针灸推拿医学（英文版）2025，Vol.23Issue(3)：271-278,8.DOI:10.1007/s11726-025-1510-4
推拿结合六字诀治疗肺脾气虚型腺样体肥大的随机对照临床研究
Tuina plus Liu Zi Jue for adenoid hypertrophy due to Qi deficiency of lung and spleen:a clinical randomized controlled trial
摘要
Abstract
Objective:To observe the clinical efficacy of Tuina(Chinese therapeutic massage)plus Liu Zi Jue for adenoid hypertrophy(AH)due to Qi deficiency of lung and spleen and its effects on the adenoid-nasopharyngeal cavity ratio(A/N value)and traditional Chinese medicine(TCM)constitution scale score. Methods:A total of 64 children with AH due to Qi deficiency of the lung and spleen were randomized into a trial group and a control group,with 32 cases in each group.The trial group was treated with Tuina plus Liu Zi Jue,and the control group was treated with Tuina alone.The Tuina manipulations were the same in the two groups.Tuina treatment was performed 3 times a week,with an interval of at least 1 d.Liu Zi Jue was performed 2 sets each time and 5 times a week.After 8 weeks of treatment and at the 2-month follow-up,the clinical efficacy was compared between the two groups,and the changes in the main clinical symptom score,A/N value,and TCM constitution scale score were observed. Results:After treatment,the total effective rate of the trial group and the control group was 96.9%and 93.8%,respectively.The difference between the two groups was not statistically significant(P>0.05).At the follow-up,the total effective rate of the trial group was 93.8%,higher than 90.6%in the control group(P<0.05).After treatment and at the follow-up,the main clinical symptom score in both groups was lower than that before treatment(P<0.05);at the follow-up,the main clinical symptom score in the trial group was lower than that in the control group(P<0.05).After treatment,the A/N value in both groups was lower than that before treatment(P<0.05),and the value in the trial group was lower than that in the control group;however,the difference between the two groups was not statistically significant(P>0.05).After treatment and at the follow-up,the TCM constitution scale score in both groups was lower than that before treatment(P<0.05);the score after treatment in the trial group was lower than that in the control group(P<0.05). Conclusion:Tuina plus Liu Zi Jue can effectively improve the main clinical symptoms in children with AH due to Qi deficiency of lung and spleen,reduce the A/N value and TCM constitution scale score,with stable efficacy.关键词
推拿/按摩/导引/六字诀/腺样体肥大/肺脾气虚/腺样体-鼻咽腔比率/随机对照试验Key words
Tuina/Massage/Daoyin(Guiding and Stretching)/Liu Zi Jue/Adenoid Hypertrophy/Qi Deficiency of Lung and Spleen/Adenoid-nasopharyngeal Cavity Ratio/Randomized Controlled Trial分类
医药卫生引用本文复制引用
刘金岚,冯燕华,黄菊..推拿结合六字诀治疗肺脾气虚型腺样体肥大的随机对照临床研究[J].针灸推拿医学（英文版）,2025,23(3):271-278,8.基金项目
This study was supported by the Shanghai Three-year Action Plan for Traditional Chinese Medicine(2021-2023)Project[上海市中医药三年行动计划(2021-2023)项目,No.ZY(2021-2023)-0302] （2021-2023）
High-level Key Discipline of Traditional Chinese Medicine from State Administration of Traditional Chinese Medicine:Tuina Science(国家中医药管理局高水平中医药重点学科——推拿学,No.zyyzdxk-2023061). （国家中医药管理局高水平中医药重点学科——推拿学,No.zyyzdxk-2023061）
