山东大学耳鼻喉眼学报 ›› 2023, Vol. 37 ›› Issue (6): 133-138.doi: 10.6040/j.issn.1673-3770.0.2022.230

• 临床研究 • 上一篇    下一篇

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

崔佳文1,王怡超2,刘鲲鹏2,王树霞2,胡丽君2,顾非2   

  1. 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
  • 发布日期:2023-12-15
  • 通讯作者: 顾非. E-mail:gufeiking@163.com
  • 基金资助:
    上海市科学技术委员会(17401935600)

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

CUI Jiawen1, WANG Yichao2, LIU Kunpeng2, WANG Shuxia2, HU Lijun2, GU Fei2   

  1. 1. Department of Otorhinolaryngology & Head and Neck Surgery, East Hospital, Tongji University, Shanghai 200120, China2. Department of Tuina, Yueyang Hospital of Integrated Traditional Chinese and Western Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai 200437, China
  • Published:2023-12-15

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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。

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

Abstract: 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.

Key words: Pediatric adenoid hypertrophy, Tuina, Apnea and hypopnea index, Condition of ventilation, Clinical observation

中图分类号: 

  • R276.1
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