Clinical efficacy observation on pediatric massage for chronic cough in children

小儿推拿治疗儿童慢性咳嗽的临床疗效观察

Objective To observe the clinical efficacy of pediatric massage(tuina)for chronic cough in children.Methods A total of 96 cases were randomized into a control group and an observation group,with 48 cases in each group.Cases in the control group received routine pediatric massage manipulations.Cases in the observation group received additional Mo-rubbing abdomen manipulation.The treatment was done 3 times a week and 12 times made up a treatment session.The cough symptom scores were evaluated before treatment and after 3,6,9 and 12 treatments respectively.Results There were 8 dropouts in the observation group and 5 dropouts in the control group.Before treatment,there was no statistical difference in coughing score between the two groups(P>0.05).After 9 times of treatment,the total coughing scores were significantly reduced in both groups(both P<0.05);however,there were no statistical differences between the two groups in the score differences between before treatment and after 3,6 and 9 times of treatment(all P>0.05).After 12 times of treatment,the total coughing scores were significantly reduced in both groups(both P<0.05),along with a statistical difference between the two groups in the score difference between before treatment and after 12 times of treatment(P<0.05).There was a statistical difference between the two groups in overall response(P<0.05).The total effective rate in the observation group was 92.5%,versus 86.0%in the control group,showing a statistical difference(P<0.05).Conclusion The routine pediatric massage manipulations alone or in combination with Mo-rubbing abdomen manipulation both can significantly improve chronic cough in children;however,the combination obtains a better effect.

目的:观察小儿推拿治疗儿童慢性咳嗽的临床疗效.方法:将96例患儿随机分为对照组和观察组,每组48例.对照组予常规小儿推拿手法治疗,观察组在常规小儿推拿手法基础上加用摩腹法.每周3次,12次为1个疗程,在治疗前及治疗3、6、9和12次后分别进行咳嗽评分.结果:观察组脱落8人,对照组脱落5人.治疗前两组咳嗽评分无统计学差异(P>0.05).治疗9次后两组患者的咳嗽总分均显著降低(均P<0.05),但两组治疗前与治疗3次、6次及9次后的咳嗽总分差值均无统计学差异(均P>0.05).治疗12次后,两组咳嗽总分均与本组治疗前有统计学差异(均P<0.05);两组治疗前与治疗12次后的咳嗽总分差值有统计学意义(P<0.05).总体疗效组间差异有统计学意义(P<0.05).观察组总有效率92.5%,对照组总有效率86.0%,两组总有效率有统计学差异(P<0.05).结论:常规小儿推拿手法单独或配合摩腹手法均能有效改善慢性咳嗽患儿的症状,但后者疗效更好.