凯格尔运动和常规疗法与单纯常规疗法治疗儿童功能性便秘的效果比较:随机临床试验

IF 1.6 Q2 MEDICINE, GENERAL & INTERNAL Iranian Journal of Medical Sciences Pub Date : 2024-05-01 DOI:10.30476/IJMS.2023.98539.3055
Narges Ansari Chaharsoghi, Marzieh Davoodi, Hamid Reihani, Mobin Haghdel, Naser Honar, Naeimehossadat Asmarian, Mahmood Haghighat, Seyed Mohsen Dehghani, Iraj Shahramian, Maryam Ataollahi, Sara Salehi, Fateme Ziyaee, Mohammad Hadi Imanieh
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引用次数: 0

摘要

背景:有关凯格尔运动治疗儿童功能性便秘效果的研究很少。因此,本研究调查了凯格尔运动在功能性便秘儿童中的附加作用:本临床试验的对象是 2022 年转诊到伊玛目礼萨诊所(伊朗设拉子)儿科的功能性便秘患儿(符合罗马IV标准)。样本由 64 名儿童组成,他们被随机分配到干预组或对照组。对照组由儿科医生进行常规治疗,包括饮食训练、排便训练和聚乙二醇(PEG)糖浆(每天每千克 0.7 克)。在治疗组中,除常规治疗外,儿科医生还在家长在场的情况下,以口头和书面形式向患儿教授凯格尔运动。为了研究干预措施的效果,研究人员选择了排便次数、排便时间、排便时使用的辅助工具、排空不完全、排便不成功、腹痛和排便疼痛作为研究结果。连续变量采用独立样本 t 检验。分类变量以频率和百分比表示。为了检验分类结果变量的差异,采用了 Wilcoxon(前后)、Chi square 和 Fisher exact 检验。数据使用 SPSS 软件 21 版进行分析。结果凯格尔运动组中有 27 名(88.4%)患者的排便时间少于 5 分钟,而对照组中只有 12 名(37.5%)患者达到了这一时间,这一差异具有统计学意义(P=0.001)。此外,治疗组患者在粪便排空不完全、排便不成功、腹痛和无痛排便方面均有明显改善(分别为 P=0.001、P=0.001、P=0.001、P=0.037)。干预后,使用泻药、数字或灌肠剂协助排便的组间差异不大(P=0.659):凯格尔运动是治疗小儿功能性便秘的有效辅助疗法。
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A Comparison of the Effect of Kegel Exercises and Conventional Therapy versus Conventional Therapy Alone in the Treatment of Functional Constipation in Children: A Randomized Clinical Trial.

Background: There have been few studies on the effect of Kegel exercises on the treatment of functional constipation in children. Hence, the present study investigated the add-on role of Kegel exercises in children with functional constipation.

Methods: This clinical trial was conducted on children with functional constipation, according to Rome IV, who were referred to the pediatric department of Imam Reza Clinic (Shiraz, Iran) in 2022. The sample consisted of 64 children who were randomly assigned to either the intervention or the control groups. In the control group, a pediatrician administered conventional therapy, including diet training, defecation training, and polyethylene glycol (PEG) syrup (0.7 g/Kg daily). In the treatment group, in addition to conventional therapy, a pediatrician taught Kegel exercises to the child both verbally and in writing in the presence of their parents. To investigate the effectiveness of the intervention, frequency of defecation, defecation time, assistance used for defecation, incomplete emptying, unsuccessful defecation, abdominal pain, and painful defecation were selected as the outcomes. Independent sample t test was used for continuous variables. Categorical variables were reported as frequency and percentages. To examine the difference in categorical outcome variables, Wilcoxon (pre and post), Chi square, and Fisher exact tests were used. Data were analyzed using SPSS software version 21. P<0.05 were considered statistically significant.

Results: Twenty-seven (88.4%) patients in the Kegel exercise group reported a defecation time of less than 5 min, while only 12 (37.5%) patients in the control group reached this time, and this difference was statistically significant (P=0.001). Moreover, patients in the treatment group showed significant improvements in terms of incomplete emptying of stool, unsuccessful defecation, abdominal pain, and painless defecation (P=0.001, P=0.001, P=0.001, P=0.037, respectively). After intervention, the use of laxatives, digits, or enemas to assist defecation was not significantly different between the groups (P=0.659).

Conclusion: Kegel exercise was an effective adjunctive treatment for pediatric functional constipation.Trial Registration Number: IRCT20230424057984N1.

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来源期刊
Iranian Journal of Medical Sciences
Iranian Journal of Medical Sciences MEDICINE, GENERAL & INTERNAL-
CiteScore
3.20
自引率
0.00%
发文量
84
审稿时长
12 weeks
期刊介绍: The Iranian Journal of Medical Sciences (IJMS) is an international quarterly biomedical publication, which is sponsored by Shiraz University of Medical Sciences. The IJMS intends to provide a scientific medium of com­muni­cation for researchers throughout the globe. The journal welcomes original clinical articles as well as clinically oriented basic science re­search experiences on prevalent diseases in the region and analysis of various regional problems.
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