推拿结合穴位贴敷治疗急性肠系膜淋巴结炎（腹痛-气滞型）的临床疗效观察

推拿结合穴位贴敷治疗急性肠系膜淋巴结炎（腹痛—气滞型）的临床疗效观察摘要：目的：探讨推拿结合穴位贴敷治疗急性肠系膜淋巴结炎（腹痛—气滞型）的临床疗效观察。

方法：选取2019年1月至2020年12月于我院门诊就诊的符合纳入标准的急性肠系膜淋巴结炎患者90例，随机分为3组，每组30例。A组给予推拿治疗，B组给予穴位贴敷治疗，C组推拿结合穴位贴敷治疗。记录各组患者疗效、治疗前后腹痛评分及总有效率，并进行统计分析。

结果：治疗后，A、B、C组总有效率分别为70%、66.7%、93.3%。C组总有效率明显高于A、B两组（P<0.05）。治疗前后比较，各组患者腹痛评分均明显下降（P<0.05）。

结论：推拿结合穴位贴敷治疗急性肠系膜淋巴结炎（腹痛—气滞型）具有显著临床疗效，值得临床推广应用。

关键词：急性肠系膜淋巴结炎，腹痛—气滞型，推拿，穴位贴敷，疗效观察

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