揿针结合小儿推拿治疗儿童肝郁气滞型便秘效果观察

Observation on efficacy of thumbtack needle combined with pediatric Tuina for constipation in children caused by liver depression and Qi stagnation

目的观察揿针结合小儿推拿治疗儿童肝郁气滞型便秘的临床疗效。方法将60例肝郁气滞型便秘患儿随机分为联合组和推拿组,每组30例。推拿组采用小儿推拿治疗,联合组在推拿治疗基础上加用揿针治疗。观察两组临床疗效及治疗前后每周自主排便次数评分的变化。结果治疗后联合组治愈率、总有效率高于推拿组,差异有统计学意义(P<0.05)。与同组治疗前比较,两组治疗后每周自主排便次数均增加(P<0.05)。随着治疗疗程的延长,两组患者每周自主排便次数增加,且联合组次数多于推拿组,组间差异有统计学意义(P<0.01)。结论揿针结合小儿推拿治疗儿童肝郁气滞型便秘疗效优于单独小儿推拿治疗。

Objective To observe the clinical effect of thumbtack needles combined with pediatric Tuina(Chinese therapeutic massage)for constipation in children caused by liver depression and Qi stagnation.Methods A total of 60 children with constipation caused by liver depression and Qi stagnation were randomly divided into a combined group and a Tuina group,with 30 cases in each group.The cases in the Tuina group were treated with pediatric Tuina,while those in the combined group were treated with additional thumbtack needle therapy.We observed the clinical efficacy and the change in the number of spontaneous bowel movements per week before and after treatment.Results After treatment,the cure rate and the total effective rate in the combined group were higher than in the Tuina group,showing statistical significance(P<0.05).Compared with the same group before treatment,the number of spontaneous bowel movements per week in both groups increased after treatment(P<0.05).With the progression of treatment,the number of spontaneous bowel movements per week increased in both groups,and the number in the combined group was more than that in the Tuina group,showing statistical significance(P<0.01).Conclusion Thumbtack needles combined with pediatric Tuina is more effective than pediatric Tuina alone in the treatment of constipation in children caused by liver depression and Qi stagnation.