(Peer-Reviewed) Therapeutic efficacy observation of Tuina manipulation for pediatric adenoid hypertrophy
Kun-peng Liu 刘鲲鹏 ¹, Jia-wen Cui 崔佳文 ², Fei Gu 顾非 ¹, Min Fang 房敏 ³, Yi-chao Wang 王怡超 ¹, Shu-xia Wang 王树霞 ¹, Cheng Wang 王成 ¹, Jun-liang Wang 王峻良 ¹, Chao Zhou 周超 ¹, Deng-jun Ji 吉登军 ¹, Ya-zhou Li 李亚洲 ¹, Li-jun Hu 胡丽君 ¹
¹ Yueyang Hospital of Integrated Traditional Chinese and Western Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai, 200437, China
中国 上海 上海中医药大学附属岳阳中西医结合医院
² East Hospital, Tongji University, Shanghai, 200120, China
中国 上海 同济大学附属东方医院
³ School of Acupuncture-moxibustion and Tuina, Shanghai University of Traditional Chinese Medicine, Shanghai, 201203, China
中国 上海 上海中医药大学针灸推拿学院
Objective
To observe the clinical efficacy of Tuina (Chinese therapeutic massage) manipulation for pediatric adenoid hypertrophy (AH).
Methods
A total of 60 children with AH were randomized into an observation group and a medication group, with 30 cases in each group. The observation group was treated with pediatric Tuina treatment, and the medication group was treated with 0.05% mometasone furoate nasal spray. The changes of main clinical symptom score, quality of life (QOL) score and X-ray nasopharynx lateral film were observed, and the clinical efficacy was evaluated.
Results
The total effective rate of the observation group was 90.0%, and that of the medication group was 66.7%. The difference between the two groups was statistically significant (P<0.05). After treatment, the A/N value [ratio of adenoid thickness (A) and nasopharyngeal cavity width (N)] of posterior nasopharyngeal lateral film did not show significant change in either group (P>0.05). After treatment, the clinical symptom scores in both groups decreased, and the intra-group differences were statistically significant (P<0.001), but there was no statistical difference between the two groups (P>0.05). After treatment, the QOL scores of children in both groups decreased, and the intra-group differences were statistically significant (P<0.001), and the difference between the two groups was statistically significant (P<0.001).
Conclusion
Tuina manipulation is effective in treating pediatric AH, and produces a better effect in improving traditional Chinese medicine symptoms and QOL than 0.05% mometasone furoate nasal spray.
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