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

作　　者：陈杰[1] 陈红[2] 周忠蜀[3] 陈飒英[3] 王云峰[3] 王琳[1] 

机构地区：[1]中日友好医院预防保健科,北京100029 [2]北京中医药大学东直门医院儿科,北京100700 [3]中日友好医院儿科,北京100029

出　　处：《中国中西医结合杂志》2017年第12期1451-1454,共4页Chinese Journal of Integrated Traditional and Western Medicine

基　　金：中日友好医院青年科技英才A类项目(No.014-QNYC-A-07)

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(P<0.05);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(P<0.05);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(P<0.05)。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(P<0.05);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=0.123>0.05)。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。Objective To observe the clinical efficacy of acupoint plaster, massage combined Western drugs in treatment of functional constipation （FC） children patients with Gan hyperactivity in- duced Pi deficiency syndrome （GHIPDS）. Methods Totally 186 FC children patients recruited from Jan- uary 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 frequen- cy 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 ob- servation group was 94.7% （90/95）, significantly higher than that of the control group [85.7% （78191）, 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 （χ2 =2.375, P =0.123 〉0.05）. Conclusion Based on wheat cellulose particles and lactulose, acupoint plaster, mas- sage combined Western drugs could further reduce rectal sensitivity, improve stool properties, and ele- vate clinical efficacy of FC children patients with

关 键 词：功能型便秘 中药 穴位 推拿 疗效 

分 类 号：R725.7[医药卫生—儿科]