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      Massage treatment of chronic persistent pediatric asthma

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          Abstract

          Objective: We observed the clinical effect of massage in treating chronic persistent pediatric asthma and the changes in expression of TLR1, TLR2, and TLR4 on macrophages.

          Methods: One hundred sixty pediatric patients with persistent chronic asthma were collected, and divided into treatment and control groups of 80 each in strict accordance with the principle of random allocation. The patients in the control group received general nebulizer therapy, and the patients in the treatment group received infantile massage. Both groups of patients were observed for 3 months with respect to the following indicators: the frequency of asthmatic attacks; the frequency of respiratory tract infections (RTIs); C-ACT rating; and the PEF% of peripheral blood (PB) before and after treatment to detect macrophage TLR1, TLR2, and TLR4.

          Results: After treatment, the frequency of asthmatic attacks, frequency of RTIs, C-ACT rating, and the PEF% and macrophage TLR1, TLR2, and TLR4 expression of fluorescence intensity in the treatment group showed a statistically significant increase when compared with the control group ( P<0.05).

          Conclusion: Pediatric massage can improve the clinical symptoms of pediatric asthma by up-regulating the expression of macrophage TLR1, TLR2, and TLR4.

          Most cited references19

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          Mast cells and inflammation.

          Mast cells are well known for their role in allergic and anaphylactic reactions, as well as their involvement in acquired and innate immunity. Increasing evidence now implicates mast cells in inflammatory diseases where they are activated by non-allergic triggers, such as neuropeptides and cytokines, often exerting synergistic effects as in the case of IL-33 and neurotensin. Mast cells can also release pro-inflammatory mediators selectively without degranulation. In particular, IL-1 induces selective release of IL-6, while corticotropin-releasing hormone secreted under stress induces the release of vascular endothelial growth factor. Many inflammatory diseases involve mast cells in cross-talk with T cells, such as atopic dermatitis, psoriasis and multiple sclerosis, which all worsen by stress. How mast cell differential responses are regulated is still unresolved. Preliminary evidence suggests that mitochondrial function and dynamics control mast cell degranulation, but not selective release. Recent findings also indicate that mast cells have immunomodulatory properties. Understanding selective release of mediators could explain how mast cells participate in numerous diverse biologic processes, and how they exert both immunostimulatory and immunosuppressive actions. Unraveling selective mast cell secretion could also help develop unique mast cell inhibitors with novel therapeutic applications. This article is part of a Special Issue entitled: Mast cells in inflammation. Copyright © 2010 Elsevier B.V. All rights reserved.
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            Observation of curative effect of feet hole for treatment of pediatric asthma in the stage of non-attack

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              Study on massage therapy in treatment of pediatric asthma

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                Author and article information

                Journal
                FMCH
                Family Medicine and Community Health
                FMCH
                Family Medicine and Community Health & American Chinese Medical Education Association (USA )
                xxx-xxx
                2305-6983
                June 2014
                December 2014
                : 2
                : 2
                : 10-14
                Affiliations
                [1] 1College of Traditional Chinese Medicine, Hebei United University, Hebei 063000, China
                Author notes
                CORRESPONDING AUTHOR: Qi Li, College of Traditional Chinese Medicine, Hebei United University, Hebei 063000, China, E-mail: liqi19801211@ 123456163.com
                Funding: Funded by International Science and Technology Cooperation Projects of China [2013DFG31080], National Natural Science Foundation of China [81303046]
                Article
                fmch20140122
                10.15212/FMCH.2014.0122
                97f2d3b6-f1d3-4f83-9d79-169eee3b6b40
                Copyright © 2014 Family Medicine and Community Health

                This is an open-access article distributed under the terms of the Creative Commons Attribution 4.0 Unported License (CC BY-NC 4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. See https://creativecommons.org/licenses/by-nc/4.0/.

                History
                : 20 March 2014
                : 6 May 2014
                Categories
                Original Research

                General medicine,Medicine,Geriatric medicine,Occupational & Environmental medicine,Internal medicine,Health & Social care
                Pediatric massage,TLRs,Asthma

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