小儿推拿联合中药熏鼻方对腺样体肥大患儿疗效及睡眠质量的影响

Effect of Pediatric Massage Combined with Traditional Chinese Medicine Fumigating Nasal Formula on the Efficacy and Sleep Quality of Children with Adenoid Hypertrophy

目的:观察小儿推拿联合中药熏鼻方对腺样体肥大患儿疗效及睡眠质量的影响。方法:选取2022年5月至2023年5月福建省福州市中医院儿科收治的腺样体肥大患儿72例作为研究对象,按照随机数字表法分为对照组和观察组,每组36例。2组均行常规西药治疗,对照组应用中药熏鼻方治疗,观察组应用中药熏鼻方联合小儿推拿治疗。统计2组疗效,评价2组患儿治疗前后中医证候积分、匹兹堡睡眠质量指数(PSQI)评分、儿童OSAHS疾病特异性生命质量调查量表(OSA-18)评分。结果:对照组总有效率72.20%(26/34),观察组总有效率94.43%(34/36),观察组疗效优于对照组(P<0.05)。治疗后,2组中医证候积分、PSQI评分、OSA-18评分较本组治疗前均降低,且观察组治疗后较对照组更低(P<0.05)。结论:小儿推拿联合中药熏鼻方治疗腺样体肥大患儿临床效果确切,能显著改善中医症状,提高睡眠质量与生命质量。

Objective:To observe the effect of pediatric massage combined with traditional Chinese medicine nasal fumigation on the efficacy and sleep quality of children with adenoid hypertrophy.Methods:A total of 72 children with adenoid hypertrophy admitted to department of pediatrics,Fuzhou Traditional Chinese Medicine Hospital,Fujian province from May 2022 to May 2023 were enrolled as the research subjects and divided into an observation group and a control group using a random number table method,with 36 cases in each group.Both groups received conventional western medicine treatment,with the control group treated with traditional Chinese medicine nasal fumigation and the observation group treated with traditional Chinese medicine nasal fumigation combined with pediatric massage.The total effective rate of treatment was calculated for both groups,and the traditional Chinese medicine symptom scores,sleep quality scores(PSQI),and quality of life scores(OAS-18)were evaluated before and after treatment in both groups.Results:The total effective rate in the control group was 72.20%,and the total effective rate in the observation group was 94.43%(P<0.05).After treatment,the scores for traditional Chinese medicine symptoms,PSQI,and OSA-18 decreased in both groups,with the observation group having lower scores than the control group(P<0.05).Conclusion:Pediatric massage combined with traditional Chinese medicine nasal fumigation has ideal clinical effects in the treatment of children with adenoid hypertrophy,significantly reducing traditional Chinese medicine symptom scores and improving sleep quality and quality of life.