三黄承气膏穴位贴敷治疗小儿功能性便秘的疗效观察

Clinical Observation on Functional Constipation in Children by Sanhuang Chengqi Ointment(三黄承气膏)Acupoint Application

目的:观察三黄承气膏穴位贴敷治疗小儿功能性便秘的临床疗效。方法:功能性便秘患儿60例,采用随机数字表法分为对照组和治疗组各30例。对照组患儿予乳果糖口服溶液联合双歧杆菌四联活菌片口服治疗,治疗组患儿在对照组基础上加用三黄承气膏穴位贴敷(神阙穴、中脘穴)治疗,治疗1周。观察两组患儿治疗前后和疗程完成后2周大便性状评分、排便周期、排便时长、临床症状积分变化情况,以及临床疗效。结果:治疗后两组患儿大便性状评分、排便周期、排便时长均较治疗前改善(P<0.05);治疗后治疗组患儿大便性状评分、排便时长改善优于对照组(P<0.05),两组患儿排便周期比较,差异无统计学意义(P>0.05);治疗2周后随访治疗组在大便性状评分、排便周期、排便时长均优于对照组(P<0.05);治疗后两组患儿临床症状积分均较治疗前降低(P<0.05),治疗2周后随访,治疗组患儿临床症状积分低于对照组(P<0.05);治疗组总有效率高于对照组,但两组临床疗效比较,差异无统计学意义(P>0.05)。结论:三黄承气膏穴位贴敷治疗小儿功能性便秘临床疗效显著,可有效改变大便性状,改善排便时长,且疗效更长久,不良反应较少,安全性高,值得在临床中推广应用。

Objective:To observe the clinical effect of Sanhuang Chengqi ointment acupoint application on functional constipation in children.Methods:Totally 60 children with functional constipation were randomly divided into control and treatment groups.The control group was treated with lactulose oral solution combined with Bifidobacterium tetralogy viable tablets.The treatment group was treated with Sanhuang Chengqi ointment acupoint application[Shenque(CV 8)and Zhongwan(CV 12)]on the basis of the control group for a week.The stool character score,defecation cycle,defecation duration and clinical symptom score were observed before and after treatment and 2 weeks after treatment,and clinical effect was evaluated.Results:After treatment,the stool character score,defecation cycle,defecation duration and clinical symptom score were improved in two groups(P<0.05),and the treatment group showed better improvement of stool character score and defecation time than control group(P<0.05).There was no difference in defecation cycle between the two groups after treatment(P>0.05).After 2 weeks of follow-up,the treatment group showed better results than control group in stool character score,defecation cycle and defecation time(P<0.05).After treatment,the symptom scores of the two groups were decreased compared with those before treatment(P<0.05).After 2 weeks of follow-up,the treatment group showed lower symptom scores than control group(P<0.05).The treatment group showed better effective rate than control group,while there was no statistical significance in clinical effect between the two groups(P>0.05).Conclusion:Acupoint application of Sanhuang Chengqi ointment has significant clinical effect on children with functional constipation.And it can effectively change the characteristics of stool and improve the duration of defecation.The action time is long,with fewer adverse reactions and high safety.It is worth promoting and applying in clinical practice.