小儿推拿联合耳穴贴压治疗小儿变应性鼻炎肺虚感寒证35例临床观察  

Clinical observation on 35 cases of allergic rhinitis in children with contraction cold due to lung-deficiency syndrome treated by pediatric tuina combined with auricular acupoint plaster therapy

作　　者：泮艺 毛平安[1] 王法明[1] 尤佩 裘一星 PAN Yi;MAO Ping'an;WANG Faming;YOU Pei;QIU Yixing(Department of Rehabilitation Medicine,Lishui The People's Hospital,Lishui,Zhejiang,323000,China;Department of Pediatrics,Lishui The People's Hospital,Lishui,Zhejiang,323000,China)

机构地区：[1]丽水市人民医院康复医学科,浙江丽水323000 [2]丽水市人民医院儿科,浙江丽水323000

出　　处：《中医儿科杂志》2022年第1期86-89,共4页Journal of Pediatrics of Traditional Chinese Medicine

摘　　要：目的观察小儿推拿联合耳穴贴压治疗小儿变应性鼻炎(AR)肺虚感寒证的临床疗效。方法选取2019年1月至2020年6月在丽水市人民医院儿科治疗的AR肺虚感寒证患儿70例,采用随机数字表法分为治疗组和对照组,各35例。对照组给予常规西药治疗,治疗组给予小儿推拿联合耳穴贴压法治疗,2组均以1个月为1个疗程,1个疗程后统计临床疗效、中医证候评分、治疗前后血清免疫球蛋白E(IgE)和白介素-4(IL-4)水平变化以及复发情况。结果治疗组总有效率为91.43%(32/35),显著高于对照组的68.57%(24/35),2组比较,差异有统计学意义(P<0.05)。治疗前,2组中医证候评分比较,差异无统计学意义(P>0.05),具有可比性;治疗后,2组中医证候评分较同组治疗前明显降低(P<0.05),且治疗组降低更显著,差异有统计学意义(P<0.05)。治疗前,2组血清IgE、IL-4水平比较,差异无统计学意义(P>0.05),具有可比性;治疗后,2组IgE、IL-4水平较同组治疗前明显升高(P<0.05),且治疗组升高更显著,差异有统计学意义(P<0.05)。2组随访6个月,治疗组复发率为10.53%(2/19),显著低于对照组的42.86%(6/14),2组比较,差异有统计学意义(P<0.05)。结论小儿推拿联合耳穴贴压治疗小儿AR肺虚感寒证疗效满意,可明显缓解临床症状,提高机体免疫力,降低复发率,值得临床推广应用。Objective To observe the clinical efficacy of allergic rhinitis(AR)in children with contraction cold due to lung-deficiency syndrome treated by pediatric tuina combined with auricular acupoint plaster therapy.Methods From January 2019 to June 2020,70 cases of AR in children with contraction cold due to lung-deficiency syndrome treated in pediatrics department of Lishui The People’s Hospital were divided into treatment group and control group according to random number table method,with 35 cases in each group.The control group was given routine Western medicine,and the treatment group was given pediatric tuina combined with auricular acupoint plaster therapy.Both groups took 1 month as 1 course of treatment.After 1 course of treatment,we kept statistics about the clinical efficacy,TCM syndrome score,the changes of serum levels of immunoglobulin E(IgE)and interleukin-4(IL-4)before and after treatment,and the recurrence.Results The total effective rate of the treatment group was 91.43%(32/35),which was significantly higher than 68.57%(24/35)of the control group,and the difference was statistically significant between the 2 groups(P<0.05).Before treatment,there was no significant difference in TCM syndrome score between the 2 groups(P>0.05),indicating comparability.After treatment,the TCM syndrome score of the 2 groups significantly decreased than that of the same group before treatment(P<0.05),moreover,the decrease was more significant in the treatment group,and the difference was statistically significant(P<0.05).Before treatment,there was no statistically significant difference in serum levels of IgE and IL-4 between the 2 groups(P>0.05),indicating comparability.After treatment,the levels of IgE and IL-4 in the 2 groups increased significantly than those in the same group before treatment(P<0.05),moreover,the increase in the treatment group was more significant,and the difference was statistically significant(P<0.05).The 2 groups were followed up for 6 months.The recurrence rate in the treatment group was 10.53%

关 键 词：小儿 变应性鼻炎 肺虚感寒证 小儿推拿 耳穴贴压 临床观察 

分 类 号：R765.21[医药卫生—耳鼻咽喉科]