脏腑图点穴治疗小儿功能性便秘食积化热证临床研究  

Clinical study of Acupoint Pressing Therapy of Zang and Fu for the children with functional constipation and food retention of heat patterns

作　　者：杜春雁[1] 刘凯[1] 东郭欢 沈芳 王朋燕 王美琳 Du Chunyan;Liu Kai;Dong Guohuan;Shen Fang;Wang Pengyan;Wang Meilin(Peds,First Teaching Hospital of Tianjin University of Traditional Chinese Medicine,National Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion,Tianjin 300193,China;First Teaching Hospital of Tianjin University of Traditional Chinese Medicine,Tianjin 300193,China)

机构地区：[1]天津中医药大学第一附属医院儿科,国家中医针灸临床医学研究中心,天津300193 [2]天津中医药大学第一附属医院,天津300193

出　　处：《国际中医中药杂志》2022年第10期1107-1111,共5页International Journal of Traditional Chinese Medicine

基　　金：天津市卫生计生委中西医结合科研专项课题(2019067)。

摘　　要：目的评价脏腑图点穴治疗小儿功能性便秘(functional constipation,FC)的临床疗效。方法将符合入选标准的2020年1月-2021年6月天津中医药大学第一附属医院120例FC患儿,采用随机数字表法按2∶1比例分为观察组80例、对照组40例。在常规基础治疗上,观察组给予脏腑图点穴治疗,对照组给予小儿化食口服液治疗。2组均治疗2周。分别于治疗前后进行中医证候评分,记录每日排便情况及自主排便应答情况,评价疗效;随访4周,记录复发情况。结果治疗后7、14 d,观察组中医证候疗效总有效率分别为87.5%(70/80)、92.5%(74/80),对照组分别为62.5%(25/40)、80.0%(32/40),2组治疗后7、14 d比较差异有统计学意义(Z值分别为-4.48、-2.78,P值均<0.01)。观察组中医证候主症、次症评分及总分治疗后7 d(t值分别为2.90、2.77、3.93)、14 d(t值分别为4.24、5.95、6.27)均低于对照组(P<0.01或P<0.05)。观察组自主排便应答有效率为83.8%(67/80)、对照组为65.0%(26/40),2组比较差异有统计学意义(χ^(2)=5.38,P=0.020)。随访期间,观察组复发率为9.5%(7/74)、对照组为18.8%(6/32),2组比较差异无统计学意义(χ^(2)=1.79,P=0.181)。结论脏腑图点穴治疗小儿FC具有疗效确切、远期疗效好、复发率低等临床应用优势。Objective To observe the clinical efficacy,safety and recurrence rate of Acupoint Pressing Therapy of Zang and Fu in the treatment of children with functional constipation.Methods A total of 120 children with functional constipation form the First Affiliated Hospital of Tianjin University of Traditional Chinese Medicine from January 2020 to June 2021,were divided into two groups randomly,80 in observation group and 40 in control group.Both groups were treated with routin therpy.The observation group was treated with Acupoint pressing therapy of Zang and Fu,and the control group was treated with Xiaoerhuashi syrup.Both groups were treated for 2 weeks.Before and after treatment,TCM syndromes were scored,daily defecation and spontaneous defecation response were recorded,and the efficacy was evaluated.The patients were followed up for 4 weeks and the recurrence was recorded.Results Seventh and 14th day after treatment,the effective rates of TCM syndrome efficacy in the observation group were 87.5%(70/80)and 92.5%(74/80),and 62.5%(25/40)and 80.0%(32/40)in the control group.The scores of main symptoms,secondary syndromes and total scores of TCM syndromes in the observation group were significantly lower than those in the control group(P<0.01 or P<0.05)at 7th day(t values were 2.90,2.77 and 3.93)and 14th day(t values were 4.24,5.95 and 6.27)after treatment.The effective rates of the observation group was 83.8%(67/80)and that of the control group was 65.0%(26/40).The difference between the two groups was statistically significant(χ^(2)=5.38,P=0.020).In the follow-up,the recurrence rate of the observation group was 9.5%(7/74)and that of the control group was 18.8%(6/32).There was no significant difference between two groups(χ^(2)=1.79,P=0.181).Conclusion Acupoint Pressing Therapy of Zang and Fu has the advantages of curative effect,low recurrence rate and safety in the treatment of children's functional constipation.

关 键 词：便秘 脏腑图点穴法 食积化热证 小儿推拿疗法 

分 类 号：R272[医药卫生—中医儿科学]