推拿结合运动治疗偏颇体质儿童哮喘缓解期效果观察

Observation on Therapeutic Effect of Massage Combined with Exercise Therapy in Children’s Bronchial Asthma in Catabasis with Biased Constitution

目的:探讨小儿推拿结合运动疗法对哮喘缓解期儿童偏颇体质的影响,为小儿哮喘缓解期的中医防治提供依据。方法:选择2019年1月-2020年1月就诊于本院的哮喘缓解期偏颇体质儿童90例,按入组先后顺序将患儿分为综合组、推拿组和对照组,各30例。对照组给予西药常规治疗,推拿组及综合组在对照组基础上,根据体质辨识制定个体化治疗方案,分别再予以推拿、推拿结合运动治疗。比较治疗3、6个月三组偏颇质评分、肺功能及呼出气一氧化氮水平变化。结果:治疗3、6个月,推拿组及综合组偏颇体质评分均逐渐降低,与对照组比较,差异均有统计学意义(P<0.05);治疗3个月,推拿组、综合组与治疗前比较,差异均有统计学意义(P<0.05);治疗6个月,推拿组、综合组与治疗3个月比较,差异均有统计学意义(P<0.05)。治疗6个月,综合组FEV1/FVC%、FVC%、FEF25%、FEF50%、FEF75%、FeNO与治疗前比较,FVC%、FEF50%、FEF75%与对照组比较,差异均有统计学意义(P<0.05)。结论:小儿推拿结合运动疗法能够改善哮喘缓解期患儿偏颇体质状态,改善哮喘患儿的阻塞性病变及小呼吸道功能,且随着治疗时间延长,疗效更为显著。

Objective:To explore the influence of massage combined with exercise therapy on children’s biased constitution in asthma remission stage,to provide the basis for treatment of asthma in remission stage.Method:A total of 90 children with asthma in remission stage and biased constitution from January 2019 to January 2020 were selected,the children divided into comprehensive group,massage group and control group according to the order of enrollment,30 cases in each group.The control group received conventional treatment with western medicine,the massage group and the comprehensive group developed individual treatment plans based on the control group,according to the constitution identification,gave massage and massage combined with exercise treatment respectively.The changes of the biased constitution score,lung function and fractional exhaled nitric oxide,were compared among the three groups at 3 and 6 months after treatment.Result:After 3 and 6 months of treatment,the biased constitution scores of the massage group and the comprehensive group gradually decreased,the differences were statistically significant compared with the control group(P<0.05).After 3 months of treatment,the difference between the massage group and the comprehensive group was statistically significant(P<0.05).After 6 months of treatment,there were statistically significant differences between the massage group and the comprehensive group treatment after 3 months(P<0.05).After 6 months of treatment,FEV1/FVC%,FVC%,FEF25%,FEF50%,FEF75%and FeNO in the comprehensive group were compared with those before treatment,and FVC%,FEF50%and FEF75%were compared with those in the control group,the differences were statistically significant(P<0.05).Conclusion:Children massage combined with exercise therapy can improve the biased constitutional status of children with asthma in remission stage,improve the obstructive lesions and small respiratory tract function of children with asthma,the curative effect is more significant with the extension of treatment time.