神阙面碗灸治疗小儿脾胃失和型肠胀气临床研究  

Clinical Study on Moxibustion with Bowl at Shenque Point for Flatulence of Spleen-Stomach Disharmony Type in Children

作　　者：刘龙 王静洁 刘丽[1] 庄煜玲 LIU Long;WANG Jingjie;LIU Li;ZHUANG Yuling(Department of Chinese Medicine,Jiaxing Maternity and Child Health Care Hospital,Jiaxing Zhejiang 314051,China)

机构地区：[1]嘉兴市妇幼保健院中医科,浙江嘉兴314051

出　　处：《新中医》2024年第21期135-138,共4页New Chinese Medicine

基　　金：嘉兴市科技计划项目(2023AD31096)。

摘　　要：目的:观察神阙面碗灸治疗小儿脾胃失和型肠胀气的临床效果及对患儿肠蠕动的影响。方法:选取2022年3月—2023年9月收治的脾胃失和型肠胀气患儿为研究对象,共100例。按随机数字表法分为研究组与对照组各50例。对照组采用益生菌治疗,研究组采用神阙面碗灸治疗。观察2组肠蠕动情况、中医证候积分、临床疗效及不良反应。结果:治疗后,研究组腹胀消失时间、腹痛消失时间短于对照组,差异均有统计学意义(P<0.05)。治疗后,2组中医证候积分均少于治疗前,研究组中医证候积分少于对照组,差异均有统计学意义(P<0.05)。临床疗效总有效率研究组高于对照组,差异有统计学意义(P<0.05)。研究组不良反应发生率与对照组比较,差异无统计学意义(P>0.05)。结论:神阙面碗灸治疗小儿脾胃失和型肠胀气可促使患儿肠蠕动,改善患儿胃肠功能、促进患儿临床症状的消失,临床疗效良好。Objective:To observe the clinical effect of moxibustion with bowl at Shenque(RN8)point on flatulence of spleen-stomach disharmony type in children and its effect on intestinal peristalsis in children.Methods:A total of 100 children with flatulence of spleen-stomach disharmony type admitted from March 2022 to September 2023 were selected as the study subjects.They were divided into the study group and the control group according to the random number table method,with 50 cases in each group.The control group was treated with probiotics,and the study group was treated with moxibustion with bowl at Shenque(RN8)point.The intestinal peristalsis,traditional Chinese medicine syndrome scores,clinical effects and adverse reactions in the two groups were observed.Results:After treatment,the disappearance time of abdominal distension and abdominal pain in the study group was respectively shorter than that in the control group,differences being significant(P<0.05).After treatment,the traditional Chinese medicine syndrome scores in the two groups were reduced when compared with those before treatment,and the traditional Chinese medicine syndrome scores in the study group were lower than those in the control group,the difference being significant(P<0.05).The total clinical effective rate in the study group was higher than that in the control group,the difference being significant(P<0.05).There was no significant difference being found in the comparison of incidence of adverse reactions between the study group and the control group(P>0.05).Conclusion:The therapy of moxibustion with bowl at Shenque(RN8)point can promote the intestinal peristalsis of children with flatulence of spleen-stomach disharmony type,improve the gastrointestinal function and help the disappearance of clinical symptoms with great clinical effect.

关 键 词：肠胀气 脾胃失和型 儿童 面碗灸 神阙 中医证候积分 肠蠕动 

分 类 号：R723.11[医药卫生—儿科]