小儿推拿治疗风寒袭肺型咳嗽患儿的临床疗效及影响因素分析

Clinical Efficacy and Influencing Factors of Children with Pulmonary Cough

目的:评估小儿推拿治疗0~6岁风寒袭肺型咳嗽患儿的临床疗效,并分析影响因素。方法:选取2019年1月1日—2020年12月31日就诊于上海市浦东新区中医医院儿科与推拿科门诊的204例风寒袭肺型咳嗽患儿,将其分为暴露组(n=152)和对照组(n=52)。对照组单纯采用中西医综合治疗方法,暴露组在对照组治疗方法的基础上运用小儿推拿治疗,比较两组患儿临床疗效。对暴露组患儿疗效进行单因素和多因素logistic回归分析,探讨影响小儿推拿疗效的影响因素。结果:暴露组患儿临床总体疗效高于对照组,差异有统计学意义(Z=1.211,P<0.05)。单因素方差分析结果显示,临床疗效与不同的咳嗽天数、咳嗽特点和伴随症状相关,差异有统计学意义(P<0.05),与性别、年龄无相关性,差异无统计学意义(P>0.05)。结论:小儿推拿可有效改善0~6岁患儿的咳嗽症状,其中咳嗽天数、咳嗽特点和伴随症状是影响0~6岁患儿咳嗽疗效的主要因素。

OBJECTIVE To evaluate the therapeutic effect and safety of infantile massage in the treatment of cough in children aged 0~6 years old. METHODS 204 children with pulmonary cough in the Department of Pediatrics and Massage department of Shanghai Pudong New Area Hospital from January 1 January 2019 to 31 December 2020 were divided into exposed group( n=152)and control group( n=52). The control group simply used the comprehensive treatment method of traditional Chinese and western medicine, and the exposed group used the pediatric massage treatment on the basis of the control group to compare the clinical efficacy of the two groups. A univariate and multivariate logistic regression analysis was performed on the efficacy of children in the exposed group to explore the factors influencing the efficacy of massage in children. RESULTS The overall clinical efficacy of the children in the exposed group was higher than that of the control group( Z=1.211, P<0.05). The results of one-way ANOVA suggested that clinical efficacy was associated with different cough days, cough characteristics and accompanying symptoms, with statistical difference( P<0.05), no correlation with sex or age, and no significant difference( P> 0.05). CONCLUSION Pediatric massage can effectively improve the cough condition of children aged 0 to 6 years old, among which cough days, cough characteristics and accompanying symptoms were the main factors affecting the cough effect of children aged 0 to 6 years old.