刘氏小儿推拿对小儿支气管哮喘缓解期的临床疗效观察
Observation of Clinical Effect of Liu Pediatric Massage Treatment of Children Bronchial Asthma at Chronic Persistent Period
DOI: 10.12677/TCM.2018.73029, PDF,   
作者: 杨翠平:吉首大学张家界学院,湖南 张家界
关键词: 哮喘雾化刘氏小儿推拿Bronchial Asthma Atomization Liu Pediatric Massage
摘要: 目的:探讨刘氏小儿推拿联合临床常规雾化治疗对小儿支气管哮喘的临床疗效。方法:将60例缓解期哮喘患儿随机分为药物对照组(药物组)与刘氏推拿药物联合组(推拿组),各30例,经8周治疗后,分别观察比较两组患儿治疗前后各组患儿临床有效率及治疗前后两组炎症因子水平改变。结果:推拿组临床总有效率达93.3%,药物组临床有效率70%,推拿组明显优于对照组;两组炎症因子IL-17,IL-33,IL-6水平较治疗前均明显降低(P < 0.05),推拿组炎症因子较药物组改变明显,存在统计学差异(P < 0.05)。结论:刘氏小儿推拿干预后对小儿支气管哮喘缓解期各症状缓解有显著疗效,从而达到提高患儿免疫力,降低哮喘复发率目的。
Abstract: Objective: To study the clinical treatment effect of medication combined Liu pediatric massage in the treatment of children bronchial asthma at chronic persistent period. Methods: 60 children patients with chronic persistent asthmatics were selected and divided into the medication group (conventional medication) and the massage group (conventional medication + massage), with 30 patients in each group. The treatment cycle was all 8 weeks. To observe and compare the effective rate of clinical treatment of children patients between the two groups, to analyze the change levels of intracorporal inflammatory factors of children patients were detected in two groups before and after treatment. Results: The clinical total effective rate was 93.3% in the massage group and 70% in the medication group. The effective rate of clinical treatment in massage group was better than which in medication group (P < 0.05); after the interventions, the levels of IL-17, IL-33, IL-6 significantly decreased in the children patients (P < 0.05); the massage group was superior to the medication group (P < 0.05). Conclusion: Liu pediatric massage intervention may relieve children bronchial asthma and enhance the immune system in children.
文章引用:杨翠平. 刘氏小儿推拿对小儿支气管哮喘缓解期的临床疗效观察[J]. 中医学, 2018, 7(3): 180-184. https://doi.org/10.12677/TCM.2018.73029

参考文献

[1] Van Roeyen, L.S. (2013) Management of Pediatric Asthma at Home and in School. Nursing Clinics of North America, 48, 165-175. [Google Scholar] [CrossRef] [PubMed]
[2] Kumar, V. and Sharma, A. (2010) Mast Cell: Emerging Sentinel Innate Immune Cells with Diverse Role in Immunity. Molecular Immunology, 48, 14-25. [Google Scholar] [CrossRef] [PubMed]
[3] 田立东, 白晓红. “治未病”理论对支气管哮喘患儿干预研究[J]. 辽宁中医药大学学报, 2016, 18(6): 126-128.
[4] 赵克蕊, 高学全. 小儿推拿治疗小儿哮喘的研究进展[J]. 医学综述, 2016, 22(19): 3857-3859.
[5] 田福玲, 李旗, 崔建美, 等. 小儿推拿疗法在小儿支气管哮喘急性期肺功能损害预防作用的研究[J]. 针灸临床杂志, 2014, 30(9): 47-49.
[6] 张宝珍, 裴竹英. 常规雾化联合推拿疗法治疗小儿支气管哮喘慢性持续期临床效果观察[J]. 儿科医学, 2015, 22(5): 56-58.
[7] 陈丽, 蔡栩栩. 小儿喘息性疾病临床研究进展[J]. 国际儿科学杂志, 2011, 38(4): 360.
[8] 中华医学会儿科学分会呼吸学组, 《中华儿科杂志》编辑委员会. 儿童支气管哮喘诊断与防治指南[J]. 中华儿科杂志, 2008, 46(10): 745-753.
[9] 郝盼盼, 邵湘宁, 张翔, 等. 刘氏小儿推拿调治哮喘缓解期机理及验案举隅[J]. 中医药导报, 2015, 21(20): 70-72.
[10] 田福玲, 李旗, 崔建美, 等. 小儿推拿疗法在小儿支气管哮喘慢性持续期的作用机制和治疗效果研究[J]. 中国全科医学, 2015, 18(1): 105-108.
[11] 韩雪, 金玉晶, 葛国岚. 穴位埋线加孟鲁司特治疗小儿支气管哮喘慢性持续期临床观察[J]. 中医学报, 2012, 27(5): 538-540.
[12] 梅雪, 汪怀芳. 普米克令舒联合可必特雾化吸入治疗儿童支气管哮喘的疗效观察[J]. 中国现代医生, 2014, 52(33): 45-47.
[13] 刘潇, 张伟, 杨丽珍, 等. 感冒后哮喘发作患儿经小儿推拿干预后EOS、血清IL与IgE相关性研究[J]. 针灸临床杂志, 2017, 33(6): 15-17.
[14] 胡伟林, 赵珊珊, 涂明利, 等. 疏风化痰方对咳嗽变异性哮喘临床疗效及气道炎性因子的影响[J]. 中医药信息, 2016, 33(5): 81-84.
[15] 田福玲, 李旗, 崔建美. 小儿推拿对哮喘患儿血小板激活因子和前列腺素的影响[J]. 中国妇幼保健, 2014, 32(29): 5334-5336.