摘要
目的探讨乳果糖口服液(杜密克)联合中医推拿治疗小儿功能性便秘的临床疗效。方法选择79例符合功能性便秘诊断标准的儿童,随机分成两组,对照组39例,治疗组40例。对照组口服乳果糖口服液,治疗组口服乳果糖口服液同时联合中医推拿治疗。两组均改善不良饮食习惯及排便训练。结果两组在治疗后2周,治疗组总有效率为95. 00%,对照组总有效率为92. 31%,两组疗效相当(P>0. 05);在治疗结束后1个月和3个月时,治疗组复发率远低于对照组(P <0. 05)。结论乳果糖口服液联合中医推拿治疗小儿功能性便秘比单一口服乳果糖治疗便秘效果佳。中医推拿通过穴位按摩调理五脏六腑,健脾补气,纠正结肠运动功能紊乱,增快肠蠕动,复发率低,避免了停药后便秘复现。
Objective To explore the clinical curative effect of lactulose oral solution combined with chinese traditional medical massage on childhood functional constipation. Methods Seventy-nine children with functional constipation according to the diagnostic standards were randomly divided into 2 groups: control group( n = 39) and treatment group( n = 40). Oral lactulose oral solution was made to all the children in both groups while chinese massage was added to children in treatment group. The two groups improved their bad eating habits and defecation training. Results At two weeks after treatment,the total effective rate was 95. 00% in treatment group,and 92. 31% in control group. The therapeutic effect of the two groups was similar( P > 0. 05). At 1 and 3 months after treatment,the recurrence rate of constipation in treatment group was obviously lower than control group in longterm( P < 0. 05). Conclusion The thera-peutic effects of lactulose oral solution combined with chinese traditional medical massage are better than the treatment only with lactulose oral solution for children suffering functional constipation. Through the point massage,chinese traditional medical massage can regulate the internal organs of the body,invigorate the spleen and Qi,correct colonic dysfunction,increase peristalsis,low recurrence rate,and avoid the constipation recurrences after stopping medication.
作者
高洁
郭苗苗
蒋芹
国志
吴志敏
侯学敬
张金萍
张佳慧
GAO Jie;GUO Miao-miao;JIANG Qin;GUO Zhi;WU Zhi-min;HOU Xue-jing;ZHANG Jin-ping;ZHANG Jia-hui(Department of Pharmacy ,Shanghai Sixth People's Hospital East Affiliated to Shanghai University of Medicine & Health Sciences,Shanghai 201306,China;Department of Pediatrics,Shanghai Sixth People's Hospital East Affiliated to Shanghai University of Medicine & Health Sciences,Shanghai 201306,China;Department of Pediatrics,The Fourth Affiliated Hospital of Harbin Medical University,Harbin 150001,China)
出处
《哈尔滨医科大学学报》
CAS
2018年第5期496-498,501,共4页
Journal of Harbin Medical University
基金
上海市健康医学院百人人才计划资助项目
上海市第六人民医院东院院级课题(院人才2016020)
关键词
乳果糖口服液
中医推拿
小儿
功能性便秘
lactulose oral solution
chinese traditional medical massag
children
functional constipation
