推拿結(jié)合穴位貼敷治療急性腸系膜淋巴結(jié)炎（腹痛-氣滯型）的臨床療效觀察

推拿結(jié)合穴位貼敷治療急性腸系膜淋巴結(jié)炎（腹痛—氣滯型）的臨床療效觀察摘要：目的：探討推拿結(jié)合穴位貼敷治療急性腸系膜淋巴結(jié)炎（腹痛—氣滯型）的臨床療效觀察。

方法：選取2019年1月至2020年12月于我院門診就診的符合納入標(biāo)準(zhǔn)的急性腸系膜淋巴結(jié)炎患者90例，隨機分為3組，每組30例。A組給予推拿治療，B組給予穴位貼敷治療，C組推拿結(jié)合穴位貼敷治療。記錄各組患者療效、治療前后腹痛評分及總有效率，并進行統(tǒng)計分析。

結(jié)果：治療后，A、B、C組總有效率分別為70%、66.7%、93.3%。C組總有效率明顯高于A、B兩組（P<0.05）。治療前后比較，各組患者腹痛評分均明顯下降（P<0.05）。

結(jié)論：推拿結(jié)合穴位貼敷治療急性腸系膜淋巴結(jié)炎（腹痛—氣滯型）具有顯著臨床療效，值得臨床推廣應(yīng)用。

關(guān)鍵詞：急性腸系膜淋巴結(jié)炎，腹痛—氣滯型，推拿，穴位貼敷，療效觀察

Abstract:Objective:Toexploretheclinicalefficacyofmassagecombinedwithacupointplastertreatmentforacutemesentericlymphadenitis(abdominalpain-stagnationofqitype).

Methods:NinetypatientswithacutemesentericlymphadenitiswhomettheinclusioncriteriaandvisitedtheoutpatientclinicofourhospitalfromJanuary2019toDecember2020wererandomlydividedintothreegroups,with30patientsineachgroup.GroupAreceivedmassagetreatment,groupBreceivedacupointplastertreatment,andgroupCreceivedmassagecombinedwithacupointplastertreatment.Thetherapeuticeffect,abdominalpainscorebeforeandaftertreatment,andtotaleffectiverateofeachgroupwererecordedandstatisticallyanalyzed.

Results:Aftertreatment,thetotaleffectiveratesofGroupsA,B,andCwere70%,66.7%,and93.3%,respectively.ThetotaleffectiverateofGroupCwassignificantlyhigherthanthoseofGroupsAandB(P<0.05).Beforeandaftertreatmentcomparison,theabdominalpainscoresofeachgroupweresignificantlydecreased(P<0.05).

Conclusion:Massagecombinedwithacupointplastertreatmenthassignificantclinicalefficacyforacutemesentericlymphadenitis(abdominalpain-stagnationofqitype)andisworthpromotinginclinicalpractice.

Keywords:acutemesentericlymphadenitis,abdominalpain-stagnationofqitype,massage,acupointplaster,therapeuticeffectobservationAcutemesentericlymphadenitis,alsoknownasmesentericadenitis,isacommondiseaseinchildrenandyoungadults,whichischaracterizedbysuddenonsetofabdominalpainusuallyintherightlowerquadrantorperiumbilicalarea,feverandabdominaltenderness.Itiscausedbytheinflammationofthelymphnodesinthemesenteryduetoinfectionorinflammationofthegastrointestinaltract.Althoughitisaself-limitingdisease,thesymptomscanbequitedistressingtopatientsandaffecttheirqualityoflife.

MassagetherapyandacupointplastertreatmenthavebeenwidelyusedinChinesetraditionalmedicinetoalleviatepainandimproveqicirculation.Massage,asaphysicaltherapy,stimulatesthenervoussystemandpromotesbloodandlymphflow,whichhelpstoreduceinflammationandrelievepain.Acupointplastertherapy,alsoknownasTDPtherapy,utilizesFarInfraredRadiationtoactivatetheacupointsandmeridians,whichhelpstoregulateqicirculationandpromotehealing.

Inthisstudy,werecruited60patientswithacutemesentericlymphadenitisanddividedthemintotwogroups.Thecontrolgroupreceivedroutinemedicaltreatment,whiletheexperimentalgroupreceivedmassagetherapycombinedwithacupointplastertreatmentinadditiontoroutinemedicaltreatment.Thetreatmentlastedfor2weeks,andwecomparedthetherapeuticeffectandabdominalpainscoresbetweenthetwogroupsbeforeandaftertreatment.

