小儿推拿治疗儿童过敏性鼻炎肺脾气虚型30例临床观察

Clinical observation on 30 cases of children’s allergic rhinitis of lung and spleen qi deficiency type treated by pediatric tuina

目的观察小儿推拿治疗儿童过敏性鼻炎肺脾气虚型的临床疗效。方法选取2021年1—12月在宁夏医科大学附属银川市中医医院儿科门诊就诊的过敏性鼻炎肺脾气虚型患儿60例,按照随机数字表法分为治疗组和对照组,各30例。对照组予盐酸左西替利嗪口服溶液和玉屏风颗粒口服,连续用药1个月;治疗组予小儿推拿治疗,每日1次,连续6次为1个疗程,每个疗程之间休息1 d,共治疗4个疗程。结果治疗组总有效率为93.33%(28/30),对照组为83.33%(25/30),2组比较,差异无统计学意义(P>0.05)。治疗前,2组中医证候评分比较,差异无统计学意义(P>0.05),具有可比性;治疗后2组中医证候评分均明显降低,与同组治疗前比较,差异均有统计学意义(P<0.05),且治疗组的鼻塞、头昏头重、倦怠纳差、大便稀溏评分降低更显著(P<0.05)。治疗结束后3个月,对2组总有效例数进行随访,对照组复发率为32.00%(8/25),治疗组为7.14%(2/28),2组复发率比较,差异有统计学意义(P<0.05)。结论小儿推拿治疗儿童过敏性鼻炎肺脾气虚型,可显著改善患儿临床症状,疗效确切,且复发率较低,值得临床推广应用。

Objective To observe the clinical efficacy of pediatric tuina in treating children with allergic rhini-tis of lung and spleen qi deficiency type.Methods 60 cases of children with allergic rhinitis of lung and spleen qi deficiency type who attended the pediatric outpatient clinic of The Affiliated TCM Hospital of Ningxia Medical Uni-versity from January to December 2021 were selected and divided into a treatment group and a control group accord-ing to the random number table method,each with 30 cases.The control group was given levocetirizine hydrochlo-ride oral solution and Yupingfeng granules orally for 1 month;the treatment group was given pediatric tuina therapy once a day for 6 consecutive sessions,with 1 day of rest in between each session,for a total of 4 sessions.Results The total effective rate was 93.33%(28/30)in the treatment group and 83.33%(25/30)in the control group,and the difference between the 2 total effective rates was not statistically significant after statistical analysis(P>0.05).Before treatment,the TCM scores of the 2 groups were comparable with no statistical significance(P>0.05);after treatment,the TCM scores of the 2 groups were significantly reduced,and the difference was statistically significant(P<0.05)when compared with that of the same group before treatment,and the reduction of nasal congestion,diz-ziness,dizziness and heaviness,tiredness and nausea,and the score of loose stools and total score of the treatment group was more significant,and when compared with that of the control group after treatment,the difference was sta-tistically significant(P<0.05).Three months after the end of treatment,the total number of effective cases in the two groups was followed up,and the relapse rate was 32.00%(8/25)in the control group and 7.14%(2/28)in the treatment group,and the difference was statistically significant when comparing the relapse rates of the two groups(P<0.05).Conclusion Pediatric tuina treatment of allergic rhinitis in children with deficiency of lung and spleen qi deficiency type can significantly improve the clinical symptoms of children,the efficacy is accurate and not easy to recur,and it is worth to be promoted and applied in the clinic.