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目的:观察健脾益气小儿推拿法治疗效脾肺气虚型脑瘫患儿反复呼吸道感染的临床疗效.方法:将70例脾肺气虚型反复呼吸道感染的脑瘫患儿按随机数字法分为观察组和对照组,每组35例.两组均进行常规康复训练,观察组另予健脾益气小儿推拿治疗,对照组予玉屏风颗粒口服.以临床总有效率、中医证状评分、血清免疫球蛋白(Ig)A、IgM、IgG以及随访1年复发率评价临床疗效.结果:两组患儿治疗后总有效率差异有统计学意义(P<0.05);两组患儿各项中医证状评分治疗后较治疗前均有不同程度降低,组内差异均具有统计学意义(均P<0.01);治疗后各项中医证状评分组间差异均有统计学意义(均P<0.05);治疗后2组患儿的IgA、IgM和IgG均有不同程度提高,组内差异均具有统计学意义(均P<0.05),治疗后IgA、IgM和IgG的组间差异均具有统计学意义(均P<0.05).结论:健脾益气小儿推拿法能有效防治脾肺气虚型脑瘫患儿反复呼吸道感染,减轻临床症状,提高免疫功能,值得临床推广应用.“,”Objective: To observe the clinical efficacy of spleen-invigorating and qi-benefiting pediatric massage (tuina) for treating recurrent respiratory tract infection in children with cerebral palsy due to qi deficiency of spleen and lung. Methods: A total of 70 children with cerebral palsy who suffered from recurrent respiratory tract infection due to qi deficiency of spleen and lung were randomized into an observation group and a control group by the random number table method, with 35 cases in each group. Both groups were treated with conventional rehabilitation training, while the observation group was given additional spleen-invigorating and qi-benefiting pediatric massage, and the control group additionally took oral Yu Ping Feng granule. The clinical efficacy was evaluated by the total effective rate, traditional Chinese medicine (TCM) symptom score, and serum levels of immunoglobulin (Ig) A, IgM and IgG. Results: The difference in total effective rate between the two groups after treatment was statistically significant (P<0.05). After treatment, the TCM symptom scores in both groups decreased to varying degrees than those before treatment, and the intra-group differences were statistically significant (all P<0.01); the differences in the scores of various TCM symptoms between the two groups were statistically significant (all P<0.05). After treatment, the levels of IgA, IgM and IgG of the children in both groups increased to varying degrees, and the intra-group differences were statistically significant (all P<0.05). The between-group differences in the IgA, IgM and IgG levels after treatment were statistically significant (all P<0.05). Conclusion: Spleen-invigorating and qi-benefiting pediatric massage can effectively treat recurrent respiratory tract infection due to qi deficiency of spleen and lung in children with cerebral palsy, relieve the clinical symptoms and improve immune function, and thus is worthy of clinical promotion and application.