脐四边穴半刺法治疗急性非感染性小儿腹泻疗效观察

Observations on the Efficacy of Half Needling at Qisibian Points for Acute Noninfectious Infantile Diarrhea

目的观察针刺脐四边穴治疗急性非感染性小儿腹泻的临床疗效。方法 84例腹泻患者随机分为治疗组41例和对照组43例。治疗组给予针刺脐四边穴,对照组给予口服西药蒙脱石散(思密达)。观察两组治疗前后Bristol (布里斯托尔)大便性状评估表(BSFS)评分及中医症状分级量化评分的变化,并比较临床疗效。结果治疗组总有效率为92.7%,对照组总有效率为83.7%,两组临床疗效比较差异有统计学意义(P<0.05)。两组治疗后BSFS评分及中医症状分级量化评分优于同组治疗前(P<0.01),治疗组治疗后BSFS评分及中医症状分级量化评分优于对照组(P<0.05)。结论针刺脐四边穴是一种治疗急性非感染性小儿腹泻的有效方法,能减少患者腹泻次数、改善患者大便性状。

Objective To investigate the clinical efficacy of acupuncture at Qisibian points in treating acute noninfectious infantile diarrhea.Method Eighty-four diarrhea patients were randomized to a treatment group(41 cases) and a control group(43 cases).The treatment group received acupuncture at Qisibian points and the control group,oral administration of Western medicine montmorillonite powder(smecta).The Bristol Stool Form Scale(BSFS) score and the TCM Symptom Rating Scale score were recorded in the two groups before and after treatment.The clinical therapeutic effects were compared between the two groups.Result The total efficacy rate was 92.7% in the treatment group and 83.7% in the control group with a statistically significant difference between the two groups(P<0.05).After treatment,the BSFS score and the TCM Symptom Rating Scale score decreased in the two groups compared with before(P<0.01) and were lower in the treatment group than in the control group(P<0.05).Conclusion Acupuncture at Qisibian points is an effective way to treat acute noninfectious infantile diarrhea.It can reduce the frequency of diarrhea and improve stool form in the patients.