徒手扩张法结合中药浸洗干预湿热下注型小儿包茎疗效观察

Observation of the effect of the unarmed expansion method combined with traditional Chinese medicine immersion in the intervention of damp heat type of phimosis in children

目的 :观察徒手扩张法结合中药浸洗干预湿热下注型小儿包茎的临床疗效。方法 :将2014年5月—2015年12月就诊的湿热下注型小儿包茎患者100例分为干预组50例,采用徒手扩张法结合中药浸洗干预;对照组50例,采用常规清洗护理干预;两组均每周1次,连续4次为1个疗程,治疗3~6个疗程。于疗程结束后6个月和12个月对两组进行随访,观察临床疗效。结果 :6个月和2个月的随访显示,干预组的总有效率分别为84.00%(42/50)和88.00%(44/50),对照组总有效率分别为24.00%(12/50)和30.00%(15/50),组间差异有统计学意义(P<0.05)。结论:徒手扩张法结合中药浸洗干预小儿包茎疗效显著。

Objective： To observe the clinical effect of the unarmed expansion method combined with traditional Chinese medicine immersion in the intervention of damp heat type of phimosis in children. Methods： From May 2014 to Dec. 2015, 100 cases were randomly divided into an intervention group with 50 cases who were intervened with the unarmed expansion method combined with traditional Chinese medicine immersion and a control group with 50 ones who were intervened with the conventional cleaning. Both groups were treated once a week, four times a course of treatment for three or four courses. At the end of treatment after 6 months and 12 months, the two groups were followed up and their clinical treatment effects were observed. Results： The following up at the end of 6 and 2 months showed that the total effective rates were 84%（42/50） and 88.00%（44/50） in the intervention group, respectively, the total effective rates were 24%（12/50） and 30%（15/50） in the control group, respectively and the difference was statistically significant（P〈0.05）. Conclusion： The intervention of the unarmed expansion method combined with traditional Chinese medicine immersion has the obvious efficacy in the intervention of damp heat type of phimosis in children.