结合脏腑点穴的海派儿科推拿手法治疗儿童腺样体肥大疗效观察

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关键词：脏腑点穴；海派儿科推拿手法；肺脾气虚型；腺样体肥大；生活质量；安全性中图分类号：R244.1 文献标志码：A 文章编号：1007-3213（2025）11-2783-06DOI：10.13359/j.cnki. gzxbtcm.2025.11.023

Abstract：Objective Toevaluate the clinical eficacyof Shanghai-stylepediatric tuinacombined with visceral acupoint manipulation in children with adenoid hypertrophy（AH）of lung-spleen qi deficiency type.Methods Sixty-sixAHchildren with lung-spleenqi deficiency treatedatFoshan Hospitalof Traditional Chinese Medicine from December 2023 to December 2024 were randomized into trial group（ n =33，receiving Shanghai-style tuina + visceral acupoint manipulation） and control group （ n=33 ，receiving conventional tuina） for 2 weeks. Traditional Chinese medicine （TCM） syndrome scores （primary/secondary symptoms），Disease-Specific Quality of Life for Children with Obstructive Sleep Apnea 18-item Survey（OSA-18） scores，and endoscopic adenoid obstruction scores Wereobserved before andafter treatment，andtheclinicaleficacyand safetywere evaluated.Results（1）After two weeks of treatment，the total effective rate was 93.94% （31/33）in the trial group versus 72.73% （24/33） in thecontrol group.The intergroup comparison （bychi-square test）showed thatthe efficacy in the trial group was superior to that in the control group （ P<0.05 ）.（2）After treatment，both groups showed reduction in the primary TCM symptom score and secondary TCM symptom score （ P<0.01 ），with greater reductions in the trial group （ P<0.05 or P<0.01 ）.（3）After treatment，OSA-18 scores were decreased in both groups （ （P<0.01 ），with greater reductions in the trial group（ P<0.01 ）.（4）After treatment，adenoid obstruction scores were improved in both groups （ P<0.01 ），with superior outcomes in the trial group （ ⌈P<0.05 ）.（5）No adverse events （e.g.，myalgia， pruritus，alergy）were reported in either group.Conclusion Shanghai-style tuina combined with visceral acupoint manipulation effctively improves clinical symptomsandqualityof life inAH children with lung-spleen qi deficiency syndrome，demonstrating high safety.

Keywords：visceral acupoint manipulation；Shanghai-style pediatric tuina；lung-spleen qi deficiency type; adenoid hypertrophy（AH）；quality of life；safety

腺样体肥大（adenoid hypertrophy，AH）是常见的儿童疾病，一般表现为鼻塞、张口呼吸、睡眠打鼾等症状，6～7岁时症状明显，近年来该病的发病率呈升高趋势，在部分地区的儿童中可高达34%[1] 。（剩余9256字）