Objective To observe the clinical efficacy of tuina on the acupoints for infantile hypermyotonia. Methods Tuina on the acupoints was given to 80 cases of infantile hypermyotonia. Acupoint selection： Jianyu （肩髃LI 1...Objective To observe the clinical efficacy of tuina on the acupoints for infantile hypermyotonia. Methods Tuina on the acupoints was given to 80 cases of infantile hypermyotonia. Acupoint selection： Jianyu （肩髃LI 15）, Quchi （曲池 LI 11）, Waiguan （外关 TE 5） and Hegu （合谷LI 4） were adoted on the upper limbs, and Fengshi （风市GB 31）, Zusanli （足三里 ST 36）, Xuanzhong （悬钟GB 39）, Taixi （太溪 El 3）, T^ichang （太冲 LR 3）, Jiexi （解溪 ST 41） and Weizhong （委中 BL 40） were adopted on the lower limbs. The acupoints were pressed and rubbed rhythmically with the fingerprint surface of thumb of the doctor for 15-20 min. Then the foot-taiyang bladder meridian was rubbed and pushed, and the therapy of pinching along the spine was applied. The treatment was conducted for once a day, and treatment for 20 days was considered as one course. The muscular tension of the infantile patients was examined after each course of treatment, when the muscular tension returned to level O, the treatment can be ceased, otherwise, the treatment should be continued. Results After one course of treatment, the muscular tension of 12 infantile patients returned to level 0, accounting for 15.0% （12/80）, after two courses of treatment, the muscular tension of 56 infantile patients returned to level 0, accounting for 70.0% （56/80）, after three courses of treatment, the muscular tension of 10 infantile patients returned to level O, accounting for 12.5% （10/80）, the muscular tension of 2 infantile patients returned to level 0 after more than three courses of treatment, accounting for 2.5% （2/80）. Conclusion Tuina on the acupoints is an effective therapy for infantile hypermyotonia.展开更多
目的分析布地奈德雾化吸入联合止嗽散穴位敷贴治疗小儿支气管肺炎的效果。方法选取就诊的支气管肺炎患儿80例作为研究对象,随机分成对照组和观察组,每组40例。对照组给予布地奈德雾化吸入治疗,观察组在对照组治疗的基础上给予止嗽散穴...目的分析布地奈德雾化吸入联合止嗽散穴位敷贴治疗小儿支气管肺炎的效果。方法选取就诊的支气管肺炎患儿80例作为研究对象,随机分成对照组和观察组,每组40例。对照组给予布地奈德雾化吸入治疗,观察组在对照组治疗的基础上给予止嗽散穴位敷贴。比较2组患儿的临床疗效、肺炎症状积分、主要症状消退时间、肺功能指标、T淋巴细胞亚群(CD3^(+)、CD4^(+)、CD8^(+)和CD4^(+)/CD8^(+))水平、血清炎性细胞因子[白细胞介素-6(interleukin-6,IL-6)、γ干扰素(interferon-γ,IFN-γ)、白细胞介素-1β(interleukin-1β,IL-1β)]及不良反应的发生情况。结果治疗后,观察组的总有效率高于对照组(P<0.05);观察组的症状积分低于对照组(P<0.05);观察组的恢复时间短于对照组(P<0.05);观察组的第1秒用力呼气容积(forced expiratory volume in one second,FEV1)、最大肺活量(maximum vital capacity,VCmax)和第1秒用力呼气占用力肺活量(forced vital capacity,FVC)比率(FEV1/FVC)均高于对照组(P<0.05);2组患儿的CD4^(+)、CD4^(+)/CD8^(+)和CD3^(+)水平较治疗前均升高(P<0.05),CD8^(+)水平均降低(P<0.05),且观察组改善的幅度均大于对照组(P<0.05);2组患儿的血清IL-6、IFN-γ和IL-1β水平均降低(P<0.05),且观察组均低于对照组(P<0.05);2组不良反应总发生率比较差异无统计学意义(P>0.05)。结论布地奈德雾化吸入联合止嗽散穴位敷贴治疗小儿支气管肺炎,可改善患儿的临床症状及肺功能,降低症状积分,促进患儿恢复,还可提高患儿的免疫功能,降低患儿的血清炎性细胞因子水平,且不增加不良反应。展开更多
