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

• 来源期刊: 中国结合医学杂志（英文版）
• 年，卷（期）: 2018,（2）
• 页码范围: 140-146
• 页数: 7页
• 语种: 英文
• DOI: 10.1007/s11655-016-2261-3

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 treatmen t.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.