中医辨证推拿手法治疗小儿功能性便秘临床研究
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R256.35

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Clinical Study of Chinese Medicine Syndrome Differentiation and Tuina Manipulation for Functional Constipation in Children
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    摘要:

    目的:观察基于中医辨证推拿手法治疗小儿功能性便秘的临床疗效。方法:选择80例功能性便秘患儿,随机分为对照组和治疗组各40例。对照组给予常规西医治疗;治疗组在对照组基础上给予辨证推拿手法治疗。2组均治疗5天后比较临床疗效,评定小儿便秘实证型、虚证型中医证候积分和便秘症状积分,比较不良反应发生情况和随访3月复发率。结果:治疗后,总有效率治疗组为97.5%,对照组为77.5%,2组比较,差异有统计学意义( P <0.05)。治疗后,2组实证型、虚证型中医证候积分和便秘症状积分均较治疗前下降( P <0.05);治疗组各项积分均较对照组下降更明显( P <0.05)。不良反应发生率治疗组为7.5%,对照组为47.5%,2组比较,差异有统计学意义( P <0.05);随访组复发率治疗组为7.5%,对照组为20.0%,2组比较,差异有统计学意义( P <0.05)。结论:基于中医辨证推拿手法治疗小儿功能性便秘疗效显著,可改善中医症状,缓解小儿便秘,不良反应和复发少。

    Abstract:

    Objective:To observe the clinical effect of treatment for functional constipation in children based on Chinese medicine syndrome differentiation and tuina manipulation.Methods:Selected 80 cases of children with functional constipation,and divided theminto the controlgroup and the treatment group randomly,40 cases in each group.The control group was given routine western medicine for treatment,while the treatment group was additionally given syndrome differentiation tuina manipulation for treatment.After five days of treatment, compared the clinical effect, evaluated the Chinese medicine syndrome scores of pediatric constipation of excess syndrome type and deficiency syndrome type and constipation symptomscore,and compared the occurrence of adverse reactions and the recurrence rate after the follow-up of 3 months in the two groups.Results:After treatment,the total effective rate was 97.5%in the treatment group and 77.5%in the controlgroup,difference being significant(P < 0.05).After treatment,the Chinese medicine syndrome scores of pediatric constipation of excess syndrome type and deficiency syndrome type,constipation symptomscores in the two groups were all decreased when compared with those before treatment( P <0.05).The decrease of each score in the treatment group was more obvious than that in the control group( P <0.05).The incidence of adverse reactions was 7.5%in the treatment group and 47.5%in the control group,difference being significant( P <0.05).The recurrence rate after the follow-up of 3 months was 7.5%in the treatment group and 20.0%in the control group,difference being significant( P <0.05).Conclusion:The therapy based on Chinese medicine syndrome differentiation and tuina manipulation has a significant effect in treating functional constipation in children,which can improve the symptoms of Chinese medicine and relieve constipation with fewer adverse reactions and recurrences.

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李晓,林文博.中医辨证推拿手法治疗小儿功能性便秘临床研究[J].新中医,2018,50(7):141-143

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  • 在线发布日期: 2018-07-09
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