中文摘要：

目的：观察小儿推拿对小儿哮喘不同时期IL-17、IL-33、IL-6水平变化影响。方法：将急性发作期、慢性持续期和缓解期哮喘婴儿100例，严格遵循随机分组的原则分为推拿组50例和哮喘组50例。哮喘组应用不同时期、不同基础治疗方式。推拿组在基础治疗的基础上，应用小儿推拿，两组各观察14天，在治疗前后取外周血，检测IL-17、IL-33、IL-6水平。结果：两组患儿检测急性发作期、慢性持续期，推拿组缓解期血清中IL-17、IL-33、IL-6水平，治疗后较治疗前明显下降（P〈0．05）；急性发作期血清中IL一17水平，慢性持续期和缓解期治疗后推拿组血清中IL-17、IL-33、IL-6水平，与哮喘组比较有统计学差异（P〈0．05）。结论：小儿推拿手法可以通过降低血清中IL-17、IL-33、IL-6水平，来改善小儿哮喘的临床症状。

英文摘要：

Objective： To investigate the effect of massage on IL - 17,IL - 33 and IL - 6 of pediatric asthma in different time. Methods： 100 patientg in different time were enrolled and divided into two groups randomly. The asthma group （50 cases） were trea- ted with different foundation treatment in different periods, while massage group （50 cases） applied pediatric massage on the basis of foun- dation treatment, both groups were observed for 14 days. All patients were assessed with IL - 17, IL -33 and IL -6 in serum at the begin- ning of the training and 14 days after treatment. Results： Two groups were detected in different times, the levels of IL - 17, IL -33 and IL - 6 in massage group were lower in remission stage after treatment than before treatment （ P 〈 0. 05 ） ; compared with asthma group, the level of IL - 17 in acute stage, the levels of IL - 17, IL - 33 and IL - 6 in chronic duration and remission stage, were significant different in massage group. Conclusion ： Massage maybe improve the clinical symptoms of pediatric asthma by descending the levels of IL - 17, IL - 33 and IL- 6 in serum.