膳食纤维添加联合中医推拿对幼儿功能性便秘的疗效及安全性研究

Study on The Curative Effect and safety of Dietary Fiber Addition Combined with Traditional Chinese Medical Massage on Functional Constipation in Young Children

目的:探讨膳食纤维添加联合中医推拿对幼儿功能性便秘的的疗效及安全性。方法:选择2017年1月~2020年6月在佛山市妇幼保健院儿科门诊诊治的135例功能性便秘幼儿作为研究对象。采用回顾性分析方法分为A组(基础治疗组,42例)、B组(膳食纤维添加组,52例)及C组(膳食纤维添加联合中医推拿组,41例)。治疗四周后,比较三组患儿排便困难症状评分和治疗效果。监测三组患儿治疗期间发生不良反应情况。随访观察6个月,比较三组患儿复发率。结果:治疗后三组患儿排便困难、腹胀、排便频率及症状评分总分比较差异有统计学意义(P<0.05),其中C组排便困难评分和症状评分总分低于A组和B组,B组和C组腹胀评分低于A组,C组排便频率评分低于A组,差异均有统计学意义(P<0.05)。三组患儿总有效率比较差异有统计学意义(P<0.05),C组和B组总有效率高于A组的,差异有统计学意义(P<0.05),C组总有效率高于B组,差异有统计学意义(P<0.05)。治疗期间三组患儿均未出现明显药物不良反应,如恶心、腹胀、呕吐、腹痛、腹泻、皮疹等。三组复发率比较差异有统计学意义(P<0.05)。C组复发率明显低于对照组A组,差异有统计学(P<0.05)。结论:在常规治疗基础上,膳食纤维添加联合中医推拿治疗幼儿功能性便秘,能提高临床治疗效果,降低远期复发率,是幼儿便秘安全有效的治疗方法。

Objective:To explore the curative effect and safety of dietary fiber addition combined with Traditional Chinese Medical massage on functional constipation in young children.Methods:A total of 135 functional constipation in young children treated by the pediatric outpatient department of Foshan Maternal and Child Health Hospital from January 2017 to June 2020 were selected.Chose the method of retrospective analysis to divided the cases into group A(basic treatment group,42 cases),B(dietary fiber addition group,52 cases)and C(dietary fiber addition combined with Traditional Chinese Medical massage group,41 cases).Four weeks after treatment,the scores of difficult defecation symptoms and the curative effect of the three groups were compared.Monitored the adverse reactions occurring during the treatments in the three pediatric groups.Follow-up for 6 months to compare the recurrence rate among the three groups.Results:There were significant differences in the difficulty of defecation,abdominal distension,defecation frequency and total symptom scores of the three groups after treatmen(P<0.05).The total difficulty in defecation and symptom scores of group C were lower than groups A and B,Groups B and C had lower bloating scores than group A,the defecation frequency score of group C was lower than group A,the differences were all statistically significant(P<0.05).There were significant differences in the total response rates among the three groups(P<0.05).Total response rate in groups C and B was higher than that in group A,the difference was statistically significant(P<0.05),and the total response rate in group C was higher than that in group B,the difference was statistically significant(P<0.05).None of the three children had obvious adverse drug reactions,such as nausea,abdominal distension,vomiting,abdominal pain,diarrhea,and rash.There were significant differences in recurrence rates among the three groups(P<0.05).The recurrence rate in group C was significantly lower than that in the control group A,the difference was statistically significant(P<0.05).Conclusion:On the basis of conventional treatment,dietary fiber addition combined with Traditional Chinese Medical massage to treat functional constipation in young children can improve the clinical treatment effect,reduce the long-term recurrence rate.And it is a safe and effective treatment method for constipation in young children.