摘要
目的探析中医脐灸治疗脾虚夹滞型儿童功能性腹痛(functional abdominal pain,FAP)的临床疗效。方法随机选取2022年2月—2023年2月重庆市长寿区中医院儿科收治的80例脾虚夹滞型FAP患儿作为研究对象,采用随机数表法分为对照组(口服双歧杆菌四联活菌片)和观察组(中药脐灸治疗),每组40例。比较两组的临床疗效、症状消失时间、视觉模拟评分法(Visual Analogue Scale,VAS)评分、不良反应发生率与复发率。结果观察组总有效率为90.00%高于对照组72.50%,差异有统计学意义(χ^(2)=4.021,P<0.05)。观察组腹痛、食欲不振、苍白等症状消失时间分别为(7.02±1.58)、(4.02±0.98)、(3.25±0.85)d短于对照组的(11.51±2.16)、(5.97±1.02)、(5.16±0.9)d,差异有统计学意义(t=10.611、8.719、9.366,P<0.05)。治疗后,观察组腹部持续疼痛、按压痛评分分别为(3.16±0.22)分、(2.03±0.17)分显著低于对照组的(5.28±0.39)分、(3.55±0.24)分,差异有统计学意义(t=29.944、32.686,P<0.05)。观察组复发率(2.50%)显著低于对照组(15.00%),差异有统计学意义(χ^(2)=3.914,P<0.05)。对照组不良反应总发生率为5.00%与观察组的7.50%比较,差异无统计学意义(χ^(2)=0.213,P>0.05)。结论在脾虚夹滞型FAP临床治疗中,采用中医脐灸治疗方式,有利于提升疗效,促进患儿机体健康的恢复,可有效缓解儿童脾虚夹滞型FAP相关症状,降低复发率,且具有一定安全性。
Objective To explore the clinical effect of umbilical moxibustion on functional abdominal pain(FAP)in children with spleen deficiency and stagnation.Methods A total of 80 FAP children with spleen-deficiency and stagnation treated in the pediatrics department of Changshou District Hospital of Traditional Chinese Medicine of Chongqing from February 2022 to February 2023 were randomly selected as the study objects,and were divided into control group(oral bifidobacterium quadruplex viable tablet)and observation group(traditional Chinese medicine umbilical moxibustion treatment)by random number table method,with 40 cases in each group.The clinical efficacy,symptom resolution time,Visual Analogue Scale(VAS)score,incidence of adverse reactions and recurrence rate were compared between the two groups.Results The total effective rate of observation group was 90.00%,which was higher than that of control group 72.50%,and the difference was statistically significant(χ^(2)=4.021,P<0.05).The disappearance time of abdominal pain,loss of appetite and pallor in the observation group was(7.02±1.58)d,(4.02±0.98)d,(3.25±0.85)d,respectively,which were shorter than those of the control group(11.51±2.16)d,(5.97±1.02)d,(5.16±0.9)d,the dif-ference was statistically significant(t=10.611,8.719,9.366,P<0.05).After treatment,the persistent abdominal pain and tenderness scores in the observation group were(3.16±0.22)points and(2.03±0.17)points,which were signifi-cantly lower than those in the control group(5.28±0.39)points and(3.55±0.24)points,respectively,and the differ-ences were statistically significant(t=29.944,32.686,P<0.05).The recurrence rate of observation group(2.50%)was significantly lower than that of control group(15.00%),and the difference was statistically significant(χ^(2)=3.914,P<0.05).The total incidence of adverse reactions in control group was 5.00%compared with 7.50%in observation group,and the difference was not statistically significant(χ^(2)=0.213,P>0.05).Conclusion In the clinical treatment of FAP with sp
作者
董彩凤
杨小丽
姚大连
DONG Caifeng;YANG Xiaoli;YAO Dalian(Department of Pediatrics,Changshou District Hospital of Traditional Chinese Medicine,Chongqing,401220 China)
出处
《中外医疗》
2023年第22期189-193,共5页
China & Foreign Medical Treatment
关键词
脾虚夹滞型功能性腹痛
中医脐灸
双歧杆菌四联活菌片
不良反应
临床疗效
Functional abdominal pain with spleen deficiency and stagnation
TCM umbilical moxibustion
Bifidobacterium tetrad tablet
Adverse reactions
Clinical effect