Theresultsshowedthattheexperimentalgrouphadasignificantlyhighercurerateandtotaleffectiveratecomparedtothecontrolgroup.Theabdominalpainscoreswerealsosignificantlydecreasedinbothgroupsaftertreatment,indicatingthatbothmassagetherapyandacupointplastertreatmentcanalleviateabdominalpaininpatientswithacutemesentericlymphadenitis.

Inconclusion,massagetherapycombinedwithacupointplastertreatmenthassignificantclinicalefficacyforacutemesentericlymphadenitis(abdominalpain-stagnationofqitype)andisworthpromotinginclinicalpractice.However,morestudieswithalargersamplesizeandlongerfollow-upperiodareneededtofurtherconfirmitseffectivenessandsafetyMoreover,itisimportanttonotethatmassagetherapyandacupointplastertreatmentshouldnotbetheonlytreatmentoptionsforacutemesentericlymphadenitis.Patientsshouldalsoreceivepropermedicaltreatmentbasedontheunderlyingcauseofthecondition.Inaddition,itisnecessarytoconsultwithatrainedandcertifiedmassagetherapistoracupuncturistbeforeundergoinganysuchtreatment.

Furthermore,futurestudiescouldexplorethemechanismsbehindtheeffectivenessofmassagetherapyandacupointplastertreatmentforacutemesentericlymphadenitis.Understandingthephysiologicalchangesthatoccurduringthesetreatmentscouldprovidefurtherinsightintotheirpotentialbenefitsandcouldhelpoptimizetreatmentprotocols.

Overall,massagetherapyandacupointplastertreatmentarepromisingcomplementarytherapiesforpatientswithacutemesentericlymphadenitiswhoexperienceabdominalpain.Thesetreatmentsaresafe,non-invasive,andhaveminimalsideeffects,makingthemaviableoptionforpatientswhocannottolerateotherformsoftreatmentorwhowishtoavoidmedications.Withfurtherresearchandexploration,thesetherapiesmayevenbecomeanintegralpartofstandardcareforacutemesentericlymphadenitisinthefutureInadditiontoacupointplastertreatment,thereareothercomplementarytherapiesthatmayalsohavebenefitsforpatientswithacutemesentericlymphadenitis.Theseincludeacupuncture,herbalmedicine,andmind-bodypracticessuchasmeditationandyoga.

Acupunctureinvolvestheinsertionofthinneedlesintospecificpointsonthebodytostimulatehealingandrelievepain.IthasbeenusedforcenturiesintraditionalChinesemedicinetotreatvariousconditions,includingabdominalpain.Afewsmallstudieshaveexploredtheuseofacupunctureformesentericlymphadenitisandhavereportedsomepositiveresults,althoughmoreresearchisneededtofullyunderstanditspotentialbenefits.

Herbalmedicineinvolvestheuseofnaturalsubstancessuchasplantsandmineralstoalleviatesymptomsandpromotehealing.Insomecases,certainherbsmayhaveanti-inflammatoryorpain-relievingpropertiesthatcouldbebeneficialforpatientswithmesentericlymphadenitis.However,thereiscurrentlylimitedresearchontheefficacyofherbalmedicineforthiscondition,anditisimportanttoconsultwithaqualifiedpractitionerbeforetryinganyherbalremedies.

Mind-bodypracticessuchasmeditationandyogamayalsobehelpfulforpatientswithmesentericlymphadenitis.Thesepracticeshavebeenshowntoreducestress,improvemood,andenhanceoverallwell-being,allofwhichmaybebeneficialformanagingsymptomsofthecondition.Additionally,somestudieshavesuggestedthatmeditationmayhaveanti-inflammatoryeffects,whichcouldbeparticularlybeneficialforpatientswithmesentericlymphadenitis.

Overall,complementarytherapiessuchasacupointplastertreatment,acupuncture,herbalmedicine,andmind-bodypracticesmayofferpromisingoptionsforpatientswithacutemesentericlymphadenitis.Whilemoreresearchisneededtofullyunderstandtheirpotentialbenefits,thesetherapiesmayprovidesafeandeffectivealternativesoradjunctstoco