中国中西医结合杂志2017，Vol.37Issue(12)：1451-1454,4.DOI:10.7661/j.cjim.20171026.262
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
Treatment of Functional Constipation Children Patients with Gan Hyperactivity Induced Pi Deficiency Syndrome by Acupoint Plaster, Massage Combined Western Drugs
摘要
Abstract
Objective To observe the clinical efficacy of acupoint plaster,massage combined Western drugs in treatment of functional constipation (FC) children patients with Gan hyperactivity induced Pi deficiency syndrome (GHIPDS).Methods Totally 186 FC children patients recruited from January 2014 to December 2015 were assigned to the observation group (95 cases) and the control group (91 cases) according to random digit table.Patients in the control group took wheat cellulose particles and lactulose oral solution.Those in the observation group additionally received acupoints plaster and massage.The therapeutic course for all was 3 weeks.Anorectal manometry were performed at the end of treatment.The stool frequency and improvement of stool properties were compared between the two groups.Results The minimal rectal sensitivity and the maximum rectal tolerance were (41.4 ± 10.7)mL and (121.5 ± 17.8) mL in the observation group at the end of treatment,significantly lower than those of control group [(46.8 ±11.6) mL and (128.6 ±17.1) mL,P ＜0.05].The average stool frequency of the observation group was significantly more than that of the control group [(5.44 ±0.82) vs.(5.03 ±0.75),P ＜0.05].The score for stool property was significantly lower in the observation group than in the control group [(1.72 ±0.34) vs.(1.93 ±0.41),P ＜0.05].The total effective rate of the observation group was 94.7％(90/95),significantly higher than that of the control group [85.7％ (78/91),P ＜0.05].The recurrence rate was 3.3％ in the observation group,significantly lower than that of the control group (9.0％,P ＞0.05) after 8 weeks of treatment,but with no statistical difference (x2 =2.375,P =0.123 ＞0.05).Conclusion Based on wheat cellulose particles and lactulose,acupoint plaster,massage combined Western drugs could further reduce rectal sensitivity,improve stool properties,and elevate clinical efficacy of FC children patients with GHIPDS.关键词
功能型便秘/中药/穴位/推拿/疗效Key words
functional constipation/Chinese herbs/acupoint/massage/clinical efficacy引用本文复制引用
陈杰,陈红,周忠蜀,陈飒英,王云峰,王琳..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[J].中国中西医结合杂志,2017,37(12):1451-1454,4.基金项目
中日友好医院青年科技英才A类项目(No.014-QNYC-A-07) （No.014-QNYC-A-07）
