Abstract
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.
【摘要】
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。
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Acknowledgments
This work was supported by 2017 Shanghai Upgrading Project for Characteristic Technology of Traditional Chinese Medicine Diagnosis and Treatment (上海市2017年度中医 特色诊疗技术提升项目, No. zyjx-2017042).
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Author: An Yang-yang, M.M., resident physician
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Informed consent was obtained from the guardians of the recruited children in this study.
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Yang-yang, A., Xu, Z., Guo-chuan, Y. et al. Clinical efficacy observation on pediatric massage for chronic cough in children. J. Acupunct. Tuina. Sci. 19, 219–225 (2021). https://doi.org/10.1007/s11726-021-1248-6
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DOI: https://doi.org/10.1007/s11726-021-1248-6