| 摘要: |
| 目的:探究中药敷脐联合四缝放血对儿童脾虚夹滞型功能性腹痛患者疼痛程度及胃窦收缩幅度的影响。方法:选取2023 年2 月至2024 年2 月重庆市长寿区中医院儿科门诊收治的120 例脾虚夹滞型功能性腹痛患儿,采用随机数表法分为对照组(n =60)和观察组(n =60)。对照组接受常规西药治疗,仅口服双歧杆菌四联活菌片,观察组采用四缝放血联合中药敷脐治疗。比较治疗前后两组患儿的面部表情疼痛量表评分、中医证候评分、胃窦收缩幅度,分析患儿临床症状改善时间、治疗疗效、不良反应发生率和复发率。结果:治疗前两组患儿面部表情疼痛量表评分、中医证候评分和胃窦收缩幅度比较差异无统计学意义(P>0. 05);治疗后两组患儿胃窦收缩幅度增大(P<0. 05),面部表情疼痛量表评分和中医证候评分下降(P<0. 05),且观察组的改变程度较对照组更明显,差异有统计学意义(P<0. 05)。治疗后观察组的临床症状改善时间均显著短于对照组(P<0. 05),临床总有效率远高于对照组(P<0. 05),且观察组的不良反应发生率和复发率低于对照组(P<0. 05)。结论:四缝放血联合中药
敷脐能够减轻脾虚夹滞型功能性腹痛患儿腹痛和腹胀,促进胃窦收缩,降低面部表情疼痛量表评分,有效控制疾病反复发作。 |
| 关键词: 脾虚夹滞型功能性腹痛 四缝放血 中药敷脐 面部表情疼痛量表 胃窦收缩幅度 |
| DOI：doi:10.13407/j.cnki.jpp.1672-108X.2026.04.012 |
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| 基金项目:重庆市科卫联合中医药科研项目,编号2024ZYYB013。 |
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| Effects of Traditional Chinese Medicine Navel Application Combined with Sifeng Acupoint Bloodletting on Pain Degree and Gastric Antral Contraction Amplitude of Children with Functional Abdominal Pain of Spleen Deficiency and Indigestion Type |
| Dong Caifeng, Chen Lin, Gong Jing, Yang Xiaoli |
| (Chongqing Changshou District Traditional Chinese Medicine Hospital, Chongqing 404100, China) |
| Abstract: |
| Objective: To probe into the effects of traditional Chinese medicine navel application combined with Sifeng acupoint bloodletting on pain degree and gastric antral contraction amplitude of children with functional abdominal pain of spleen deficiency and indigestion type. Methods: A total of 120 children with functional abdominal pain of spleen deficiency and indigestion type admitted into the Pediatric Outpatient Department of Chongqing Changshou District Traditional Chinese Medicine Hospital from Feb. 2023 to Feb. 2024 were enrolled. All patients were randomly divided into the control group (n =60) and observation group (n =60) via the random number table method. The control group received conventional Western medicine treatment, with only oral administration of Bifidobacterium quadruplex live bacterial tablets. The observation group was given Sifeng acupoint bloodletting combined with traditional Chinese medicine navel application. The facial expression pain scale score, traditional Chinese medicine syndrome score, and gastric antral contraction amplitude of patients before and after treatment were compared, and the clinical symptom improvement time, clinical efficacy, incidence of adverse drug reactions, and recurrence rate of two groups were analyzed. Results: Before treatment, there was no statistically significant difference in the facial expression pain scale scores, traditional Chinese medicine syndrome scores, and gastric antral contraction amplitude between two groups (P > 0. 05). After treatment, the gastric antral contraction amplitude increased significantly in both groups (P < 0. 05), the facial expression pain scale scores and traditional Chinese medicine syndrome scores decreased significantly (P <0. 05). Moreover, the changes in the observation group were more significant than those in the control group, the difference was statistically significant (P<0. 05). After treatment, the clinical symptoms improvement time in observation group was significantly shorter than that in control group (P<0. 05), the total clinical effective rate was higher than that in the control group (P<0. 05), and the incidence of adverse drug reactions and recurrence rate in observation group were significantly lower than those in control group ( P < 0. 05). Conclusion: Sifeng acupoint bloodletting combined with traditional Chinese medicine navel application can alleviate abdominal pain and bloating in children with functional abdominal pain of spleen deficiency and indigestion type, promote gastric antral contraction, reduce facial expression pain scale scores, and effectively control the recurrence of the disease. |
| Key words: functional abdominal pain of spleen deficiency and indigestion type Sifeng acupoint bloodletting traditional Chinese medicine navel application Facial Expression Pain Scale gastric antral contraction amplitude |
