ISSN 1674-3865  CN 21-1569/R
主管:国家卫生健康委员会
主办:中国医师协会
   辽宁省基础医学研究所
   辽宁中医药大学附属医院

中国中西医结合儿科学 ›› 2021, Vol. 13 ›› Issue (2): 124-.

• 临床研究 • 上一篇    下一篇

推拿治疗小儿反复呼吸道感染的Meta分析

杨莉丽,李吉磊,王盼盼,刘小渭,张焱   

  1. 030000 太原,山西中医药大学2018级中医儿科学专业研究生(杨莉丽,王盼盼);450003 郑州,河南中医药大学2018级中医内科学专业研究生(李吉磊);030000 太原,山西中医药大学附属医院儿科(刘小渭,张焱)
  • 出版日期:2021-04-25 发布日期:2021-05-18
  • 通讯作者: 张焱,E-mail:13934566779@163.com
  • 作者简介:杨莉丽(1993-),女,山西中医药大学2018级硕士研究生在读。研究方向:小儿脾胃系疾病的诊治
  • 基金资助:
    刘小渭省级名中医传承工作室;山西中医药大学科技创新能力培育计划(2019PY-173);山西省中医药管理局科研课题(2019ZYYC013)

Meta-analysis of massage in the treatment of recurrent respiratory tract infection in children

YANG Lili,LI Jilei,WANG Panpan,LIU Xiaowei,ZHANG Yan   

  1. Shanxi University of Traditional Chinese Medicine,Taiyuan 030000,China
  • Online:2021-04-25 Published:2021-05-18

摘要: 目的:系统评价使用推拿手法或联合常规疗法治疗小儿反复呼吸道感染(RRTI)的临床疗效。
方法:对小儿推拿治疗小儿RRTI的文献进行检索,范围包括中国知网、万方、维普、PubMed、The Cochrane Library、EMbase,检索时间为自建库起至2020年6月。2位研究者相互协助,根据所规定的纳入与排除标准进行文献筛选、数据提取,采用Revman 5.3进行Meta分析。
结果:最后入选17篇文献,共计1 858例,治疗组931例,对照组927例。结果示治疗组总有效率高于对照组(OR=4.66,95%CI(3.39,6.40),P<0.000 01),且治疗组在提高IgA、IgG、IgM、CD3、CD4及CD4/CD8水平上优于对照组,存在统计学差异。但在提高CD8方面显示无统计学意义。
结论:现有证据表明运用推拿手法或推拿联合常规疗法在治疗小儿RRTI方面疗效确切,优于西药口服或静脉滴注、空白对照或模拟剂等治疗方式。

关键词: 反复呼吸道感染, 推拿, Meta分析, 儿童

Abstract: Objective:To systematically evaluate the clinical efficacy of massage manipulation or combined with conventional therapy in the treatment of recurrent respiratory tract infections(RRTI) in children.
Methods:To search the literature on children′s RRTI treated by massage,China Knowledge Network,Wanfang,Weipu,PubMed、The Cochrane Library、EMbase,The retrieval time is from self-built library to June 2020.Two researchers assisted each other,According to the inclusion and exclusion criteria,Use Revman 5.3 for Meta analysis.
Results:17 papers were selected,A total of 1 858 cases,Treatment group 931 cases,Control group 927 cases.The total effective rate of treatment group was higher than that of control group(OR=4.66,95%CI(3.39,6.40),P<0.000 01),The treatment group was superior to the control group in improving IgA、IgG、IgM、CD3、CD4 and CD4/CD8 levels,There were statistical differences,but showed no statistical significance in improving CD8.
Conclusion:The available evidence shows that the use of massage manipulation or massage combined with conventional therapy is effective in the treatment of RRTI in children,better than western medicine oral or intravenous drip,blank control or simulant treatment.

Key words: Repeated respiratory tract infection, Massage, Meta analysis, Children