Journal of Otolaryngology and Ophthalmology of Shandong University ›› 2023, Vol. 37 ›› Issue (6): 133-138.doi: 10.6040/j.issn.1673-3770.0.2022.230

• Clinical Study • Previous Articles     Next Articles

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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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

CLC Number: 

  • R276.1
[1] Liu Xiuxiu, Jiang Zhiyan, Xiao Zhen, et al. Meta-analysis of Chinese medicine in the treatment of adenoidal hypertrophy in children[J]. European archives of oto-rhino-laryngology, 2019, 276(1): 203-208. doi: 10.1007/s00405-018-5113-2
[2] Wang PL, Kong WD, Shan YC. The efficacy and safety of Chinese herbal compound or combined with western medicine for pediatric adenoidal hypertrophy: a protocol for systematic review and meta-analysis[J]. Medicine, 2020, 99(36): 22023. doi:10.1097/MD.0000000000022023
[3] 谷婷婷, 刘岩, 张悦, 等. 内舒拿联合孟鲁司特钠治疗腺样体肥大的Meta分析[J]. 山东大学耳鼻喉眼学报, 2021, 35(1): 47-55. doi: 10.6040/j.issn.1673-3770.0.2020.181 GU Tingting, LIU Yan, ZHANG Yue, et al. Nasonex and montelukast sodium in the treatment of adenoidal hypertrophy: a Meta-analysis[J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2021, 35(1): 47-55. doi: 10.6040/j.issn.1673-3770.0.2020.181
[4] Li M. Related factors analysis of moderate-severe adenoidal hypertrophy with OSAS children by surgery[J]. Int J Pediatr, 2017, 44: 901-903. doi:10.3760/CMA.J.ISSN.1673-4408.2017.12.021
[5] 苏丹, 卢亚芳. 孟鲁司特治疗不同程度腺样体肥大患儿阻塞性睡眠呼吸暂停低通气综合征的效果研究[J]. 中国医学前沿杂志(电子版), 2016, 8(12): 116-121. doi:10.12037/YXQY.2016.12-27 SU Dan, LU Yafang. Different effect research of Montelukast in the treatment of children with obstructive sleep apnea hypop-nea syndrome caused by different degree adenoid hypertrophy[J]. Chinese Journal of the Frontiers of Medical Science(Electronic Version), 2016, 8(12): 116-121. doi:10.12037/YXQY.2016.12-27
[6] Ochijewicz D, Rdzanek A, Przybyowski T, et al. Influence of apnea hypopnea index and the degree of airflow limitation on endothelial function in patients undergoing diagnostic coronary angiography[J]. Biology, 2022, 11(3): 457. doi:10.3390/biology11030457
[7] 南海静. 扁桃体腺样体肥大患儿睡眠变化相关因素及术后分析[J]. 中国医学文摘(耳鼻咽喉科学), 2021, 36(5): 49-51. doi:10.19617/j.issn1001-1307.2021.05.49 NAN Haijing. Factors related to sleep changes in children with tonsil adenoid hypertrophy[J]. Chinese Medical Digest(Otorhinolaryngology), 2021, 36(5): 49-51. doi:10.19617/j.issn1001-1307.2021.05.49
[8] 喻益峰, 王建伟, 安光辉, 等. “肺脾同治”在小儿推拿治疗腺样体肥大中的应用[J]. 山东中医杂志, 2021, 40(4): 417-419, 424. doi:10.16295/j.cnki.0257-358x.2021.04.018
[9] 王怡超. 推拿治疗小儿腺样体肥大临床疗效研究[D]. 上海: 上海中医药大学, 2019
[10] 江载芳. 实用小儿呼吸病学[M]. 北京: 人民卫生出版社, 2010
[11] 贺红. 《阻塞性睡眠呼吸暂停低通气综合征与口腔正畸:美国口腔正畸医师协会白皮书》解读[J]. 中华口腔医学杂志, 2020, 55(9): 667-672. doi:10.3760/cma.j.cn112144-20191224-00465 HE Hong. Interpretation of “obstructive sleep apnea and orthodontics: an American association of orthodontists white paper”[J]. Chinese Journal of Stomatology, 2020, 55(9): 667-672. doi:10.3760/cma.j.cn112144-20191224-00465
[12] 何新凤. 孟鲁司特钠联合糠酸莫米松鼻喷剂治疗腺样体肥大患儿对通气及睡眠质量的影响[J]. 世界睡眠医学杂志, 2021, 8(6): 1024-1025. doi: 10.3969/j.issn.2095-7130.2021.06.042 HE Xinfeng. Effect of montelukast sodium combined with momethasone furoate nasal spray on ventilation status and sleep quality in children with adenoid hypertrophy[J]. World Journal of Sleep Medicine, 2021, 8(6): 1024-1025. doi: 10.3969/j.issn.2095-7130.2021.06.042
[13] 曾楠, 严尚, 李烁, 等. 1761例儿童便携式睡眠监测结果数据分析[J]. 中国耳鼻咽喉头颈外科, 2021, 28(9): 565-568. doi:10.16066/j.1672-7002.2021.09.010 ZENG Nan, YAN Shang, LI Shuo, et al. Analysis of portable sleep monitoring data of 1761 children[J]. Chinese Archives of Otolaryngology-Head and Neck Surgery, 2021, 28(9): 565-568. doi:10.16066/j.1672-7002.2021.09.010
