Objective

2

To observe the clinical efficacy of deep needling at Xiaguan (ST7) combined with electroacupuncture and warm acupuncture for adenoid hypertrophy (AH) in children.

Methods

2

Seventy-two children with AH were randomly divided into an observation group (36 cases

5 cases dropped out

1

case was eliminated) and a control group (36 cases

4 cases dropped out

2 cases were eliminated). The observation group received deep needling at Xiaguan (ST7) combined with electroacupuncture and warm acupuncture. The needle depth of Xiaguan (ST7) was 20-30 mm. Electroacupuncture was applied at Xiaguan (ST7)

Yingxiang (LI20)

Yintang (GV24

+

)

Baihui (GV20)

with continuous wave

in frequency of 2 Hz. Warm acupuncture was applied at Zusanli (ST36). The treatment was performed 30 min each time

once a week for 12 weeks. The control group was treated with mometasone furoate aqueous nasal spray

one spray per nostril each time

once a day for 12 weeks. The symptom score

adenoid-to-nasopharynx ratio (A/N)

and 18-item health-related quality-of-life survey for children with obstructive sleep apnea (OSA-18) score were observed before and after treatment in the two groups

and the clinical efficacy was evaluated after treatment.

Results

2

After treatment

the total scores of symptom

A/N

and OSA-18 scores were decreased compared with those before treatment in both groups (

P

<

0.01)

the above indexes in the observation group were lower than those in the control group (

P

<

0.01

P

<

0.05). The total effective rate in the observation group was 93.3% (28/30)

which was higher than 83.3% (25/30) in the control group (

P

<

0.05).

Conclusion

2

Deep needling at Xiaguan (ST7) combined with electroacupuncture and warm acupuncture could effectively improve symptoms

reduce adenoid volume

and improve the quality of life in children with AH.