Objective:The research select children with functional dyspepsia(Functional dyspepsia,FD)as objects,which united heat-sensitive umbilical moxibustion and infantile massage to verify the clinical effect,to explore a new therapeutic method of TCM.Methods:The research separate randomized 61 children with FD who up to the notch into treatment group(n=31)and control group(n=30)to provide 3 periods of treatment,in which each period spend 6 days for treatment and 1 day for rest.The control group use infantile massage includes tonifying Pi meridian,kneading Banmen,transporting Neibagua,chiropractic,rubbing Zhongwan and abdomen.On the basis of infantile massage,the treatment group apply heat-sensitive umbilical moxibustion with saturated desensitizing moxibustion that children can experience torridity and slight sweating generally.Afterwards,both the symptom scores of TCM can be applied to contrast the curative effect and the growth and development level of children can adopt the Z scores of weight,height and BMI to assess.Finally,a schedule about follow-up of assessment of long-term effect can be implemented 3 months after the end of treatment.Results:1.Case elimination and shedding: 1 child was removed in the experimental group due to the conflict of academic time,while 1 child was excluded in the control group because of taking drugs during treatment.2.Comparison of baseline data: Gender,age and morbid course were comparable between the two groups(P>0.05).3.Comparison of symptom scores between the two groups: the degree of reduction of total symptom scores in two groups were apparent after treatment(P<0.01),and the degree of treatment group was more significant(P<0.05).Then,to analysed the symptoms of TCM in sequence between two groups,it was found that the symptoms of appetite,food intake,complexion,fatigue and abdominal distension could be in remission more effective by united heat-sensitive umbilical moxibustion and infantile massage than the control group(P<0.05).But there was no obvious difference in sweating,restless sleep and loose stool between two groups(P>0.05).4.Comparison of clinical efficacy: the total effective rate of 93.3%in treatment group was higher than rate of 86.2% in control group,the difference was statistically significant(P<0.05).5.Comparison of the recurrence rate: The recurrence rate of 3.6% in treatment group was lower than the rate of 24.0% in control group(P<0.05).6.Comparison of the level of growth and development between the two groups: after 3 months,the levels of HAZ,WAZ and BAZ in both groups were enhance more obvious before treatment(P<0.05).With this result indicated that two therapys are oviously effective for chilfren of FD and can improve the level of growth and development of children.In addition,the levels of WAZ and BAZ in treatment group were evidently improve than control group without different in HAZ between two groups(P>0.05).7.Adverse events: There was two adverse event in this study that both the incidence rate was 1.69% in two groups,one is in connection with operating force of infantile massage and another case is related in temperature of Heat-sensitive umbilical moxibustion.The incidence rate can verified that united heat-sensitive umbilical moxibustion and infantile massage is more secure.Conclusion:1.United heat-sensitive umbilical moxibustion and infantile massage can obviously improve the symptoms of FD in children and accelerate the short-term curative effect.2.United heat-sensitive umbilical moxibustion and infantile massage can effectively reduce the recurrence rate and improve the long-term effect.3.United heat-sensitive umbilical moxibustion and infantile massage is safe and effective,and can improve the level of growth and development obviously. |