Clinical efficacy observation on pediatric massage for chronic cough in children

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. 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。