中药穴位敷贴联合摩腹治疗婴儿肠绞痛腹部中寒型32例临床观察

Clinical observation on 32 cases of infantile colic with abdominal cold syndrome of middle energizer type treated by acupoint application of Chinese materia medica combined with rubbing abdomen manipulation

目的观察中药穴位敷贴联合摩腹治疗婴儿肠绞痛腹部中寒型的临床疗效。方法选取2017年1—12月广州市花都区妇幼保健院儿童保健科门诊就诊的64例肠绞痛腹部中寒型患儿,按照随机数字表法分为治疗组和对照组,各32例。对照组在常规指导的基础上口服双歧杆菌四联活菌片,治疗组在常规指导的基础上采用消化Ⅱ号方穴位敷贴联合摩腹疗法。2组均治疗5 d为1个疗程,1个疗程后统计2组治疗前后主症(每日哭闹发作时间、哭闹发作程度)积分的变化、临床疗效以及不良反应发生情况。结果对照组总有效率为68.75%(22/32),治疗组为90.63%(29/32),2组比较,差异有统计学意义(P<0.05)。治疗前,2组主症积分比较,差异无统计学意义(P>0.05),具有可比性;治疗后,2组主症积分较同组治疗前均明显下降(P<0.05),且治疗组下降更显著(P<0.05)。治疗组在治疗过程中出现1例皮肤过敏,对照组无不良反应发生。结论中药穴位敷贴联合摩腹治疗婴儿肠绞痛腹部中寒型,能明显降低患儿主症积分,缓解临床症状,疗效显著,且不良反应小,值得临床推广应用。

Objective To observe the clinical efficacy of acupoint application of Chinese materia medica combined with rubbing abdomen manipulation in the treatment of infantile colic with abdominal cold syndrome of middle energizer type.Methods From January to December in 2017,64 cases of infantile colic with abdominal cold syndrome of middle energizer type consulted in child healthcare department of Guangzhou Huadu District Maternal and Child Health Hospital were chosen and divided into treatment group and control group according to random number table method,with 32 cases in each.The control group was given Live combined Bifidobacterium,Lactobacillus,Enterococcus and bacillus tablets based on routine guidance.On the basis of routine guidance,the treatment group was treated with acupoint application of digestive formula II combined with rubbing abdomen manipulation.Both groups were treated for 5 days as a course of treatment.After 1 course of treatment,we kept statistics about the main symptoms(daily crying attack time,crying attack degree) score changes,clinical efficacy and adverse reactions of the two groups before and after treatment.Results The total effective rate of the control group was 68.75%(22/32),that of the treatment group was 90.63%(29/32),and the difference between the 2 groups was statistically significant(P<0.05).Before treatment,the difference was not statistically in the main symptom scores between the 2 groups(P>0.05),and they were comparable. After treatment,the main symptom scores of the 2 groups significantly decreased compared with the same group before treatment(P<0.05),moreover,the treatment group decreased more significantly(P<0.05).One case of skin allergy occurred in the treatment group,and no adverse reactions occurred in the control group.Conclusion It can markedly decrease the main symptom scores of the children patient,alleviate the clinical symptoms with marked efficacy and less adverse reactions to use application of Chinese materia medica combined with rubbing abdomen manipulation in the treatment of infantile colic with abdominal cold syndrome of middle energizer type,which deserves clinical promotion and application.