推拿并捏脊治疗对小儿反复呼吸道感染患者T淋巴细胞亚群和血清免疫球蛋白水平变化的影响  

Effect of Massage Combined with Chiropracticon on Changes of T Lymphocyte Subsets and Serum Immunoglobulin Levels for Children with Recurrent Respiratory Tract Infection

作　　者：王京良 王程 熊波 刘俊昌 WANG Jingliang;WANG Cheng;XIONG Bo(Massage Department,Xinjiang Uygur Autonomous Region Traditional Chinese Medicine Hospital (Xinjiang Urumqi 830000,China))

机构地区：[1]新疆维吾尔自治区中医医院推拿科,新疆乌鲁木齐830000

出　　处：《四川中医》2019年第1期186-189,共4页Journal of Sichuan of Traditional Chinese Medicine

摘　　要：目的:观察推拿对小儿反复呼吸道感染(RRTI)的效果及对T淋巴细胞亚群和血清免疫球蛋白水平变化的影响。方法:选取我院在2013年2月至2016年2月期间收治的220例RRTI患者,按照随机数字表法分为观察组(n=110)及对照组(n=110)。对照组行常规对症支持治疗;观察组在对照组的基础上进行推拿并捏脊治疗。治疗1个月后,比较两组临床兼症情况和临床疗效,两组治疗前后的T细胞亚群(CD_3^+、CD_4^+、CD_8^+、CD_4^+/CD_8^+)和血清免疫球蛋白(IgG、IgA、IgM)水平,随访12个月,比较两组3、6、12个月的呼吸道感染急性发作次数。结果:观察组多汗、面色少华、便溏、食少纳呆改善较对照组明显(P<0. 05);观察组治疗有效率高于对照组(P<0. 01);治疗后,两组CD_4^+、IgG、IgA水平较治疗前升高(P<0. 05),观察组的IgG、IgA、CD_4^+及CD_4^+/CD_8^+水平明显高于对照组及本组治疗前(P<0. 05);随访第3、6、12个月,观察组的呼吸道感染急性发作次数明显低于对照组(P<0. 05)。结论:推拿能有效提高RRTI患者T淋巴细胞亚群和免疫球蛋白水平,临床疗效确切。Objective:To investigate the effect of massage combined with chiropracticon on changes of T lymphocyte subsets and serum immunoglobulin levels for children with recurrent respiratory tract infection(RRTI).Methods:220 cases of RRTI patients of our hospital from February 2013 to February 2016 were selected,and divided into observation group(n = 110) and controlled group(n = 110) according to random number table method.The controlled group was given conventional symptomatic treatment,and the observation group was given massage and chiropractic treatment on the basis treatment of the controlled group.After 1months of treatment,the clinical symptoms and clinical efficacy of the two groups were compared,and the levels of T cell subsets(CD3+,CD4+,CD8+,CD4+/CD8+) and serum immunoglobulin(IgG,IgA,IgM) levels before and after treatment in the two groups were compared.Followed up for 12 months,the acute respiratory tract infection frequency in 3,6,12 months of two groups were compared.Results:The sweating,a small,loose stool,anorexia of the observation group improved significantly compared with the controlled group(P<0.05).The effective rate of the observation group was higher than that of the controlled group(P<0.01).After treatment,the levels of CD4+,IgG and IgA in the two groups were higher than before treatment(P<0.05),and the levels of IgG,IgA,CD4+and CD4+/CD8+in the observation group were significantly higher than those in the controlled group and before treatment(P<0.05).After third,sixth,twelfth months of follow-up,the number of acute episodes of respiratory tract infection in the observation group was significantly lower than that in the controlled group(P<0.05).Conclusion:Massage can effectively improve the T lymphocyte subsets and immunoglobulin levels in patients with RRTI,and the clinical curative effect is exact.

关 键 词：推拿 小儿反复呼吸道感染 临床疗效 T淋巴细胞亚群 免疫球蛋白 

分 类 号：R244.1[医药卫生—针灸推拿学]