董氏运脾散联合小儿推拿治疗小儿便秘食积型33例临床观察  

Clinical observation on 33 cases of constipation in children with retention of food type treated by DONG’s Yunpi San(董氏运脾散) combined with pediatric tuina

作　　者：鲍挺峰 董幼琪 BAO Tingfeng;DONG Youqi(Department of Tuina,Ningbo Hospital of TCM,Ningbo,Zhejiang,315000,China;Department of Pediatrics,Ningbo Hospital of TCM,Ningbo,Zhejiang,315000,China)

机构地区：[1]宁波市中医院推拿科,浙江宁波315000 [2]宁波市中医院儿科,浙江宁波315000

出　　处：《中医儿科杂志》2022年第2期75-79,共5页Journal of Pediatrics of Traditional Chinese Medicine

基　　金：浙江省中医药科技计划项目(2014ZA099);宁波市中医药传统特色学科建设项目(甬卫发[2019]37号)。

摘　　要：目的 观察董氏运脾散联合小儿推拿治疗小儿便秘食积型的临床疗效。方法 选取2018年7月至2019年7月在宁波市中医院推拿科及儿科门诊治疗的便秘食积型患儿99例,按照随机数字表法分为推拿组、中药组和治疗组,各33例。3组均予科学膳食,增加膳食纤维、饮水量及锻炼量等一般治疗,在此基础上,推拿组予小儿推拿治疗,中药组予董氏运脾散口服,治疗组予小儿推拿联合中药治疗,3组均2周为1个疗程,连续治疗2个疗程后统计疗效。结果 治疗组的总有效率为96.97%(32/33),显著高于中药组的81.82%(27/33)和推拿组的75.76%(25/33),差异均有统计学意义(P<0.05),中药组与推拿组比较,差异也有统计学意义(P<0.05)。治疗前,3组的中医主症积分比较,差异均无统计学意义(P>0.05),具有可比性;治疗后1个月,3组的中医主症积分均较同组治疗前明显降低,差异有统计学意义(P<0.05或P<0.01),治疗组与中药组、推拿组同期比较,差异有统计学意义(P<0.05),而中药组与推拿组同期比较,差异无统计学意义(P>0.05)。治疗前3组的肠鸣音频率比较,差异均无统计学意义(P>0.05),具有可比性;治疗2周及4周后3组的肠鸣音频率与同组治疗前比较及3组间比较,差异均无统计学意义(P>0.05);治疗后1个月,3组的肠鸣音频率均较同组治疗前明显增加,差异均有统计学意义(P<0.05),治疗组与中药组、推拿组同期比较,差异有统计学意义(P<0.05),而中药组与推拿组同期比较,差异无统计学意义(P>0.05)。治疗后1个月治疗组未见复发病例,中药组复发率为11.11%(3/27),推拿组为14.00%(4/25),治疗组与中药组、推拿组比较,差异均有统计学意义(P<0.05);中药组与推拿组比较,差异也有统计学意义(P<0.05)。结论 董氏运脾散联合小儿推拿治疗小儿便秘食积型疗效确切,可显著改善中医症状,增强肠蠕动,且复发率低,值得临床推广应用。Objective To observe the clinical efficacy of DONG’s Yunpi San(董氏运脾散)combined with pediatric tuina in the treatment of constipation in children with retention of food type.Methods From July 2018 to July 2019,99 cases of constipation in children with retention of food type treated in tuina department and pediatrics department of Ningbo Hospital of TCM were divided into tuina group,Chinese materia medica(CMM)group and treatment group,with 33 cases in each group.The 3 groups were treated with scientific diet,increasing the general treatment of dietary fiber,water intake and exercise quantity,on this basis,tuina group was given pediatric tuina therapy,CMM group was given oral administration of DONG’s Yunpi San,and observation group was given pediatric tuina combined with CMM treatment.Two weeks constituted 1 course of treatment for 3 groups and we kept statistics about the efficacy after consecutive 2 courses of treatment.Results The total effective rate of the observation group was 96.67%(32/33),which was significantly higher than 81.82%(27/33)of CMM group and 75.76%(25/33)of tuina group,and the difference was statistically significant(P<0.05).Additionally,the difference was statistically significant between CMM group and tuina group(P<0.05).Before treatment,the difference was not statistically significant in TCM cardinal symptom score among the 3 groups(P>0.05),indicating comparability.After treatment for 1 month,TCM cardinal symptom in the 3 groups significantly decreased than that in the same group before treatment,and the difference was statistically significant(P<0.05 or P<0.01),and the difference was statistically significant among corresponding period of treatment group and that of CMM group and tuina group(P<0.05),and the difference was not statistically significant between the corresponding period of CMM group and that of tuina group(P>0.05).Before treatment,there was no statistically significant difference in the frequency of bowel sounds among the 3 groups(P>0.05),indicating comparability.Af

关 键 词：小儿便秘 食积型 董氏运脾散 小儿推拿 临床观察 

分 类 号：R272[医药卫生—中医儿科学]