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【目的】探讨学龄期儿童功能性腹痛的健康教育干预综合治疗效果。【方法】纳入标准均符合儿童功能性腹痛(functional abdominal pain,FAP)罗马Ⅲ诊断标准[1]110例,根据症状严重程度与发作频率按4分法进行评分(0～3分代表无、轻、中、重),按门诊奇数和偶数号随机分为综合干预组和对照组,对照组根据临床症状给予单纯药物对症治疗,综合干预组在对照组基础上进行健康教育干预综合治疗。治疗3周后再进行症状评分,观察疗效。【结果】两组患者治疗后临床症状均能缓解,综合干预组能明显提高疗效,与单纯药物治疗组对照差异有统计学意义(P<0.01);治疗后严重程度评分和发作频率比较,综合干预组和对照组差异有统计学意义(P<0.01);综合干预组治疗前后严重程度评分和发作频率比较,差异有统计学意义(t=15.21,9.95,P<0.01);对照组治疗前后严重程度评分和发作频率比较,差异有统计学意义(t=4.50,2.89,P<0.01)。【结论】对功能性再发性腹痛患儿进行健康教育综合干预治疗,其疗效明显优于对照组。对学龄期功能性腹痛患儿进行健康教育综合干预治疗极为重要。
【Objective】 To investigate the effect of health education intervention on functional abdominal pain in school-age children. 【Methods】 One hundred and ten patients with functional abdominal pain (FAP) Rome Ⅲ diagnostic criteria [1] were enrolled in this study. The patients were scored according to the severity of symptoms and the frequency of attack by a score of 4 (0 to 3, no, light , Moderate and severe) were randomly divided into comprehensive intervention group and control group according to outpatient odd and even numbers. The control group was given symptomatic treatment of simple drugs according to clinical symptoms. The comprehensive intervention group was treated with comprehensive intervention of health education based on the control group. After 3 weeks of treatment, symptom scores were observed and the effect was observed. 【Results】 The clinical symptoms of both groups were relieved after treatment, and the comprehensive intervention group could significantly improve the curative effect compared with the simple drug treatment group (P <0.01); after treatment, the severity score and seizure frequency were compared The difference between the intervention group and the control group was statistically significant (P <0.01); the comprehensive intervention group before and after treatment severity score and seizure frequency, the difference was statistically significant (t = 15.21,9.95, P <0.01); before and after treatment in the control group The severity score and seizure frequency, the difference was statistically significant (t = 4.50,2.89, P <0.01). 【Conclusion】 Children with functional recurrent abdominal pain in children with comprehensive intervention in health education, the effect was significantly better than the control group. Comprehensive functional therapy for children with functional abdominal pain in school-age intervention is very important.