SDM College of Physiotherapy, SDM University, Dharwad, 580009, India.
Department of Pediatric Surgery, SDM College of Medical Sciences and Hospital, Dharwad, Karnataka, India.
Pediatr Surg Int. 2024 Jun 1;40(1):147. doi: 10.1007/s00383-024-05733-w.
The objective was to compare the immediate effects of pharmacological versus physiotherapy intervention versus a combination of physiotherapy and pharmacological treatment, as well as the quality of life and the recurrence of symptoms in children with functional constipation after 3 months.
A total of 69 children with functional constipation between the ages of 5 and 14 years of either gender were assessed and randomly assigned to one of three groups: Group A, B, and C. Visual Analogue Scale, Bristol Stool Form Scale, frequency of defecation, PedsQL GI symptom scale, and PedsQL Generic Core Scale were used as outcome measures. Pharmacology was used to treat Group A, physiotherapy was used to treat Group B, and a combination of both was used to treat Group C.
The study revealed statistically significant results on Visual Analogue Scale, Bristol Stool Form Scale, and frequency of defecation in all groups. However, no significant changes were observed on the PedsQL GI symptom scale and the Generic Core scale in Group A, whereas significant changes were observed in Groups B and C.
In this study, we found that there were significant differences in the short- and long-term effects across all groups. More changes occurred in Group C than in Groups A and B.
比较药物干预与物理治疗干预以及两者联合治疗对功能性便秘儿童的即时疗效，以及对生活质量和症状复发的影响，随访时间为 3 个月。
对 69 名年龄在 5 至 14 岁的功能性便秘儿童进行评估，并随机分为三组：A 组、B 组和 C 组。采用视觉模拟评分法（VAS）、布里斯托大便形状量表（Bristol Stool Form Scale）、排便频率、PedQL 胃肠道症状量表（PedsQL GI symptom scale）和 PedQL 一般核心量表（PedsQL Generic Core Scale）作为疗效评估指标。A 组采用药物治疗，B 组采用物理治疗，C 组采用联合治疗。
研究结果显示，三组在 VAS、Bristol Stool Form Scale 和排便频率方面均有统计学显著差异。然而，A 组在 PedQL GI 症状量表和一般核心量表方面没有显著变化，而 B 组和 C 组则有显著变化。
本研究发现，所有组在短期和长期效果上均存在显著差异。C 组的变化比 A 组和 B 组更为明显。
