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本组病例均为除外器质性疾患而诊断为功能性腹痛病例,其中男性10例,女性16例,年龄在5～12岁之间,以6～9岁居多.临床表现为反复性发作性腹痛,疼痛程度轻重不一,轻者能够耐受,疼痛发作常数分钟或一两小时,可自然缓解,腹痛部位以脐周为多见,但无明显体征,重者屈腹弯腰或用手按腹,可短暂影响小儿正常活动,疼痛发作次数每日数次至十余次不等,时间不定时,有晨起时,亦有进餐时和晚上及夜间,间歇期无腹部异常体征,病程多在1个月以上.本组病例轻型居多(20例).病例来源全部为门诊病例.我们随机开放对照观察,分为思密达治疗组26例与解痉药(莨菪片或6542)对照组30例.
This group of patients were diagnosed as functional abdominal pain except organic disease cases, including 10 males and 16 females, aged 5 to 12 years old, mostly in 6 to 9 years of age.The clinical manifestations of recurrent Abdominal pain, the severity of varying degrees of pain, the light can be tolerated, pain episodes minutes or an hour or two, can be naturally relieved, abdominal pain is common to the umbilical cord, but no obvious signs of severe flexion or bending According to the abdomen, can affect children’s normal activities for a short time, the number of pain episodes several times a day to more than ten times, time is not regular, morning when there are meals and night and night, intermittent no abnormal abdomen signs, duration and more More than 1 month in this group of patients were mostly light (20 cases) .The source of all cases were outpatient cases.We randomized open controlled observation, divided into Smecta treatment group, 26 cases and antispasmodics (scopine tablets or 6542) control group 30 cases.