“运轴行轮”法选穴推拿治疗小儿功能性便秘

Treatment of Functional Constipation in Children with "Yun ZhouXing Lun" Method of Acupoint Selection Massage

目的:观察“运轴行轮”法选穴推拿治疗小儿功能性便秘(functional constipation,FC)的疗效。方法:72例FC患儿随机法分为对照组和观察组各36例。对照组给予常规选穴推拿,观察组加用“运轴行轮”法选穴推拿,比较两组患儿的治疗效果、不良反应、中医证候积分、一氧化氮(nitrogen monoxide,NO)和血管活性肠肽(vasoactive intestinal peptide,VIP)水平、症状改善情况与大便次数。结果:(1)观察组有效率为97.22%(35/36),对照组为75.00%(27/36),两组比较,差异有统计学意义(P<0.05);(2)治疗后,两组主症积分、次症积分均显著下降,观察组主症积分为(2.30±0.65)分、次症积分为(1.55±0.28)分,均低于同期对照组(P<0.05);(3)治疗后,观察组不良反应发生率为5.56%(2/36),对照组为22.22%(8/36),两组比较,差异有统计学意义(P<0.05);(4)治疗后,两组患儿NO、VIP水平均显著下降,观察组NO为(56.36±3.54)mmol·L^(-1)、VIP为(12.62±2.54)ng·L^(-1),均低于同期对照组(P<0.05);(5)治疗后,两组患儿便秘症状评分下降、粪便形状等级改善,观察组便秘症状评分(7.56±1.01)分低于同期对照组(P<0.05),粪便形状等级(7.14±0.95)级高于同期对照组(P<0.05);(6)治疗2、3、4周后,两组大便次数多于治疗1周后,观察组2周、3周、4周评分为(2.95±0.36)分、(3.65±0.54)分、(4.36±0.34)分,均高于同期对照组(P<0.05)。结论:“运轴行轮”法选穴推拿治疗FC患儿疗效显著,可显著缓解患儿临床症状,降低中医证候积分,减少不良反应发生情况。

Objective:To observe the therapeutic effect of acupoint selection massage using the"Yun Zhou Xing Lun"method on functional constipation(FC)in children.Method:72 children with FC were randomly divided into a control group and an observation group,with 36 cases in each group.The control group received routine acupoint selection massage,while the observation group received additional acupoint selection massage using the"Yun Zhou Xing Lun"method.The treatment effects,adverse reactions,traditional Chinese medicine syndrome scores,levels of nitric oxide(NO)and vasoactive intestinal peptide(VIP),symptom improvement,and bowel movements were compared between the two groups of children.Results:(1)The effective rate of the observation group was 97.22%(35/36),while that of the control group was 75.00%(27/36).The difference between the two groups was statistically significant(P<0.05);(2)After treatment,the main symptom score and secondary symptom score of both groups significantly decreased.The main symptom score of the observation group was(2.30±0.65)points,and the secondary symptom score was(1.55±0.28)points,both lower than the control group during the same period(P<0.05);(3)After treatment,the incidence of adverse reactions in the observation group was 5.56%(2/36),while in the control group it was 22.22%(8/36).The difference between the two groups was statistically significant(P<0.05);(4)After treatment,the levels of NO and VIP in both groups of children significantly decreased.The NO and VIP levels in the observation group were(56.36±3.54)mmol·L^(-1) and(12.62±2.54)ng·L^(-1),both lower than those in the control group during the same period(P<0.05);(5)After treatment,the constipation symptom score decreased,and the stool shape grade improved in both groups of children.The observation group had a lower constipation symptom score(7.56±1.01)than the control group during the same period(P<0.05),and the stool shape grade(7.14±0.95)was higher than the control group during the same period(P<0.05);(6)After 2,3,and 4 weeks of treatment,both groups had more bowel movements than after 1 week of treatment.The observation group′s scores at 2,3,and 4 weeks were(2.95±0.36)points,(3.65±0.54)points,and(4.36±0.34)points,all higher than the control group during the same period(P<0.05).Conclusion:The acupoint selection and massage therapy using the"Yun Zhou Xing Lun"method has a significant therapeutic effect on children with FC,which can significantly alleviate their clinical symptoms,reduce traditional Chinese medicine syndrome scores,and reduce the incidence of adverse reactions.