海派儿科推拿联合常规中医护理在小儿功能性便秘中的应用效果<sup>*</sup>

doi:10.3969/j.issn.1671-7171.2026.06.002

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摘要 【目的】探讨海派儿科推拿联合常规中医护理在小儿功能性便秘中的应用效果。【方法】选取2023年4月至2024年12月本院收治的100例6岁及以下功能性便秘患儿,采用随机数字表法将患儿分为对照组与观察组,每组50例。对照组采用常规中医护理干预,观察组在对照组干预基础上联合应用海派儿科推拿干预。比较两组患儿临床疗效、中医主证积分、肠鸣音频率及不良反应发生情况。【结果】观察组总有效率为88.00%(44/50),高于对照组的66.00%(33/50),差异有统计学意义(χ²=6.832,P<0.05)。干预后,两组患儿中医主证积分均低于干预前,肠鸣音频率高于干预前,且观察组中医主证积分低于对照组,肠鸣音频率高于对照组,差异有统计学意义(均P<0.05)。两组不良反应总发生率比较,差异无统计学意义(P>0.05)。【结论】海派儿科推拿联合常规中医护理可改善功能性便秘患儿的临床症状,促进肠道蠕动功能恢复,且安全性良好,值得在社区卫生服务机构中推广应用。

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	陈惠清
	吴佳莲
	沈一菁
	俞杨

关键词 ：便秘, 小儿推拿疗法, 中医护理, 治疗结果

Abstract：【Objective】 To investigate the effect of Shanghai-style pediatric Tuina (Chinese therapeutic massage) combined with conventional Chinese medicine nursing on functional constipation in children. 【Methods】 A total of 100 children under 6 years old with functional constipation admitted to our hospital from April 2023 to December 2024 were selected. They were randomly divided into a control group and an observation group using a random number table method, with 50 cases in each group. The control group received conventional Chinese medicine nursing intervention, while the observation group received Shanghai-style pediatric Tuina in addition to the intervention given to the control group. The clinical efficacy, traditional Chinese medicine (TCM) main symptom scores, bowel sound frequency, and adverse reactions were compared between the two groups. 【Results】 The total effective rate in the observation group was 88.00% (44/50), which was higher than that in the control group (66.00%, 33/50), and the difference was statistically significant (χ²=6.832, P<0.05). After intervention, the TCM main symptom scores of both groups were lower than those before intervention, and the bowel sound frequency was higher than that before intervention. Moreover, the observation group had a lower TCM main symptom score and higher bowel sound frequency compared to the control group, with statistically significant differences (all P<0.05). There was no statistically significant difference in the total incidence of adverse reactions between the two groups (P>0.05). 【Conclusion】 Shanghai-style pediatric Tuina combined with conventional Chinese medicine nursing can improve the clinical symptoms of children with functional constipation, promote the recovery of intestinal peristalsis, and has good safety. It is worthy of promotion and application in community health service institutions.

Key words： Constipation Infantile Tuina Therapy Nursery of Traditional Chinese Medicine Treatment Outcome

收稿日期: 2025-09-11

中图分类号:

R256.35

基金资助:*上海市金山区卫健委课题(编号:JSKJ-KTZY-2022-01);上海市中医特色专病专科(社区)能力建设项目—推拿科(小儿)(编号:SQZBZK-23-43)

通讯作者: **E-mail:106866656@qq.com

引用本文:

陈惠清, 吴佳莲, 沈一菁, 俞杨. 海派儿科推拿联合常规中医护理在小儿功能性便秘中的应用效果^*[J]. 医学临床研究, 2026, 43(6): 885-888.
CHEN Huiqing, WU Jialian, SHEN Yijing, YU Yang. Effect of Shanghai-Style Pediatric Tuina Combined with Conventional Chinese Medicine Nursing on Functional Constipation in Children. JOURNAL OF CLINICAL RESEARCH, 2026, 43(6): 885-888.

链接本文:

http://journal07.magtech.org.cn/yxlcyj/CN/10.3969/j.issn.1671-7171.2026.06.002 或 http://journal07.magtech.org.cn/yxlcyj/CN/Y2026/V43/I6/885

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