Therapeutic efficacy observation of Tuina manipulation for pediatric adenoid hypertrophy  

推拿手法治疗小儿腺样体肥大的临床疗效观察

作　　者：Liu Kun-peng Cui Jia-wen Gu Fei Fang Min Wang Yi-chao Wang Shu-xia Wang Cheng Wang Jun-liang Zhou Chao Ji Deng-jun Li Ya-zhou Hu Li-jun 刘鲲鹏;崔佳文;顾非;房敏;王怡超;王树霞;王成;王峻良;周超;吉登军;李亚洲;胡丽君(Yueyang Hospital of Integrated Traditional Chinese and Western Medicine,Shanghai University of Traditional Chinese Medicine,Shanghai,200437,China;East Hospital,Tongji University,Shanghai,200120,China;School of Acupuncture-moxibustion and Tuina,Shanghai University of Traditional Chinese Medicine,Shanghai,201203,China)

机构地区：[1]Yueyang Hospital of Integrated Traditional Chinese and Western Medicine,Shanghai University of Traditional Chinese Medicine,Shanghai,200437,China [2]East Hospital,Tongji University,Shanghai,200120,China [3]School of Acupuncture-moxibustion and Tuina,Shanghai University of Traditional Chinese Medicine,Shanghai,201203,China

出　　处：《Journal of Acupuncture and Tuina Science》2021年第6期425-431,共7页针灸推拿医学（英文版）

基　　金：上海市科学技术委员会,No.17401935600;曹仁发上海市名老中医学术经验研究工作室,No.ZYSNXD-CC-MZY004.

摘　　要：Objective To observe the clinical efficacy of Tuina(Chinese therapeutic massage)manipulation for pediatric adenoid hypertrophy(AH).Methods A total of 60 children with AH were randomized into an observation group and a medication group,with 30 cases in each group.The observation group was treated with pediatric Tuina treatment,and the medication group was treated with 0.05%mometasone furoate nasal spray.The changes of main clinical symptom score,quality of life(QOL)score and X-ray nasopharynx lateral film were observed,and the clinical efficacy was evaluated.Results The total effective rate of the observation group was 90.0%,and that of the medication group was 66.7%.The difference between the two groups was statistically significant(P<0.05).After treatment,the A/N value[ratio of adenoid thickness(A)and nasopharyngeal cavity width(N)]of posterior nasopharyngeal lateral film did not show significant change in either group(P>0.05).After treatment,the clinical symptom scores in both groups decreased,and the intra-group differences were statistically significant(P<0.001),but there was no statistical difference between the two groups(P>0.05).After treatment,the QOL scores of children in both groups decreased,and the intra-group differences were statistically significant(P<0.001),and the difference between the two groups was statistically significant(P<0.001).Conclusion Tuina manipulation is effective in treating pediatric AH,and produces a better effect in improving traditional Chinese medicine symptoms and QOL than 0.05%mometasone furoate nasal spray.目的观察推拿手法治疗小儿腺样体肥大(AH)的临床疗效。方法将60例AH患儿随机分为观察组和药物组,每组30例。观察组采用推拿治疗;药物组采用0.05%糠酸莫米松鼻喷雾剂喷鼻治疗。观察主要临床症状评分、生活质量(QOL)评分及X线鼻咽侧位片的变化,并评定临床疗效。结果观察组总有效率90.0%,药物组为66.7%,两组总有效率差异有统计学意义(P<0.05)。两组患儿治疗前后鼻咽侧位片A/N值[腺样体厚度(A)和鼻咽腔宽度(N)比值]组内差异无统计学意义(P>0.05)。治疗后,两组患儿临床症状评分均下降,组内治疗前后差异有统计学意义(P<0.001),治疗后组间差异无统计学意义(P>0.05)。治疗后,两组患儿QOL评分下降,组内治疗前后差异有统计学意义(P<0.001),治疗后组间差异有统计学意义(P<0.001)。结论推拿手法治疗儿童AH疗效肯定,在改善中医症状和QOL方面优于0.05%糠酸莫米松鼻喷雾剂。

关 键 词：TUINA MASSAGE Pediatric Tuina Adenoid Hypertrophy Pharyngeal Tonsil 

分 类 号：R244.1[医药卫生—针灸推拿学]