Observation on the Therapeutic Effect of Shanghai-Style Pediatric Tuina Combined with Visceral Acupoint Manipulation for Children with Adenoid Hypertrophy
10.13359/j.cnki.gzxbtcm.2025.11.023
- VernacularTitle: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
- Author:
Hailing WANG
1
;
Shengqiang ZHANG
Author Information
1. 广州中医药大学第八临床医学院,广东佛山 528000
- Keywords:
visceral acupoint manipulation;
Shanghai-style pediatric tuina;
lung-spleen qi deficiency type;
adenoid hypertrophy(AH);
quality of life;
safety
- From:
Journal of Guangzhou University of Traditional Chinese Medicine
2025;42(11):2783-2788
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the clinical efficacy of Shanghai-style pediatric tuina combined with visceral acupoint manipulation in children with adenoid hypertrophy(AH)of lung-spleen qi deficiency type.Methods Sixty-six AH children with lung-spleen qi deficiency treated at Foshan Hospital of 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 were observed before and after treatment,and the clinical efficacy and safety were 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 the control group.The intergroup comparison(by chi-square test)showed that the 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,allergy)were reported in either group.Conclusion Shanghai-style tuina combined with visceral acupoint manipulation effectively improves clinical symptoms and quality of life in AH children with lung-spleen qi deficiency syndrome,demonstrating high safety.
