摘要
目的探讨推拿、耳穴压豆及五行音乐治疗儿童胃肠燥热型功能性便秘的临床效果。方法选择2018年1月-2019年3月上海市浦东医院儿科和中西医融合儿童保健专科门诊收治的诊断明确的功能性便秘儿童100例,随机分为对照组(n=50)和研究组(n=50),对照组患儿在常规饮食、运动指导的基础上给予乳果糖口服液治疗,研究组患儿在常规饮食、运动指导基础上给予推拿、耳穴压豆及五行音乐联合治疗,临床干预2个疗程后观察临床效果。结果研究组和对照组患儿临床治疗显效率分别为96.00%和80.00%,组间比较差异有统计学意义(P<0.05);患儿症状消失时间分别为(7.16±1.63)天和(4.84±1.05)天,差异有统计学意义(t=4.765,P=0.000)。干预后,两组患儿中医证候积分均明显降低,与干预前比较差异显著(P<0.01),且研究组中医证候积分明显低于对照组,差异有统计学意义(P<0.05);研究组患儿治疗期间未出现严重不良反应,复发率为4.00%;对照组患儿治疗期间不良反应总发生率为22.00%,复发率为26.00%。结论推拿、耳穴压豆及五行音乐治疗儿童胃肠燥热型功能性便秘疗效显著,可以快速高效地改善患儿便秘症状,且无明显不良反应,复发率低,值得临床推广应用。
OBJECTIVE To investigate the clinical effects of massage,auricular pressing beans and five elements of music on children with gastrointestinal dryness and functional constipation.METHODS 100 cases of children with functional constipation diagnosed in the clinic of Integrative Medicine for Shanghai Pudong Hospital Pediatrics and Integrated Traditional Chinese and Western Medicine Child Care Clinic from January 2018 to March 2019 were selected and randomly divided into the control group(n=50)and the study group(n=50).The control group were given lactulose oral solution on the basis of routine diet and exercise guidance while the study group were given regular diet and exercise guidance.On the basis of massage,auricular pressing beans and 5 elements of music combined therapy,the clinical effect was observed after 2 courses of clinical intervention.RESULTS The clinical treatment efficiencies of the study group and the control group were 96.00%and 80.00%,respectively.There were statistically significant differences between these two groups(P<0.05).The disappearance time of symptoms in children was(7.16±1.63)days and(4.84±1.05)days,respectively,and there were statistically differences(t=4.765,P=0.000);after the intervention,the TCM syndrome scores of these two groups were significantly lower than those before the intervention(P<0.01);and the TCM syndrome scores of the study group were significantly lower than the control group,and there were statistically differences(P<0.05);there were no serious adverse reactions during the treatment of the study group,the recurrence rate was 4.00%;the total incidence of adverse reactions during the treatment period was 22.00%;the recurrence rate was 26.00%.CONCLUSION Massage,auricular pressing bean and 5 elements of music had significant curative effect on children with gastrointestinal dryness and functional constipation.It could quickly and effectively improve the symptoms of constipation in children,and had no obvious adverse reactions.The recurrence rate was low,which was worthy of clinical promotion.
作者
叶敏
黄小冬
王志娥
刘丽晓
YE Min;HUANG Xiao-dong;WANG Zhi-e(Shanghai Pudong Hospital,Shanghai,201399,China)
出处
《中国初级卫生保健》
2020年第5期88-91,共4页
Chinese Primary Health Care
基金
上海市卫生和计划生育委员会课题“中医外治法治疗儿童便秘和肥胖管理模式研究”(FYJKZY-EB-1-B-5)。
关键词
功能性便秘
儿童
中医外治法
治疗效果
functional constipation
children
external therapy of traditional Chinese medical science
therapeutic effect
