拔罐治疗儿童功能性腹痛临床疗效观察

Clinical Observation of Cupping Therapy for Treatment of Functional Abdominal Pain in Children

[目的]观察拔罐疗法治疗小儿功能性腹痛的临床疗效.[方法]将76例功能性腹痛患儿随机分为治疗组和对照组,每组各38例.对照组给予双歧杆菌乳杆菌三联活菌片常规口服治疗,治疗组在对照组治疗的基础上,给予拔罐疗法治疗[神阙穴闪罐,脾俞(双)、胃俞(双)、气海穴、中脘穴留罐],疗程为1周.观察2组患儿治疗前后的腹痛发作次数、腹痛持续时间及面部表情量表评分的变化情况,评价2组患儿的近远期疗效及安全性.[结果](1)试验过程中,治疗组2例脱落,对照组1例脱落,最终治疗组36例、对照组37例患儿完成试验.(2)近期疗效:治疗1周后,治疗组的总有效率为91.67%,对照组为75.68%,治疗组的疗效优于对照组(P<0.05).(3)治疗后,2组患儿的腹痛发作次数、腹痛持续时间及面部表情量表评分均较治疗前明显改善(P<0.01),且治疗组的改善作用均明显优于对照组(P<0.05).(4)远期疗效:对2组有效患儿进行2个月随访,治疗组的复发率为15.15%,对照组为67.86%,治疗组的复发率明显低于对照组(P<0.01).(5)试验过程中,2组患儿均未见明显不良反应情况发生.[结论]拔罐疗法治疗小儿功能性腹痛疗效确切,安全性高.

Objective To observe the clinical effect of cupping therapy on functional abdominal pain in children.Methods Seventy-six children with functional abdominal pain were randomized into treatment group and control group,38 cases in each group.The control group was given Live Combined Bifidobacterium and Lactobacillus Tablets,and the treatment group was treated by flash cupping on Shenque(CV8)and retained cupping on bilateral Pishu(BL20),bilateral Weishu(BL21),Qihai(CV6),and Zhongwan(CV12)based on the treatment for the control group.The treatment for the two groups lasted one week.Before and after treatment,the frequency of abdominal pain episodes,duration of abdominal pain and facial expression scale scores in the two groups were observed for the evaluation of short-term and long-term therapeutic efficacy as well as the safety.Results(1)During the trial,2 cases in the treatment group and one case in the control group dropped out,and finally,36 cases in the treatment group and 37 cases in the control group completed the trial.(2)In respect of the short-term efficacy after treatment for one week,the total effective rate of the treatment group was 91.67%,and that of the control group was 75.68%,the difference between the two groups being statistically significant(P<0.05).(3)After treatment,the frequency of abdominal pain episodes,duration of abdominal pain and facial expression scale scores in the two groups were much improved(P<0.01 compared with those before treatment),and the improvement in the treatment group was superior to that in the control group(P<0.05).(4)In respect of the short-term efficacy after follow-up for 2 months,the recurrence rate of the treatment group was 15.15%,and that of the control group was 67.86%,the difference between the two groups being statistically significant(P<0.01).(5)During the trial,no obvious adverse reaction was found in the two groups.Conclusion Cupping therapy is effective and safe in the treatment of children with functional abdominal pain.