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3.4 Catamnesis of children with a chronic constipation

Under ours katamnesticheskim 37 children with HZ at the age from 6 years till 15 years of 7 months (21 boy and 16 girls), receiving in a hospital the complex treatment including besides basic therapy, fizio - and acupuncture were observation within 12 months.

At the moment of the termination of course of treatment (21 day) at all children normalisation of the certificate of a defecation (daily or 1 times in 2 days) and disappearance of abdominal pains took place.

Depending on tactics of a dispensary observation patients have been parted on 2 groups:

I group - 20 children (10 boys and 10 girls) who after an extract from a hospital, being under observation of the doctor, did not receive any treatment HZ.

II group - 17 children (11 boys and 6 girls) who after 2-3 weeks and 6 months after hospitalisation have received acupuncture courses.

The analysis of a current of disease at children of the given groups in process katamnesticheskogo observations is presented in table 3.4.1.

Table 3.4.1

Spectrum of complaints at children of investigated groups with HZ, observed in a catamnesis

Symptoms Groups of children Observation terms
At an extract In 3 months In 6 months Through 12

Months

koliche

stvo

% koliche stvo % koliches

tvo

% kolich estvo %
Daily chair I 14 70 % 12 60 % 10 50 % 9 45 %
II 12 70,6 % 13 76,5 % 15 88,2 % 15 88,2 %
Chair of 1 times in 2 days I 6 30 % 7 35 % 8 40 % 7 35 %
II 5 29,4 % 4 23,5 % 2 11,8 % 2 11,8 %
The chair is more rare than 1 time in 2 days I 0 0 % 1 5 % 2 10 % 4 20 %
II 0 0 % 0 0 % 0 0 % 0 0 %
The "sheep" chair I 2 10 % 3 15 % 3 15 % 3 15 %
II 2 11,8 % 1 5.9 % 1 5,9 % 0 0 %
Chair of the big diameter I 4 20 % 4 20 % 4 20 % 4 20 %
II 2 11,8 % 2 11,8 % 2 11,8 % 2 11,8 %
Abdominal pains I 0 0 % 1 5 % 3 15 % 5 25 %
II 0 0 % 0 0 % 1 5,9 % 0 0 %
Incomplete oporozhnenie I 1 5 % 3 15 % 5 25 % 5 25 %
II 1 5,9 % 1 5,9 % 1 5,9 % 2 11,8 %
Long natuzhivanie I 3 15 % 3 15 % 4 20 % 4 20 %
II 2 11,8 % 1 5,9 % 2 11,8 % 1 5,9 %
Kalomazanie I 0 0 % 0 0 % 0 0 % 1 5 %
II 0 0 % 0 0 % 0 0 % 0 0 %

Apparently from the table, at an extract from a hospital the daily chair became perceptible at 14 children (70 %) I groups and at 12 children (70,6 %) II groups; the delay of a chair to 1 time in 2 days took place at 6 (30 %) and 5 (29,4 %) children I and II groups accordingly. A chair, less often, than 1 time in 2 days, was not in one of observable groups.

In 3 months of observation the quantity of children in I group, having a daily chair has decreased to 12 (60 %) while the quantity of children with a chair of 1 times in 2 days was enlarged to 7 (35 %), and at 1 child (5 %) the chair delay became perceptible more than 1 time in 2 days. The quantity of children in II group, with a daily chair was enlarged to 13 children (76,5 %), the chair of 1 times in 2 days took place only at 4 children with HZ (23,5 %).

In 6 months of observations only at 10 children (50 %) I groups the chair was daily while the quantity of children with a delay of a chair to 1 time in 2 days was enlarged to 8 (40 %). At 2 children (10 %) the chair became more rare, than 1 time in 2 days. Among children of II group the return picture became perceptible - the quantity of children with a daily chair was enlarged to 15 children (88,2 %) and only at 2 children (11,8 %) the chair was 1 time in 2 days.

In 12 months katamnesticheskogo observations the further reduction of quantity of children of I group at which frequency of a chair remained once a day at 9 children (45 %) became perceptible, and the quantity of children (4 children - 20 %) with a delay of a chair more than 1 time in 2 days was enlarged. The chair of 1 times in 2 days was at 7 children (35 %) in the first group. Intervals between defecation certificates remained same with children of II group, as well as in 6 months of observations.

Fig. 3.4.1. Duration of intervals between certificates of a defecation at children of I group (n=20)

Fig. 3.4.2. Duration of intervals between certificates of a defecation at children of II group (n=17)

Apparently in drawings 3.4.1 and 3.4.2, from 14 children (70 %) I groups, not receiving any treatment after an extract from a hospital, only at 9 children (45 %) in 12 months the daily defecation while the quantity of children with urezheniem a chair more than 1 time in 2 days has grown to 20 % (4 children) has remained. In turn, at children from the second group, received courses of acupuncture after an extract from a hospital, positive dynamics in the form of augmentation of quantity of children with a daily chair from 12 children (70,6 %) to 15 children (88,2 %) by 6 and 12 months of observation became perceptible. It is necessary to notice, that in II group of any child with frequency of a chair was not more rare than 1 time in 2 days on all extent katamnesticheskogo observation. Thus, the comparative analysis of observation has shown, that at children of II group who have received additional courses of acupuncture in 1,7 times is more often the daily chair, than at children of I group (r

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Scientific source IPATOV ANDREY ALEKSANDROVICH. EFFICIENCY of ACUPUNCTURE In COMPLEX TREATMENT of CHILDREN With the CONSTIPATION SYNDROME. The DISSERTATION on competition of a scientific degree of the candidate of medical sciences. Moscow - 2014. 2014

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Other medical related information 3.4 Catamnesis of children with a chronic constipation:

  1. THE TABLE OF CONTENTS
  2. INTRODUCTION
  3. 3.4 Catamnesis of children with a chronic constipation