穴位贴敷联合推拿治疗小儿脾肾亏虚型功能性便秘临床研究  

Clinical Study on Point Application Combined with Tuina for Functional Constipation in Children of Spleen-Kidney Deficiency Type

作　　者：叶翛然 吴丽芳[2] 占桂平[1] YE Xiaoran;WU Lifang;ZHAN Guiping

机构地区：[1]丽水市中医院推拿科,浙江丽水323000 [2]丽水市中医院医务科,浙江丽水323000

出　　处：《新中医》2021年第18期150-152,共3页New Chinese Medicine

摘　　要：目的:观察穴位贴敷联合推拿治疗小儿脾肾亏虚型功能性便秘的临床疗效。方法:选取脾肾亏虚型功能性便秘患儿60例作为研究对象,根据随机数字表法分为研究组和对照组各30例。2组患儿均给予基础治疗,对照组加用乳果糖口服溶液治疗,研究组加用穴位贴敷联合推拿治疗。2组均以10 d为1个疗程,连续治疗2个疗程。治疗后评估2组临床疗效,并于治疗前后及随访3个月统计2组便秘症状评分。结果:研究组总有效率为96.67%,对照组为76.67%,2组比较,差异有统计学意义(P<0.05)。治疗前,2组患儿排便困难、粪便形状、排便时间、肛门坠胀排便不尽感、排便频率、腹胀症状评分及总积分比较,差异均无统计学意义(P>0.05)。治疗后及随访3个月,2组上述各项症状评分及总积分均较治疗前降低(P<0.05);且随访3个月,研究组上述各项评分低于对照组(P<0.05)。结论:穴位贴敷联合推拿治疗小儿脾肾亏虚型功能性便秘疗效肯定。Objective:To observe the clinical effect of point application combined with tuina for functional constipation in children of spleen-kidney deficiency type.Methods:A total of 60 cases of children with functional constipation of spleenkidney deficiency type were selected as the research object,and divided into the study group and the control group according to the random number table method,30 cases in each group.Both groups were given basic treatment;the control group was additionally treated with lactulose oral solution,and the study group was additionally treated with point application combined with tuina.Both groups were treated for two courses,ten days being a course.After treatment,the clinical effect in the two groups was evaluated.Before and after treatment and after three-month follow-up,constipation symptom scores in the two groups were evaluated.Results:The total effective rate was 96.67%in the study group and 76.67%in the control group,the difference being significant(P<0.05).Before treatment,there was no significant difference being found in the comparison of the symptom scores including defecation difficulty,fecal shape,defecation time,anal bulge and incomplete defecation,defecation frequency and abdominal distension as well as the total scores between the two groups(P>0.05).After treatment and three-month follow-up,the above symptom scores and the total scores in the two groups were decreased when compared with those before treatment(P<0.05);and in three-month follow-up,the above scores in the study group were lower than those in the control group(P<0.05).Conclusion:The therapy of point application combined with tuina has definite curative effect in treating functional constipation in children of spleen-kidney deficiency type.

关 键 词：小儿功能性便秘 脾肾亏虚 推拿 穴位贴敷 便秘症状评分 

分 类 号：R725.57[医药卫生—儿科]