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[目的]观察中药贴敷配合腹部按摩联合常规饮食治疗小儿功能性便秘病疗效。[方法]使用随机平行对照方法,将123例门诊患者按随机数字表法分为两组。对照组60例常规饮食指导。治疗组63例中药贴敷配合腹部按摩治疗,方法为以肚脐为中心,用手掌心在患儿腹部按顺时针方向进行环形蠕动着按揉,以右上腹-左上腹-左下腹-右下腹顺序,边揉边推,如此反复。每次按摩时间持续8~10min,按摩2~3次/d。并于神厥穴将大黄、芒硝、厚朴各2g制成粉,加入蜂蜜调匀,贴敷在神厥穴,1次/d,贴敷2h后摘下。常规饮食指导同对照组。连续治疗3d为1疗程。观测临床症状、不良反应。治疗1疗程,判定疗效。[结果]治疗组痊愈47例,有效15例,无效1例,总有效率98.41%。对照组痊愈35例,有效14例,无效11例,总有效率81.67%。治疗组疗效优于对照组(P<0.05)。[结论]中药贴敷配合腹部按摩联合常规饮食治疗小儿功能性便秘病效果显著,值得推广。
[Objective] To observe the curative effect of Chinese medicine sticking with abdominal massage combined with regular diet on children with functional constipation. [Methods] Using randomized parallel control method, 123 outpatients were divided into two groups according to random number table. Control group of 60 cases of dietary guidance. Treatment group, 63 cases of Chinese medicine with abdominal massage sticking method, the method for the navel as the center, with the palm of your hand in the abdomen of the baby clockwise ring kneading, with the right upper quadrant - left upper quadrant - left lower quadrant - right lower quadrant order , While rubbing while pushing, so repeated. Each massage duration of 8 ~ 10min, massage 2 to 3 times / d. And in the Jue Jue will rhubarb, Glauber’s salt, Magnolia 2g each made of powder, add honey and mix thoroughly, sticking in the Shen Jue points, 1 / d, sticking 2h after the removal. General diet guidance with the control group. Continuous treatment of 3d for a course of treatment. Observed clinical symptoms, adverse reactions. Treatment of a course of treatment to determine the efficacy. [Results] In the treatment group, 47 cases were cured, 15 cases were effective and 1 case was ineffective. The total effective rate was 98.41%. The control group cured 35 cases, effective in 14 cases, ineffective in 11 cases, the total effective rate was 81.67%. The treatment group was better than the control group (P <0.05). [Conclusion] Traditional Chinese medicine sticking with abdominal massage combined with regular diet has significant effect on functional constipation in children, which is worth to be popularized.