| Objective: On the basis of the literature research and the investigation and research,by the clinical study,to observe the clinical efficacy of massage in the treatment of recurrent.respiratory tract infection in children,to provide a safe and effective green therapy for the prevention and treatment of children with recurrent respiratory tract infection.Methods: Retrieval literature,to study the literature of recurrent respiratory tract infection in children.Statistics the frequency of application of acupoints and the distribution of acupoints in children with recurrent respiratory tract infection.Using Delphi,draft a questionnaire on massage therapy for children with recurrent respiratory infections(first round of expert questionnaires),send and return questionnaires to 24 experts nation wide,statistical analysis of the findings.To collect 80 cases of recurrent respiratory infection of lung and spleen deficiency type which met the diagnostic criteria,inclusion criteria and exclusion criteria.All subjects were randomly divided into treatment group and control group according to computer generated random numbers,each group of 40 cases.The treatment group was given massage therary,the next day massage 1 times,10 days,1courses.A total of 3 courses of treatment a course of treatment for a Period of10 days,3 courses of treatment.The control group is treated with Yu Ping Feng Particles,three times a day,one month is 1 treatment course.The course of treatment was followed up at 3 months.The total effective rate,grade of illness,symptom score of TCM,serum immunoglobulin,T lymphocyte subsets,and the rate of recurrence at 3 months after treatment were observed before and after treatment in two groups.We use statistical software SPSS22.0 to statistical of the data.Results:(1)Frequency of acupoint application: Treatment of children with recurrent respiratory tract infection with the highest frequency of 6points are Zusanli,spine,lung,spleen,gossip,Feishu.(2)Point selection principle: The main points of massage in children are acupuncture point and acupuncture point,which is the principle of selecting acupoints for treating RRTI.(3)Acupoint manipulation of lung qi deficiency syndrome: In the spleen,after kneading Zusanli,chiropractic,rubbing,kneading Feishu,Pishu Shunyun in gossip,pushing three,lung,kidney,complement by rubbing danzhong is included.(4)Total effective rate: After treatment,the total effective rate of the two groups was compared,the difference was statistically significant(P<0.05).(5)Disease grade: After treatment,the incidence,grade and course of disease were compared between the two groups,the difference was statistically significant(P<0.05).(6)All TCM symptom scores: After treatment between the two groups the symptom score,shortness of breath,loose stools,two TCM syndrome(P>0.05),the difference was not statistically significant;Huang Shaohua,repeatedly exopathy,emaciation,sweating,less gas lazy words,anorexia 6 TCM syndrome(P < 0.05),the difference was statistically significant.(7)TCM symptom score: After treatment,the TCM syndrome scores of two groups were compared,the difference was statistically significant(P<0.05).(8)Immune index: After treatment,the IgA and IgG of the two grouPs were comPared,the difference was statistically significant(P<0.05);comPared with the two grouPs after treatment,the difference of IgM between the two grouPs was statistically significant(P>0.05);after treatment,the CD3 and CD4 of the two grouPs were comPared,the difference was not statistically significant(P>0.05);after treatment,the CD8 and CD4/CD8 of the two grouPs were comPared,the difference was statistically significant(P<0.05).(9)The recurrence rate was followed up 3months after treatment:The average incidence of the two groups was 3 months after the end of the treatment,the difference was statistically significant(P<0.05).Conclusion:(1)The spine,Zusanli,lung,spleen,lung in gossip,Yu as the main points for the treatment of children with recurrent respiratory tract infection;The main points of massage in children are acupuncture point and acupuncture point,which is the principle of selecting acupoints for treating RRTI.(2)Three Points,lung meridian,sPleen meridian,kidney meridian,acuPoint Tanzhong,gossiP,Feishu,Pishu,Zusanli,abdomen,sPine of lungand sPleen deficiency of massage theraPy in children with recurrent resPiratory tract infection PrescriPtion for clinical reference.(3)Children massage can effectively control the repeated attacks of recurrent respiratory tract infection in children with deficiency of both lung qi and spleen qi type,reduce the number of attacks,shorten the course of disease,alleviate clinical symPtoms,imProving the humoral immunity and the cellular immune function,to enhance immunity,reduce the recurrence rate.Pediatric massage is environmental,effective and safe and worth PoPularizing. |