摘要
目的 观察软组织松解术对功能性腹痛综合征的临床疗效.方法 将100例功能性腹痛综合征患者按照随机数字表法分为2组,对照组50例予常规针刺,10次为1个疗程,2个疗程间需间隔3 d,治疗2～3个疗程;治疗组50例予软组织松解术治疗,5次为1个疗程,轻者1个疗程,重者2个疗程.比较2组疗效;比较2组治疗前后Wong-Baker面部表情量表评分变化;比较2组治疗前后腹痛持续时间变化.结果 治疗组治疗后即刻、治疗后9个月总有效率均为96.0％(48/50),对照组治疗后即刻、治疗后9个月总有效率分别为84.0％(42/50)、82.0％(41/50),治疗组治疗后即刻、治疗后9个月疗效均优于对照组(P＜0.05)o 2组治疗后即刻、治疗后9个月Wong-Baker面部表情量表评分均较本组治疗前降低(P＜0.05),且治疗组降低更明显(P＜0.05)o 2组治疗后即刻、治疗后9个月腹痛持续时间均较本组治疗前减少(P＜0.05),且治疗组减少更明显(P＜0.05).结论 软组织松解术治疗功能性腹痛综合征,能有效改善患者疼痛,减少腹痛持续时间.
Abstract
Objective To observe the clinical efficacy of soft tissue release for functional abdominal pain syndrome(FAPS).Methods One hundred FAPS patients randomly assigned into the two groups,with 50 patients in each group.The control group received conventional acupuncture treatment for 2 to 3 courses,with a 3-day interval between each course(10 times for a course).The treatment group received soft tissue release,with mild cases and severe cases receiving 1 and 2 courses of treatment respectively(5 times for a course).The aim was to compare the Wong-Baker Facial Pain Expression Scale(WBFPES)score,abdominal pain duration.The curative effect was assessed.Results The overall effective rate in the treatment group was better than that in the control group(immediately after treatment:96.0％[48/50]vs 84.0％[42/50];on month 9 after treatment:96.0％[48/50]vs 82.0％[41/50],P＜0.05).WBFPES scores immediately after treatment and on month 9 after treatment in the both groups were significantly decreased,the decrease in the treatment group was more common than the control group(P＜0.05).The abdominal pain duration immediately after treatment and on month 9 after treatment in the both groups was significantly shorter(P＜0.05),which was significantly shorter in the treatment group than in the control group(P＜0.05).Conclusion Soft tissue release can effectively improve pain in FAPS patients.
维普
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