推拿手法治疗小儿腺样体肥大的临床疗效观察

• 作 者: 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
• 出 处: 针灸推拿医学（英文版）
• 发表日期: 2021年6期
• 关键词: Tuina Massage Pediatric Tuina Adenoid Hypertrophy Pharyngeal Tonsil

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(P0.05).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(P0.05).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.“,”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 (P0.05). After treatment, the clinical symptom scores in both groups decreased, and the intra-group differences were statistically significant (P0.05). 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.