| Objective:To explore the correlation between pediatric functional abdominal pain and emotion and to provide objective basis for the evidence of liver depression and qi stagnation in pediatric functional abdominal pain by methodological means;to investigate the clinical efficacy of the formula for dredging the liver and regulating the spleen to relieve pain on the evidence of liver depression and qi stagnation in pediatric functional abdominal pain,and to provide more references for the clinical treatment of pediatric functional abdominal pain in Chinese medicine.Methods:Correlation study:80 children who met the diagnostic criteria of functional abdominal pain in children were included in a cross-sectional study,and the Hamilton Anxiety Inventory and the abdominal pain of the children were evaluated,and the correlation between the two was analyzed by using SPSS 26.0,so as to study the correlation between functional abdominal pain and emotional and mental conditions in children.Efficacy observation:A randomized controlled trial study method was used to include 44 cases of children with FAP who met the diagnostic criteria of liver depression and qi stagnation,and were randomly divided into 22 cases in the experimental group and 22 cases in the control group.The control group was treated with combined Bifidobacterium,lactobacillus,enterococcus and bacillus cereus Tablets,and the experimental group was treated with the formula of dredging the liver and regulating the spleen to relieve pain.The scores of abdominal pain TCM evidence points and Hamilton anxiety scale were recorded on the day of enrollment,after 2 weeks of treatment,and after 4 weeks of treatment.The improvement of abdominal pain symptoms,changes in mood and emotion,TCM symptom scores,total treatment efficiency and safety of the treatment of functional abdominal pain in children with liver depression and qi stagnation were evaluated by SPSS 26.0 for beforeand-after and between-group comparisons.Results:Correlation study:(1)Case inclusion:80 cases were included and 80 cases completed the scale assessment.(2)Correlation analysis:by Spearman’s rank correlation analysis and Pearson’s correlation analysis,the severity of abdominal pain and frequency of episodes in children with FAP were positively correlated with HAMA score(P<0.05,r>0);the duration of abdominal pain and HAMA score had no correlation(P>0.05);abdominal pain TCM symptom score was positively and linearly correlated with HAMA score,and the correlation coefficient was significantly correlated(P<0.05,r>0.7).Efficacy observation:(1)Case inclusion:41 cases of children with liver depression and qi stagnation type FAP were clinically treated,including 21 cases in the experimental group and 20 cases in the control group,and abdominal pain TCM symptom score and HAMA score of the 41 cases were recorded.(2)General situation:Among the 41 effective cases,there were slightly more boys(22)than girls(19),and the age distribution of the children was in the range of 6 to 14 years old.(3)Clinical efficacy:After 2 weeks of treatment,the severity of abdominal pain,frequency of abdominal pain episodes and duration of abdominal pain in both the test group and the control group improved compared with those before treatment,and the difference was statistically significant(P<0.05),and the improvement in the severity of abdominal pain and frequency of abdominal pain episodes in the test group was better than that in the control group(P<0.05).No significant difference was seen between the test and control groups in terms of improvement in the duration of abdominal pain(P>0.05).There was no significant difference between the test group and the control group in the improvement of HAMA score(P>0.05);The test group was better than the control group in the improvement of abdominal pain TCM syndrome score,and the difference was statistically significant(P<0.05).After 4 weeks of treatment,there were statistical differences in the improvement of abdominal pain severity,abdominal pain attack frequency and abdominal pain duration between the two groups compared with that after 2 weeks of treatment(P<0.05),and the improvement of abdominal pain severity,abdominal pain attack frequency and abdominal pain duration in the test group was significantly better than that in the control group,and the difference was significant(P<0.05);There was a significant difference in the improvement of HAMA score between the test group and the control group,and the test group was significantly better than the control group(P<0.05);The test group had a further advantage in the improvement of abdominal pain Chinese medicine symptom score,and the difference was statistically significant compared with the control group(P<0.05).Regarding the total effective rate of treatment,95.24%in the test group and 75.00%in the control group.Conclusions:There is a correlation between abdominal pain and emotion in pediatric patients,and the severity of abdominal pain,frequency of attacks and abdominal pain TCM syndrome score are positively correlated with the degree of anxiety.The efficacy of the formula of dredging the liver and regulating the spleen to relieve pain in the treatment of functional abdominal pain in pediatric patients with liver depression and qi stagnation can significantly reduce the symptoms of abdominal pain and improve the anxiety state. |
PDF Full Text Request