Gastric And Epigastric Massage On Gastric Pain(Dietary Stagnation Type)in Children:Clinical Observation

Objective:In this research,we registered the clinical efficacy of gastric and epigastric massage in the treatment of dietary stagnationtype gastroparesis in children,and evaluated the total efficiency based on the F-VAS scale and aided in comparing the difference between the CHEOPS scale and the FLACC scale.Methods:According to the inclusion and exclusion criteria,60 cases of children with dietary stagnation-type gastroparesis were selected and divided into 30 cases in the control group and 30 cases in the experimental group according to the parents’ wishes.The control group was treated with Shenquxiaoshi oral liquid,and the test group was treated with massage on the painful areas(Point of zhongwan and xiawan)for a total of 5 days.The F-VAS scores,CHEOPS scores and FLACC scores during outpatient waiting period,at check-up and after treatment,as well as the time when pain first appeared to be relieved after treatment were recorded for the control and test groups,and the test results were statistically analyzed to evaluate the efficacy and scale reliability and validity.Results:1.Comparison of efficacy:(1)Total efficacy:the effective rate of the control group was 76.7%,and the effective rate of the experimental group was 96.7%,with statistically significant differences(P<0.05).(2)Pain score:Comparing between the control and test groups before treatment,there were no significant differences in CHEOPS score(P>0.05),FLACC score(P>0.05)and F-VAS score(P>0.05).After treatment,the CHEOPS score(9.17±1.49,6.63±1.45),FLACC score(4.27±1.36,3.77±1.30)and F-VAS score(4.37±1.75,2.67±1.90)were significantly lower(P<0.05).The scores in the treatment group were significantly lower than those in the control group(P<0.05).(3)Efficacy time:the comparison between the control group(13.03 ± 1.94)and the test group(2.83 ± 1.21)was statistically significant(P<0.05),and the time to relieve pain in the test group was significantly shorter than that in the control group.2.Safety evaluation:no adverse reactions were observed in both groups,and the vital signs were normal before and after treatment.3.Comparison of scale reliability and validity:(1)Both the CHEOPS scale and the FL ACC scale passed exploratory factor analysis(p<0.01).(2)The calibration correlations were 0.773,0.768,and 0.871(P<0.01)for the three CHEOPS measurements and 0.871,0.882,and 0.895(P<0.01)for the three FLACC measurements,respectively.(3)The Cronbach’s alpha coefficients were 0.846,0.835,and 0.734 for the CHEOPS scale and 0.720,0.740,and 0.715 for the FLACC scale at the three measurements,respectively(p<0.01).(4)Pre-treatment retest reliability,FLACC(0.992),CHEOPS(0.963),FVAS(0.962),P<0.01.Conclusion:1.Gastric and epigastric massage can quickly relieve the pain of children with dietary stagnation type of gastroparesis,and the efficacy and speed of action are better than Shenquxiaoshi oral liquid2.The FLACC scale is more suitable than the F-VAS and CHEOPS scales for the clinical assessment of gastroparesis in children.