小儿推拿对29例支气管哮喘缓解期肺脾气虚证患儿脾虚证候及过敏体质的影响  

Efficacy of pediatric tuina on spleen deficiency syndrome and allergic constitution in 29 cases of children with lung and spleen qi deficiency syndrome in bronchial asthma remission period

作　　者：韦姜飞 熊英 WEI Jiangfei;XIONG Ying(School of Clinical Medicine,Suzhou Health Vocational and Technical College,Suzhou,Jiangsu,215009,China;School of Acupuncture-Moxibustion and Tuina,Nanjing University of Chinese Medicine,Nanjing,Jiangsu,210023,China;WANG Jianmin Inheritance Studio,The Second Hospital of Traditional Chinese Medicine of Jiangsu Province Affiliated to Nanjing University of Chinese Medicine,Nanjing,Jiangsu,210017,China)

机构地区：[1]苏州卫生职业技术学院临床医学院,江苏苏州215009 [2]南京中医药大学针灸推拿学院,江苏南京210023 [3]南京中医药大学附属江苏省第二中医院汪建民传承工作室,江苏南京210017

出　　处：《中医儿科杂志》2023年第3期86-89,共4页Journal of Pediatrics of Traditional Chinese Medicine

基　　金：国家自然科学基金面上项目(81973970);国家自然科学基金面上项目(81774446);全国名老中医药专家传承工作室建设项目(国中医药人教发[2019]41号)。

摘　　要：目的 观察小儿推拿对支气管哮喘缓解期肺脾气虚证患儿脾虚证候及过敏体质的影响。方法 选取2018年10月至2019年12月在江苏省第二中医院儿科收治的支气管哮喘缓解期肺脾气虚证患儿62例,按照随机数字表法分为对照组和治疗组,各31例。对照组家长予哮喘患儿的健康指导,治疗组在对照组健康指导的基础上,在专业人员指导下予小儿推拿。2组治疗8周后统计并比较临床疗效。结果 治疗前,2组的脾虚证候评分比较,差异无统计学意义(P>0.05),具有可比性;治疗后,2组的脾虚证候评分均较同组治疗前显著下降,差异有统计学意义(P<0.05或P<0.01),且治疗组下降更显著(P<0.01)。治疗前,2组的过敏体质评分比较,差异无统计学意义(P>0.05),具有可比性;治疗后,2组的过敏体质评分均较同组治疗前显著下降,差异有统计学意义(P<0.01),且治疗组下降更显著(P<0.01)。治疗后6个月内,治疗组的哮喘急性发作次数为(0.69±0.45)次,显著少于对照组的(1.10±0.63)次,2组比较,差异有统计学意义(P<0.05)。结论 小儿推拿治疗儿童支气管哮喘缓解期肺脾气虚证,可显著降低其脾虚证候及过敏体质评分,明显减少哮喘急性发作次数,值得临床推广应用。Objective To observe the efficacy of pediatric tuina on spleen deficiency syndrome and allergic constitution of children with lung and spleen qi deficiency syndrome in bronchial asthma remission period.Methods From October 2018 to December 2019,62 children with lung and spleen qi deficiency syndrome in asthma remis-sion period were selected and divided into a control group and a treatment group according to random number table method,with 31 cases in each group.The parents of the control group were given health guidance for children with asthma.The treatment group was given tuina for children under the guidance of professionals on the basis of the health guidance of the control group.Affer 8 weeks,the clinical efficacy of the two groups was analyzed and compared.Results Before treatment,there was no significant difference in spleen deficiency syndrome scores between the two groups(P>0.05),which was comparable.After treatment,spleen deficiency syndrome score of 2 groups was significantly decreased compared with that before treatment,the difference was statistically significant(P<0.05 or P<0.01),and the decrease was more significant in the treatment group(P<0.01).Before treatment,there was no significant difference in the scores of allergic constitution between the two groups(P>0.05),which was comparable.After treatment,the score of allergic constitution in 2 groups was significantly decreased compared with that before treatment,the difference was statistically significant(P<0.01),and the decrease was more significant in the treatment group(P<0.01).Within 6 months after treatment,the number of acute attacks of asthma in the treatment group was(0.69±0.45)times,significantly less than that in the control group(1.10±0.63)times,and the diference was statistically significant(P<0.05).Conclusion Tuina treatment of pediatric asthma in remission stage of lung and spleen qi deficiency syndrome,can significantly reduce the spleen deficiency syndrome and allergic constitution score,significantly reduce the number of acute a

关 键 词：支气管哮喘 儿童 缓解期 肺脾气虚证 小儿推拿 过敏体质 临床观察 

分 类 号：R256.12[医药卫生—中医内科学]