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A Clinical Observation of Functional Abdominal Pain Syndrome in Patients Treated by Traditional Chinese Spinal Orthopedic Manipulation

查看全文 作　　者：QU Liu-[1]xin;XING Li-[2]yang;Wanda [3]Norman;CHEN [4]Hong;LI Ming-[1]ju;GAO [1]Song;LI [1]Ping 高影响力作者 机构地区：[1]Department of Chinese Orthopedics and Traumatology,Zhongda Hospital, School of Medicine, Southeast University,Nanjing 210009, China;[2]Department of Acupuncture and Moxibustion, Zhongda Hospital, School of Medicine, Southeast University, Nanjing 210009, China;[3]Acupuncturist at Gateway Sports Medicine, Portland, OR 97216, USA;[4]Department of Gastroenterology, Zhongda Hospital, School of Medicine, Southeast University, Naniina 210009. China高影响力机构 出　　处：《Chinese Journal of Integrative Medicine》索引2018年第24卷第2期,共7页高影响力期刊 基　　金：Supported by the Scientific and Technologic Project of Jiangsu Administration of Traditional Chinese Medicine(No.LZ09085,LZ13243) 摘　　要：Objective: To evaluate the clinical effect of traditional Chinese spinal orthopedic manipulation(TCSOM) in treating patients with functional abdominal pain syndrome(FAPS) in comparison with Pinaverium Bromide(Dicetel, PBD), and to assess a possible cause for FAPS. Methods: Eighty patients with FAPS were randomly and equally assigned to the TCSOM group and PBD group according to the random number table. All patients in the TCSOM group were treated with a maximum of 5 times of spinal manipulations. Patients in the PBD group were instructed to take 50 mg 3 times a day, consistently for 2 weeks. The symptoms of pre-and post-treatment were assessed on a visual analog scale(VAS) pain score. A symptom improvement rating(SIR) was implemented to evaluate the effects of the treatments. Results: The symptoms of 27 cases of the TCSOM group were relieved soon after the first TCSOM treatment and 9 cases were significantly improved. The VAS pain scores in the TCSOM group were significantly lower than those in the PBD group after 2 weeks treatment. According to the SIR based on VAS, the TCSOM group included 30 cases with excellent results, 7 cases with good, and 3 cases with poor. Adverse events to the treatment were not reported. Based on VAS, the PBD group reported 8 cases with excellent results, 10 cases with good and 22 cases with poor. There was a significant difference between the two groups(P<0.01). Conclusions: The displacement of intervertebral discs and/or vertebra in the thoracic or lumbar region seems to be a contributing factor in the symptoms of FAPS. TCSOM is an effective treatment for FAPS. 关 键 词：繁体中文 症候群 疼痛 操作 矫形 临床 PBD 视觉模拟
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