ISSN 1674-3865  CN 21-1569/R
主管：国家卫生健康委员会
主办：中国医师协会
　　　辽宁省基础医学研究所
　　　辽宁中医药大学附属医院
中国中西医结合儿科学

中国中西医结合儿科学 ›› 2018, Vol. 10 ›› Issue (5): 403-407.doi: 10.3969/j.issn.1674-3865.2018.05.011

• 康复研究专栏 • 上一篇    下一篇

穴位贴敷联合推拿治疗脾胃气虚型儿童功能性消化不良的疗效观察

胡少华，钱海良，傅关儒，石锦梅，秦宗富，魏昆   

  1. 244000 安徽 铜陵，铜陵市中医医院儿科（胡少华，石锦梅，秦宗富，魏昆），针灸科（钱海良），脾胃病科（傅关儒）
  • 出版日期:2018-10-25 发布日期:2018-12-03
  • 通讯作者: 胡少华，E-mail：604148326@qq.com
  • 作者简介:胡少华（1985-），女，医学硕士，主治医师。研究方向：小儿脾胃系疾病的诊治
  • 基金资助:
    铜陵市卫计委科研项目（卫科研〔2016〕6号）

Clinical effect of acupoint application combined with massage in the treatment of children with functional dyspepsia(spleen-stomach-Qi deficiency)

HU Shaohua, QIAN Hailiang, FU Guanru, SHI Jinmei, QIN Zongfu, WEI Kun   

  1. Tongling TCM Hospital, Tongling 244000, China
  • Online:2018-10-25 Published:2018-12-03

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摘要：
目的
应用穴位贴敷联合推拿治疗儿童功能性消化不良的患儿的临床疗效。
方法
选择2016年4月至2018年4月铜陵市中医院儿科门诊及住院收治功能性消化不良患儿120例，随机分为对照组和观察组各60例。观察组采用穴位贴敷联合小儿推拿治疗，对照组给予多潘立酮片口服。两组治疗均为5 d 1个疗程，中间休息1 d，再继续下一个疗程，连续治疗2个疗程。观察两组临床疗效、治疗前后症状积分、胃泌素及胃动素水平的变化。
结果
治疗结束时，观察组有1例因皮肤过敏剔除。观察组总有效率为93.2%（55/59），显著高于对照组80.0%（48/60），差异有统计学意义(P<0.05)。观察组治疗后功能性消化不良的主要症状积分显著低于对照组，差异有统计学意义（P<0.05）。观察组患儿治疗后血胃泌素及胃动素值明显高于对照组，差异有统计学意义（P<0.05）。
结论
穴位贴敷联合推拿治疗儿童功能性消化不良较单纯口服多潘立酮能明显改善功能性消化不良患儿的临床症状，同时可升高胃泌素、胃动素水平。

关键词: 功能性消化不良, 穴位贴敷, 推拿, 胃泌素, 胃动素, 儿童

Abstract:
Objective
To study the clinical efficacy of acupoint application combined with massage in the treatment of children with functional dyspepsia.
Methods
Totally 120 children with functional dyspepsia were selected and divided into two groups:60 cases in the treatment group and 60 in the control group. The treatment group was treated with acupoint application combined with child massage, and the control group was given domperidone tablets taken orally. Both groups were treated for consecutively 2 courses,5 days in a course with 1 day of rest between the two courses. The clinical effect, symptom scores, gastrin and motilin levels in the two groups before and after treatment were observed.
Results
At the end of the treatment, one case was excluded because of skin allergy in the observation group. The total effective rate of the treatment group was 93.2%（55/59）,and the total effective rate of the control group was 80%(48/60), and the difference was statistically significant(P<0.05). After treatment, the main symptom score of functional dyspepsia in the observation group was significantly lower than that in the control group(P<0.05),while the level of gastrin and motilin in the observation group was significantly higher than in the control group(P<0.05).
ConclusionCompared with the single use of domperidone, the acupoint application combined with massage in the treatment of functional dyspepsia in children can improve the clinical symptoms of children with functional dyspepsia and increase the level of gastrin and motilin.

Key words: Acupoint application, Massage, Functional dyspepsia, Gastrin, Motilin, Children