推拿改善腺样体肥大患儿呼吸暂停低通气指数的临床观察  

Study on the clinical observation of Tuina in the treatment of infantile hypertrophy based on apnea hypopnea index

作　　者：崔佳文[1] 王怡超 刘鲲鹏[2] 王树霞[2] 胡丽君 顾非[2] CUI Jiawen;WANG Yichao;LIU Kunpeng;WANG Shuxia;HU Lijun;GU Fei(Department of Otorhinolaryngology&Head and Neck Surgery,East Hospital,Tongji University,Shanghai 200120,China;Department of Tuina,Yueyang Hospital of Integrated Traditional Chinese and Western Medicine,Shanghai University of Traditional Chinese Medicine,Shanghai 200437,China)

机构地区：[1]同济大学附属东方医院耳鼻咽喉头颈外科,上海200120 [2]上海中医药大学附属岳阳中西医结合医院推拿科,上海200437

出　　处：《山东大学耳鼻喉眼学报》2023年第6期133-138,共6页Journal of Otolaryngology and Ophthalmology of Shandong University

基　　金：上海市科学技术委员会(17401935600)。

摘　　要：目的 通过观察腺样体肥大患儿治疗前后的低通气指数测定指标的变化,探讨推拿治疗小儿腺样体肥大的临床疗效。方法 将60例腺样体肥大患儿随机纳入治疗组和对照组,分别用推拿治疗和糠酸莫米松鼻喷雾剂(内舒拿)治疗,观察比较推拿治疗组和药物治疗组治疗前后患儿低通气指数测定指标的变化。结果 两组治疗前后低通气指数组内比较,推拿组P<0.001,药物组P<0.001,差异有统计学意义;组间比较P<0.001,差异具有统计学意义。结论 推拿后腺样体肥大患儿的低通气指数有明显改善,即推拿可以改善腺样体肥大患儿的通气状况,且效果优于药物治疗。Objective This study aimed to investigate the clinical effect of Tuina in the treatment of pediatric adenoid hypertrophy by observing the change in hypoventilation index in children with adenoid hypertrophy before and after treatment.Methods Sixty children with adenoid hypertrophy were randomly included in the treatment and control groups and were treated with Tuina therapy and mometasonefuronate nasal spray(Nasonex),respectively.The changes in the hypoventilation indices in children before and after treatment with Tuina or drug therapy were compared.Results There was a significant difference in hypoventilation indices in intra-group comparisons(P<0.001 for the Tuina group and P<0.001 for the drug group)and in the inter-group comparisons(P<0.001).Conclusion The hypoventilation index of children with adenoid hypertrophy improved significantly after Tuina therapy.Tuina can improve Tuina improves the ventilation of the Eustachian tube in children with adenoid hypertrophy more effectively than drug treatment.

关 键 词：小儿腺样体肥大 推拿 呼吸暂停低通气指数 通气状况 临床观察 

分 类 号：R276.1[医药卫生—中医五官科学] R244.1[医药卫生—中医学] R766.3