Abstract: Objective To analyze the impact of traditional Chinese medical massage on PEF and C-ACT score in children with bronchial asthma. Methods Eighty-eight children with bronchial asthma who were admitted to our hospital from July 2018 to July 2020 were selected and were grouped with the method of single-blind random sampling (44 cases in each group). The patients in the control group received conventional western medicine treatment, and the patients in the experimental group received traditional Chinese medical massage therapy on the basis of the control group. The clinical efficacy, disappearance time of clinical symptoms, PEF, C-ACT score, and serum inflammatory factors of the two groups were compared. Results The total effective rate in the experimental group [95.45% (42/44)] was higher than that in the control group [70.45% (31/44)] (P<0.05), the disappearance time of wheezing rale, gurgling with sputum, cough, and gasp in the experimental group were shorter than those in the control group, the PEF and C-ACT score of the experimental group after treatment for 14 d were higher than those of the control group, the levels of serum IL-6, CRP, and TNF-a of the experimental group after treatment for 14 d were lower than those of the control group, with statistically significant differences (all P<0.001). Conclusion Traditional Chinese medical massage could effectively improve the pulmonary symptoms of children with bronchial asthma and inhibit the release of inflammatory mediators, which presented obvious curative effect and was worth learning.

Key words: Traditional Chinese medical massage, Children with bronchial asthma, Clinical effect, Lung function, Inflammatory response

摘要： 目的 分析中医推拿对小儿支气管哮喘患者PEF以及C-ACT评分的影响。方法 选定本院2018年7月至2020年7月收治的88例支气管哮喘患儿,以单盲随机抽样法分组(每组病例数44例),参照组采纳常规西药治疗,试验组在参照组基础上采纳中医推拿治疗,对比两组临床疗效、临床症状消失时间、PEF、C-ACT评分、血清炎性因子。结果 试验组临床总有效率[95.45%(42/44)]高于参照组[70.45%(31/44)](P<0.05),试验组哮鸣音、痰鸣音、咳嗽、喘息消失时间均短于参照组,试验组治疗14 d后PEF、C-ACT评分均高于参照组,试验组治疗14 d后血清IL-6、CRP、TNF-a因子水平均低于参照组(均P<0.001)。结论 中医推拿可有效改善支气管哮喘患儿肺部症状,抑制炎症介质释放,疗效确切,值得借鉴。

关键词: 中医推拿, 小儿支气管哮喘, 临床疗效, 肺功能, 炎症反应