艾灸神阙穴联合西药治疗小儿再发性腹痛临床研究  

Clinical Study of Moxibustion at Shenque Point Combined with Western Medicine in the Treatment of Recurrent Abdominal Pain in Children

作　　者：李媛 LI Yuan(Lingbao First People′s Hospital,Lingbao,Henan,China,472500)

机构地区：[1]灵宝市第一人民医院,河南灵宝472500

出　　处：《河南中医》2020年第10期1606-1609,共4页Henan Traditional Chinese Medicine

摘　　要：目的:观察艾灸神阙穴联合西药治疗小儿再发性腹痛的临床疗效。方法:将70例再发性腹痛患儿按照随机数字表法分为对照组和观察组,每组各35例。对照组患儿给予布拉氏酵母菌治疗,观察组在对照组的基础上艾灸神阙穴治疗。比较两组患儿的临床疗效、腹痛消失时间以及治疗期间不良反应情况。比较两组患儿治疗前后中医证候积分与血清胃肠激素[胃泌素(gastrin,GAS)、胃动素(motilin,MOT)、生长抑素(somatostatin,SS)]水平变化情况。结果:对照组有效率为77.14%,观察组有效率为94.29%,两组患儿临床疗效比较,差异具有统计学意义(P<0.05)。两组患儿治疗后中医证候积分低于本组治疗前,且观察组治疗后低于对照组治疗后,差异具有统计学意义(P<0.05)。两组治疗后血清GAS、MOT水平低于本组治疗前,SS水平高于本组治疗前,观察组治疗后血清GAS、MOT水平低于对照组治疗后,SS水平高于对照组治疗后,差异具有统计学意义(P<0.05)。观察组腹痛消失时间短于对照组,差异具有统计学意义(P<0.05)。观察组不良反应发生率低于对照组,但差异无统计学意义(P>0.05)。结论:艾灸神阙穴联合西药治疗小儿再发性腹痛,能有效改善患儿症状体征和胃肠激素水平,缩短腹痛时间。Objective:To observe the clinical curative effect of Shenque(RN 8) combined with Western medicine on recurrent abdominal pain in children.Methods:A total of 70 patients with recurrent abdominal pain were divided into the control group and the observation group according to random number table method,with 35 cases in each group.The control group was given saccharomyces boulardii for treatment,while the observation group was treated with moxibustion at Shenque(RN 8) on the basis of the control group.The clinical efficacy,disappearance time of abdominal pain and adverse reactions were compared between the two groups.The changes of TCM syndrome scores and serum gastrointestinal hormones,including gastrin(GAS),motilin(MOT) and somatostatin(SS) levels,were also compared between the two groups before and after the treatment.Results:The effective rate of the control group was 77.14%,and that of the observation group was 94.29%.There was significant difference between the two groups(P<0.05).After the treatment,the TCM syndrome score of the two groups was lower than that of the same group before the treatment,and the observation group′s was lower than that of the control group after the treatment,the difference was statistically significant(P<0.05).After the treatment,the serum GAS and MOT levels of the two groups were lower than those of the same group before the treatment,and the SS levels were higher than those of the same group before the treatment.The serum GAS and MOT levels of the observation group were lower than those of the control group after the treatment,and the SS levels were higher than those of the control group after the treatment,and all the differences were statistically significant(P<0.05).The disappearance time of abdominal pain in the observation group was shorter than that in the control group,and the difference was statistically significant(P<0.05).The incidence of adverse reactions in the observation group was lower than that in the control group,but the difference was not statistically significa

关 键 词：小儿再发性腹痛 艾灸 神阙穴 布拉氏酵母菌 

分 类 号：R272.925.7[医药卫生—中医儿科学]