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小儿推拿治疗儿童功能性便秘的随机对照试验研究方案。

Pediatric Tuina for functional constipation in children: study protocol for a randomized controlled trail.

机构信息

School of Second Clinical Medicine, Yunnan University of Chinese Medicine, Kunming, China.

Department of Tuina, Second Affiliated Hospital of Yunnan University of Chinese Medicine, Kunming, China.

出版信息

Trials. 2022 Sep 5;23(1):750. doi: 10.1186/s13063-022-06678-y.

Abstract

BACKGROUND

Functional constipation (FC) is a common functional gastrointestinal disorder, which brings many negative impacts to the children's daily life. Pediatric Tuina has been proved to be a potential therapy for FC. However, the evidence for its effectiveness and safety is insufficient due to the lack of high-quality study. This study aims to evaluate the efficacy and safety of pediatric Tuina for children with FC.

METHODS/DESIGN: This study is a randomized, controlled, multicentre, clinical trial. We will include 176 children with FC from five hospitals. The participants will be randomly allocated into two groups: the pediatric Tuina group and the Medilac-Vita group. This study will include a 1-week actual treatment period and a 2-week follow-up period. Primary outcomes are weekly spontaneous bowel movements and weekly complete spontaneous bowel movements. The secondary outcomes are effective rate, stool form, distress sensation, and glycerine enema rate. The assessment will be performed each week. Adverse event will be monitored in the treatment period and follow-up period.

DISCUSSION

This study is designed to evaluate the efficacy and safety of pediatric Tuina for children with FC, and we hypothesize that pediatric Tuina is more effective than probiotics. It will provide reliable evidence and support for the treatment of FC by pediatric Tuina.

TRIAL REGISTRATION

This protocol was registered in the Chinese Clinical Trial Registry (ChiCTR2100046485). .

摘要

背景

功能性便秘(FC)是一种常见的功能性胃肠疾病,它给儿童的日常生活带来了许多负面影响。小儿推拿已被证明是 FC 的一种潜在治疗方法。然而,由于缺乏高质量的研究,其有效性和安全性的证据不足。本研究旨在评估小儿推拿治疗 FC 儿童的疗效和安全性。

方法/设计:这是一项随机、对照、多中心的临床试验。我们将纳入来自五家医院的 176 名 FC 患儿。参与者将被随机分为两组:小儿推拿组和 Medilac-Vita 组。本研究将包括为期 1 周的实际治疗期和为期 2 周的随访期。主要结局是每周自发性排便次数和每周完全自发性排便次数。次要结局是有效率、粪便形态、不适感觉和甘油灌肠率。每周进行评估。治疗期间和随访期间监测不良事件。

讨论

本研究旨在评估小儿推拿治疗 FC 儿童的疗效和安全性,我们假设小儿推拿比益生菌更有效。它将为小儿推拿治疗 FC 提供可靠的证据和支持。

试验注册

本方案在中国临床试验注册中心(ChiCTR2100046485)注册。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1bca/9446667/eddf319ec977/13063_2022_6678_Fig1_HTML.jpg

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