导滞通便推拿法治疗小儿实证便秘的临床效果  

Study on the technique of constipation in excess syndrome children with Daozhi Tongbian manipulation

作　　者：陈梅兰[1] 赖庆钟 董贻奇 CHEN Mei-lan;LAI Qing-zhong;DONG Yi-qi(Department of Massage,Hangzhou Red Cross Hospital,Hangzhou Zhejiang 310003,China)

机构地区：[1]杭州市红十字会医院推拿科,浙江杭州310003

出　　处：《中华全科医学》2018年第11期1906-1909,共4页Chinese Journal of General Practice

基　　金：浙江省中医药科技计划项目(2015ZA151)

摘　　要：目的探讨导滞通便推拿法治疗小儿实证便秘的临床疗效。方法采用随机数字法将小儿科2015年12月—2017年12月间收治的120例实证便秘患儿分为2组,每组60例。对照组口服妈咪爱治疗,观察组给予导滞通便推拿法治疗。比较2组治疗前后中医症候(排便难易程度、便质、排便间隔时间、腹胀疼痛、不思乳食、手足心热、睡眠不安、心烦、小便短黄及舌红苔黄厚)积分情况、临床疗效及治疗过程中不良反应的发生情况。通过对2组预后数据分析,对导滞通便推拿法治疗实证便秘患儿的效果进行分析。结果治疗后,2组中医症候总积分显著降低(P <0. 05),且观察组明显低于对照组(P <0. 05)。治疗后,2组排便难易程度、便质及排便间隔时间积分均明显降低(P <0. 05),且观察组显著低于对照组(P <0. 05)。治疗后,2组腹胀疼痛、不思乳食、手足心热、睡眠不安、心烦、小便短黄及舌红苔黄厚积分均明显降低(P <0. 05),且观察组显著低于对照组(P <0. 05)。治疗后,观察组的总有效率为96. 67%,明显高于对照组的71. 67%(P <0. 05)。2组治疗过程中均未见明显不良反应。结论相较于口服药物治疗,导滞通便推拿法可有效改善实证便秘患儿的临床症状,治疗效果满意。Objective To investigate the clinical efficacy on the treatment of Daozhi Tongbian manipulation for treating children constipation with excess syndrome. Methods Random number method was used to divide 120 cases of constipation in our hospital from December, 2015 to December, 2017 into two groups, 60 cases in each group. The control group was treated with Medilac-Vita medicine and the observation group was treated with Daozhi Tongbian manipulation. Comparing the scores of TCM syndromes before and after treatment in the two groups （defecation difficulty, stool quality, defecation interval, abdominal distention and abdominal pain, refraining from feeding, feverish palms and soles, sleep disturbance, upset, short yellow urine and thick red tongue coating）. Clinical efficacy and incidence of adverse reaction during treatment. The effect of guiding Daozhi Tongbian manipulation on children constipation with excess syndrome was analyzed, through the analysis of prognostic data of two groups. Results After treatment, the total scores of TCM symptoms in the two groups decreased significantly （ P 〈 0.05 ） , and the observation group was significantly lower than the control group （ P 〈 0.05）. After treatment , the degree of difficulty in defecation, the quality of constipation, and the time between defecations were significantly decreased in both groups （ P 〈 0.05 ） , and the observation group was significantly lower than the control group （ P 〈 0.05 ）. After treatment, abdominal distention and abdominal pain in the groups, refraining from feeding, feverish palms and soles, sleep disturbance, upset, short yellow urine and thick red tongue coating were significantly lower （ P 〈 0.05 ） , and the observation group was significantly lower than the control group （ P 〈 0.05 ）. After treatment , the total effective rate of the observation group was 96.67%, which was significantly higher than that of the control group （71.67% , P 〈 0.05）. No obvious adverse reaction were seen during the

关 键 词：小儿实证便秘 导滞通便推拿法 临床疗效 

分 类 号：R244.1[医药卫生—针灸推拿学] R725.7[医药卫生—中医临床基础]