| ObjectiveBy observing the observation group of children with adenoid hypertrophy(Shao’s Pharyngeal massage)and the conventional group(conventional massage)intervention for a certain course of treatment,before and after treatment and during long-term follow-up,changes in the total scores of symptoms and signs were evaluated to evaluate OSA-20 Children’s quality of life score changes and trends,to verify the effectiveness and practicability of Professor Shao’s experience recipe Shao’s Pharyngeal Massage for immediate symptom relief of children’s adenoid hypertrophy and improvement of children’s long-term quality of life.To improve the short-term symptoms and long-term quality of life of children with adenoid hypertrophy,provide clinical research basis for clinical promotion of this method.MethodsIn this study,a parallel randomized controlled clinical trial was used to select a group of children aged 2-6 years old that met the diagnostic criteria for adenoid hypertrophy.68 eligible subjects were included in strict accordance with the criteria.The SPSS was used to generate a simple randomization of a random number table,and the Randomly assigned to observation group and routine group,each group has 34 cases.The observation group was treated with Fuzheng Pharyngeal massage intervention;the conventional group was treated with conventional Tuina treatment,both groups were treated with 3 times a week,4 weeks as a course of treatment,a total of 2 courses of intervention were performed,and the follow-up was 4 weeks after the course of treatment.Take the grading and quantitative scores of symptoms and signs as the main observation indicators,and children’s OSA-20 quality of life score as the secondary observation indicators.At the end of each course of treatment,compare the differences in the main observation indicators before and after the treatment,evaluate the short-term efficacy,and compare the differences in indicators at the end of the follow-up period.Assess its long-term efficacy.And at the end of the treatment course and after 4 weeks of follow-up period,the changes of secondary observation indicators were performed to evaluate the impact of each group’s intervention on the quality of life.During treatment,monitor the children’s adverse events and other conditions.Use statistical software to analyze the results and draw conclusions.ResultsA total of 68 qualified subjects were included in the study,34 in the observation group and 34 in the routine group.4 cases fell off during the treatment period.There was no drop off during the follow-up period,4 cases of adverse reactions,and no suspension of the trial.A total of 64 cases were completed in the observation group and routine group.There were 32 cases in each group.(1)There was no statistical difference in the baseline data of children between the two groups before treatment,including gender,age,course of disease,and primary and secondary observation indexes before treatment.The groups were comparable.(2)Clinical effective rate:After treatment,the effective rate of the observation group was 93.75%,and the effective rate of the routine group was 75.00%.The difference in total effective rate between the two groups was significant.After a 4-week follow-up,the number of significant cases in the two groups was higher than before.Before the comparison treatment,the effective rate of the observation group was 90.62%,and the effective rate of the conventional group was 68.75%.The difference was significant.Both massage methods can improve the condition,and Fuzheng Pharyngeal massage is better than conventional massage.(3)In terms of the main observation indicators:the two groups of children’s symptoms and signs are graded and quantified at each time point in the observation period.The data is tested by the sphere test and the correction method(P<0.05).There is a significant interaction between time and different massage methods,indicating that the two groups are affected There are significant differences in the improvement of children’s symptoms and signs.There was no significant difference between treatment 1 course of treatment(P>0.05),and significant difference between 2 courses of treatment and follow-up period(P<0.05).The comparison between the groups showed that the two groups had a significant downward trend in treatment 1 and 2 courses(P<0.05),and there was no significant difference in the follow-up period(P>0.05).The trend in the observation group tended to be flat,and the trend in the conventional group tended to rise.It shows that both can effectively improve the clinical symptoms,and the short-term effect is significant.Fuzheng Pharyngeal massage has better long-term symptom control,and there is a tendency for symptoms to recur after the conventional massage stops intervention.(4)In terms of secondary observation indicators:OSA-20 quality of life scores of the two groups of children showed that the two groups had no statistically significant impact on the quality of life scores at the end of 2 courses(P>0.05)but sleep disorders.There are significant differences in the improvement of physical symptoms(P<0.05);there are significant differences between the groups after 4 weeks of follow-up(P<0.05),and there are significant differences in sleep disorders,daytime functional status and the degree of influence on the children’s guardians(P<0.05).Comparison within the group showed that there was a significant difference in the quality of life scores between the two groups before and after treatment(P<0.05),and the difference between the two groups was not statistically significant(P>0.05).After 4 weeks of follow-up,there was a significant difference before and after the observation group(P<0.05),and there was no significant difference before and after the routine group(P>0.05).It shows that adherence to the two groups can significantly improve the quality of life of the children.The continuous improvement effect of Fuzheng Pharyngeal massage is more obvious than that of conventional massage,and it has a more prominent effect on improving the long-term quality of life of the children.ConclusionBoth Fuzheng Pharyngeal massage and conventional massage can significantly improve the clinical symptoms and quality of life of children with adenoid hypertrophy for a certain period of time.In terms of improving symptoms,physical signs,and effectiveness,Fuzheng Pharyngeal massage is more effective.It has advantages,good short-term curative effect and stable long-term curative effect.The long-term curative effect of conventional massage group is slightly poor.In terms of quality of life scores,Shao’s Pharyngeal massage can maintain the effect of improving the quality of life in the long-term follow-up,and there is an upward trend,especially in improving children’s sleep disorders,daytime functional status and reducing the disease’s impact on children’s guardians.The degree of influence is more advantageous. |
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