捏脊疗法联合穴位按摩对反复呼吸道感染患儿细胞免疫功能的影响  

Effects of Nie Ji tuina combined with acupoint massage on cellular immune function in children with recurrent respiratory tract infection

作　　者：吴思语 杨青 徐梦恬 唐籽龙 陈嘉倩 Wu Siyu;Yang Qing;Xu Mengtian;Tang Zilong;Chen Jiaqian(Department of Rehabilitation Physiotherapy,Hubei Maternal and Child Health Hospital,Wuhan 430070,China)

机构地区：[1]湖北省妇幼保健院康复理疗科,武汉430070

出　　处：《国际中医中药杂志》2023年第10期1232-1236,共5页International Journal of Traditional Chinese Medicine

基　　金：中国妇幼保健协会——华润三九中西医结合妇幼健康专项研究基金(ZXY2020B05)。

摘　　要：目的探讨捏脊疗法联合穴位按摩对反复呼吸道感染(RRTI)患儿细胞免疫功能的影响。方法随机对照试验研究。选取2020年6月-2021年10月本院96例RRTI患儿作为观察对象,采用随机数字表法分为2组,每组48例。对照组给予穴位按摩,观察组在对照组基础上联合捏脊疗法。2组均治疗8周,随访8个月。分别于治疗前后进行中医证候评分,采用流式细胞仪检测外周血CD4^(+)、CD8^(+)水平和CD4^(+)/CD8^(+)比值。观察随访期间RRTI发作次数,评价临床疗效。结果观察组总有效率为93.75%(45/48)、对照组为81.25%(39/48),2组比较差异无统计学意义(χ^(2)=3.43,P=0.064)。观察组治疗后咳嗽、疲乏、气短懒言、自汗积分低于对照组(t值分别为3.95、9.64、7.68、8.34,P<0.01)。与同组治疗前比较,2组治疗后CD4^(+)水平及CD4^(+)/CD8^(+)比值升高(P<0.01),CD8^(+)水平降低(P<0.01),但2组治疗后比较差异无统计学意义(P>0.05)。随访期间,观察组反复发作次数少于对照组(t=10.60,P<0.01)。结论捏脊疗法联合穴位按摩可有效提高RRTI患儿的抗病能力,减少RRTI次数。Objective To explore the effects of Nie Ji tuina combined with acupoint massage on cellular immune function in children with recurrent respiratory tract infection(RRTI).Methods Randomized controlled trial.A total of 96 children in the hospital were enrolled as the observation objects between June 2020 and October 2021.According to random number table method,they were divided into control group(acupoint massage)and observation group(Nie Ji tuina combined with acupoint massage),48 in each group.All were treated for 8 weeks and followed up for 8 months.TCM syndromes were scored before and after treatment.The levels of CD4^(+),CD8^(+)and CD4^(+)/CD8^(+)ratio in peripheral blood were detected by flow cytometry.The frequency of RRTI attacks during follow-up was observed,and the clinical curative effect was evaluated.Results There was no significant difference in total response rate between observation group and control group[93.75%(45/48)vs.81.25%(39/48);χ^(2)=3.43,P=0.064].After treatment,scores of TCM syndromes(cough,fatigue,shortness of breath and laziness to speak,spontaneous sweating)were significantly lower in observation group than control group(t=3.95,9.64,7.68,8.34,P<0.01).After treatment,levels of CD4^(+)and CD4^(+)/CD8^(+)were increased(P<0.01),while CD8^(+)level was decreased in both groups(P<0.01),but there was no significant difference between the two groups(P>0.05).During follow-up,observation group times of recurrence attacks were fewer than those in the control group(t=10.60,P<0.01).Conclusion Nie Ji tuina combined with acupoint massage can improve disease resistance ability and reduce RRTI frequency in children.

关 键 词：呼吸道感染 反复性 中医捏脊疗法 按摩(中医) 免疫力 

分 类 号：R272[医药卫生—中医儿科学]