深刺下关配合电、温针治疗儿童腺样体肥大:随机对照试验  

Deep needling at Xiaguan (ST7) combined with electroacupuncture and warm acupuncture for adenoid hypertrophy in children: a randomized controlled trial

作　　者：邓聪[1,2] 莫谦[1] 卓小琳 关艺美 DENG Cong;MO Qian;ZHUO Xiaolin;GUAN Yimei(Eighth School of Clinical Medicine,Guangzhou University of CM,Foshan 528000,Guangdong Province,China;Department of Acupuncture and Moxibustion,Foshan Hospital of TCM,Foshan 528000,Guangdong Province;Department of Traditional Therapy,Zhuhai Doumen Qiaoli Hospital of TCM)

机构地区：[1]广州中医药大学第八临床医学院,广东佛山528000 [2]佛山市中医院针灸科,广东佛山528000 [3]珠海市斗门区侨立中医院传统疗法科

出　　处：《中国针灸》2025年第2期179-184,共6页Chinese Acupuncture & Moxibustion

基　　金：广东省教育厅临床教改项目:粤教高函[2023]32号(No.178);广东省中医药局科研项目:20231317;佛山市科技创新项目:2320001007319;佛山市卫生健康局医学科研项目:20220425;广东省教育厅项目:2019JD029。

摘　　要：目的:观察深刺下关配合电、温针治疗儿童腺样体肥大(AH)的临床疗效。方法:将72例AH患儿随机分为观察组(36例,脱落5例、剔除1例)和对照组(36例,脱落4例、剔除2例)。观察组予深刺下关配合电、温针治疗,穴取印堂、百会及双侧下关、迎香、足三里,下关进针深度20~30 mm,下关、迎香、印堂、百会采用电针(连续波,频率2Hz)治疗,足三里采用温针灸治疗,每次30min,每周1次,连续治疗12周。对照组患儿予糠酸莫米松鼻喷雾剂治疗,每次每侧鼻孔1揿,每日1次,连续治疗12周。分别于治疗前后观察两组患儿症状积分、腺样体-鼻咽腔比率(A/N)及儿童阻塞性睡眠呼吸暂停低通气综合征生活质量18项调查表(OSA-18)评分,并于治疗后评定临床疗效。结果:治疗后,两组患儿症状积分总分、A/N及OSA-18评分均较治疗前降低(P<0.01),且观察组上述指标低于对照组(P<0.01,P<0.05)。观察组总有效率为93.3%(28/30),高于对照组的83.3%(25/30,P<0.05)。结论:深刺下关配合电、温针可有效改善AH患儿的症状、缩小腺样体体积,提高患儿生活质量。Objective To observe the clinical efficacy of deep needling at Xiaguan(ST7)combined with electroacupuncture and warm acupuncture for adenoid hypertrophy(AH)in children.Methods Seventy-two children with AH were randomly divided into an observation group(36 cases,5 cases dropped out,1 case was eliminated)and a control group(36 cases,4 cases dropped out,2 cases were eliminated).The observation group received deep needling at Xiaguan(ST7)combined with electroacupuncture and warm acupuncture.The needle depth of Xiaguan(ST7)was 20-30 mm.Electroacupuncture was applied at Xiaguan(ST7),Yingxiang(LI20),Yintang(GV24+),Baihui(GV20),with continuous wave,in frequency of 2 Hz.Warm acupuncture was applied at Zusanli(ST36).The treatment was performed 30 min each time,once a week for 12 weeks.The control group was treated with mometasone furoate aqueous nasal spray,one spray per nostril each time,once a day for 12 weeks.The symptom score,adenoid-to-nasopharynx ratio(A/N),and 18-item health-related quality-of-life survey for children with obstructive sleep apnea(OSA-18)score were observed before and after treatment in the two groups,and the clinical efficacy was evaluated after treatment.Results After treatment,the total scores of symptom,A/N,and OSA-18 scores were decreased compared with those before treatment in both groups(P<0.01),the above indexes in the observation group were lower than those in the control group(P<0.01,P<0.05).The total effective rate in the observation group was 93.3%(28/30),which was higher than 83.3%(25/30)in the control group(P<0.05).Conclusion Deep needling at Xiaguan(ST7)combined with electroacupuncture and warm acupuncture could effectively improve symptoms,reduce adenoid volume,and improve the quality of life in children with AH.

关 键 词：腺样体肥大 电针 温针 针灸 下关 

分 类 号：R246.81[医药卫生—针灸推拿学]