)] 4 weeks after treatment (P0.05). At 8 weeks after treatment, the recurrence rate in the observation group was 3.3%, which was lower than that in the control group (9.0%). There was no significant difference between the two groups (蠂 2, 2.375, P < 0.1230.05). Conclusion on the basis of comprehensive treatment of wheat cellulose granule fructose and so on, combined use of traditional Chinese medicine to take points and massage spleen deficiency and liver flourishing type children FC can further reduce the rectal sensitivity, improve the character of great change, and enhance the clinical efficacy.
【作者单位】：中日友好医院预防保健科;北京中医药大学东直门医院儿科;中日友好医院儿科;
【基金】：中日友好医院青年科技英才A类项目(No.014-QNYC-A-07)
【分类号】：R725.7

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