基于“用推即是用药”理论的津沽健脾益气推拿法治疗婴儿脾虚便秘疗效观察

Observation on the curative effect of Jingu massage of strengthening spleen and invigorating qi on spleen deficiency constipation in infants based on “pushing as the medicine” theory

[目的]观察基于"用推即是用药"理论的津沽健脾益气推拿法治疗婴儿脾虚便秘的临床疗效。[方法] 2017年1月-2018年6月天津中医药大学第一附属医院小儿推拿专病门诊86例便秘患儿,随机分为治疗组和对照组,每组各43例。两组患儿均予以纠正不良喂养习惯、加强排便训练、被动腹部运动等基础治疗。在此基础上治疗组给予津沽健脾益气推拿法治疗,对照组口服妈咪爱治疗,7 d为1个疗程,并于3个月后进行随访。分析两组患儿临床疗效、Wexner便秘评分、复发率及不良反应发生情况。[结果]治疗组患者总有效率为97.67%,对照组为76.74%,两组差异有统计学意义(P<0.05);治疗7 d后,两组患儿Wexner便秘评分均有所降低,治疗组明显低于对照组(P<0.01)。两组均未发生不良反应,随访3个月发现治疗组复发率明显低于对照组(P<0.05)。[结论]津沽健脾益气推拿法治疗婴儿脾虚便秘的临床效果显著,可有效缓解婴儿脾虚便秘症状,缩短排便频率,从而改善肠动力障碍,且减少复发率,值得推广应用。

[Objective] To observe the clinical effect of Jingu message of strengthening spleen and replenishing qi on spleen deficiency constipation in infants based on the theory of "pushing as the medicine". [Methods] From January 2017 to June 2018,the 86 infants with spleen deficiency constipation in the pediatric massage clinic of the First Teaching Hospital of Tianjin University of Traditional Chinese Medicine were randomly divided into a treatment group and a control group,with 43 cases in each group. Both groups of children were treated with basic treatments,such as correcting bad feeding habits,strengthening defecation training,and physical exercises for the abdominal. On this basis,the treatment group was treated with Jingu message of strengthening spleen and replenishing qi,while the control group was treated with ofmom treatment,7 days as a course of treatment,and was followed up after 3 months later. The clinical efficacy,Wexner constipation score,recurrence rate and adverse reactions of the two groups of children were observed. [Results] After 7 days of treatment,the total effective rate was 97.67% in the treatment group and 76.74% in the control group with statistically significant(P<0.05). The Wexner constipation scores were reduced in both groups,and the treatment group was significantly lower than the control group(P<0.01). No adverse reactions occurred in either group. The recurrence rate of the treatment group was significantly lower than the control group(P<0.05). [Conclusions] The clinical effect of Jingu message of strengthening spleen and replenishing qi on infantile spleen deficiency constipation is significant,which can effectively alleviate the symptoms of spleen deficiency constipation and shorten the frequency of bowel movements,thereby improving intestinal dysmotility and reducing the recurrence rate. It is worthy of widespread application.