文摘Objective To observe the clinical efficacy of tuina on the acupoints for infantile hypermyotonia. Methods Tuina on the acupoints was given to 80 cases of infantile hypermyotonia. Acupoint selection： Jianyu （肩髃LI 15）, Quchi （曲池 LI 11）, Waiguan （外关 TE 5） and Hegu （合谷LI 4） were adoted on the upper limbs, and Fengshi （风市GB 31）, Zusanli （足三里 ST 36）, Xuanzhong （悬钟GB 39）, Taixi （太溪 El 3）, T^ichang （太冲 LR 3）, Jiexi （解溪 ST 41） and Weizhong （委中 BL 40） were adopted on the lower limbs. The acupoints were pressed and rubbed rhythmically with the fingerprint surface of thumb of the doctor for 15-20 min. Then the foot-taiyang bladder meridian was rubbed and pushed, and the therapy of pinching along the spine was applied. The treatment was conducted for once a day, and treatment for 20 days was considered as one course. The muscular tension of the infantile patients was examined after each course of treatment, when the muscular tension returned to level O, the treatment can be ceased, otherwise, the treatment should be continued. Results After one course of treatment, the muscular tension of 12 infantile patients returned to level 0, accounting for 15.0% （12/80）, after two courses of treatment, the muscular tension of 56 infantile patients returned to level 0, accounting for 70.0% （56/80）, after three courses of treatment, the muscular tension of 10 infantile patients returned to level O, accounting for 12.5% （10/80）, the muscular tension of 2 infantile patients returned to level 0 after more than three courses of treatment, accounting for 2.5% （2/80）. Conclusion Tuina on the acupoints is an effective therapy for infantile hypermyotonia.
文摘目的分析布地奈德雾化吸入联合止嗽散穴位敷贴治疗小儿支气管肺炎的效果。方法选取就诊的支气管肺炎患儿80例作为研究对象,随机分成对照组和观察组,每组40例。对照组给予布地奈德雾化吸入治疗,观察组在对照组治疗的基础上给予止嗽散穴位敷贴。比较2组患儿的临床疗效、肺炎症状积分、主要症状消退时间、肺功能指标、T淋巴细胞亚群(CD3^(+)、CD4^(+)、CD8^(+)和CD4^(+)/CD8^(+))水平、血清炎性细胞因子[白细胞介素-6(interleukin-6,IL-6)、γ干扰素(interferon-γ,IFN-γ)、白细胞介素-1β(interleukin-1β,IL-1β)]及不良反应的发生情况。结果治疗后,观察组的总有效率高于对照组(P<0.05);观察组的症状积分低于对照组(P<0.05);观察组的恢复时间短于对照组(P<0.05);观察组的第1秒用力呼气容积(forced expiratory volume in one second,FEV1)、最大肺活量(maximum vital capacity,VCmax)和第1秒用力呼气占用力肺活量(forced vital capacity,FVC)比率(FEV1/FVC)均高于对照组(P<0.05);2组患儿的CD4^(+)、CD4^(+)/CD8^(+)和CD3^(+)水平较治疗前均升高(P<0.05),CD8^(+)水平均降低(P<0.05),且观察组改善的幅度均大于对照组(P<0.05);2组患儿的血清IL-6、IFN-γ和IL-1β水平均降低(P<0.05),且观察组均低于对照组(P<0.05);2组不良反应总发生率比较差异无统计学意义(P>0.05)。结论布地奈德雾化吸入联合止嗽散穴位敷贴治疗小儿支气管肺炎,可改善患儿的临床症状及肺功能,降低症状积分,促进患儿恢复,还可提高患儿的免疫功能,降低患儿的血清炎性细胞因子水平,且不增加不良反应。