[14] 冯娟, 石海莎, 张娟, 等. 玉屏风散合补中益气汤联合鼻喷激素药物治疗小儿腺样体肥大临床研究[J]. 新中医, 2022, 54(6): 62-67. doi:10.13457/j.cnki.jncm.2022.06.015 FENG Juan, SHI Haisha, ZHANG Juan, et al. Clinical study on yupingfeng powder combined with buzhong Yiqi Tang and nasal spray hormone medicine for adenoid hypertrophy in children[J]. New Chinese Medicine, 2022, 54(6): 62-67. doi:10.13457/j.cnki.jncm.2022.06.015
[15] 李小英, 张晓晴. 儿童阻塞性睡眠呼吸暂停综合征腺样体及扁桃体切除术后疗效影响因素研究进展[J]. 现代医药卫生, 2020, 36(16): 2568-2571. doi: 10.3969/j.issn.1009-5519.2020.16.026
[16] Zerpa Zerpa V, Carrasco Llatas M, Agostini Porras G, et al. Drug-induced sedation endoscopy versus clinical exploration for the diagnosis of severe upper airway obstruction in OSAHS patients[J]. Sleep Breath, 2015, 19(4): 1367-1372. doi:10.1007/s11325-015-1266-z
[17] 刘燕, 魏萍, 寇巍, 等. 儿童腺样体肥大与耳鼻咽喉科常见疾病关系的研究进展[J]. 山东大学耳鼻喉眼学报, 2019, 33(4): 149-154. doi: 10.6040/j.issn.1673-3770.0.2018.266 LIU Yan, WEI Ping, KOU Wei, et al. Research of the relationship between adenoid hypertrophy and the common diseases of pediatric otolaryngology[J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2019, 33(4): 149-154. doi: 10.6040/j.issn.1673-3770.0.2018.266
[18] 杨美侠, 孙文海, 韩玉娥. 腺样体肥大病儿多导睡眠监测分析[J]. 齐鲁医学杂志, 2012, 27(3): 269-270. doi: 10.11712/qlyx201203028 YANG Meixia, SUN Wenhai, Han Yu'e. Polysomnography analyses of children with adenoid hypertrophy[J]. Medical Journal of Qilu, 2012, 27(3): 269-270 doi: 10.11712/qlyx201203028
[19] 庞怀霞, 郝丽娟, 马祯, 等. 观察家庭睡眠监测仪在小儿阻塞性睡眠呼吸暂停低通气综合征中的应用效果[J]. 世界睡眠医学杂志, 2022, 9(4): 686-688, 692. doi: 10.3969/j.issn.2095-7130.2022.04.033 PANG Huaixia, HAO Lijuan, MA Zhen, et al. To Observe the Effect of Home Sleep Monitor in Children with Obstructive Sleep Apnea Hypopnea Syndrome[J]. World Journal of Sleep Medicine, 2022, 9(4): 686-688, 692. doi: 10.3969/j.issn.2095-7130.2022.04.033
[20] Xiao LN, Barrowman N, Momoli F, et al. Risk factors for respiratory adverse events after adenoidectomy and tonsillectomy in children with down syndrome: a retrospective cohort study[J]. Eur J Pediatr, 2022, 181(6): 2399-2408. doi:10.1007/s00431-022-04438-3
[21] Yang YC, Li XY, Ma Q, et al. Detecting epidemiological relevance of adenoid hypertrophy, rhinosinusitis, and allergic rhinitis through an Internet search[J]. Eur Arch Otorhinolaryngol, 2022, 279(3): 1349-1355. doi:10.1007/s00405-021-06885-4
[22] Hussid MF, Lopes LF, Trombetta IC. 117. allergic rhinitis and adenotonsillar hypertrophy as risk factors for sleep apnea in adolescents[J]. J Adolesc Heal, 2020, 66(2): S60-S61. doi:10.1016/j.jadohealth.2019.11.120
[23] Wang ZX, Lin F, Li LS, et al. Analysis of sensitization spectrum and clinical features of children with adenoid hypertrophy and perennial rhinitis[J]. Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi, 2019, 33(4): 351-353. doi:10.13201/j.issn.1001-1781.2019.04.015
[24] 杨晓祥, 覃敏. 哮喘儿童睡眠障碍的研究进展[J]. 世界睡眠医学杂志, 2021, 8(3): 555-558. doi: 10.3969/j.issn.2095-7130.2021.03.076 YANG Xiaoxiang, TAN Min. Research progress on sleep disorders in asthmatic children[J]. World Journal of Sleep Medicine, 2021, 8(3): 555-558. doi: 10.3969/j.issn.2095-7130.2021.03.076
[25] 邓依兰, 薛明新. 近5年来中西医诊治儿童腺样体肥大的研究进展[J]. 现代中西医结合杂志, 2021, 30(20): 2272-2275, 2280. doi: 10.3969/j.issn.1008-8849.2021.20.024
[26] 林家华. 扶正清咽推拿法治疗儿童腺样体肥大的临床疗效观察[D]. 广州: 广州中医药大学, 2021
[27] 黄建山, 戴秀霞. 观察小儿推拿联合穴位贴敷改善腺样体肥大患儿睡眠质量的效果[J]. 世界睡眠医学杂志, 2022, 9(2): 285-287. doi: 10.3969/j.issn.2095-7130.2022.02.034 HUANG Jianshan, DAI Xiuxia. To observe the effect of pediatric massage combined with acupoint application on improving sleep quality in children with adenoid hypertrophy[J]. World Journal of Sleep Medicine, 2022, 9(2): 285-287. doi: 10.3969/j.issn.2095-7130.2022.02.034
[28] 赵丽霞. 按揉腺样体体表投影区配合小儿推拿治疗儿童鼾眠验案[J]. 中国民间疗法, 2022, 30(10): 104-106. doi:10.19621/j.cnki.11-3555/r.2022.1034
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