ISSN 1674-3865  CN 21-1569/R
主管:国家卫生健康委员会
主办:中国医师协会
   辽宁省基础医学研究所
   辽宁中医药大学附属医院

中国中西医结合儿科学 ›› 2018, Vol. 10 ›› Issue (6): 466-469.doi: 10.3969/j.issn.1674-3865.2018.06.002

• 专栏 • 上一篇    下一篇

辨体治未病预防小儿反复呼吸道感染的临床疗效观察

高树彬,欧阳晓燕   

  1. 361009 福建 厦门,厦门市中医院儿科
  • 出版日期:2018-12-25 发布日期:2019-03-25
  • 通讯作者: 欧阳晓燕,E-mail:632687915@qq.com
  • 作者简介:高树彬(1957-),男,主任医师,硕士研究生导师。研究方向:小儿内病外治
  • 基金资助:
    厦门市2015科技惠民计划(3502Z20154061)

Observation on clinical curative effect of distinguishing constitution in preventing recurrent respiratory tract infection in children

GAO Shubin,OUYANG Xiaoyan.   

  1. Xiamen Hospital of Traditional Chinese Medicine,Xiamen 361009,China
  • Online:2018-12-25 Published:2019-03-25

摘要:
目的
评价小儿伤食方、益气养阴方预防小儿反复呼吸道感染的临床疗效和安全性。
方法
2015年7月至2016年7月厦门市中医院门诊收治小儿反复呼吸道感染患儿(胃肠积热证或气阴两虚证)90例,随机分为观察组和对照组各45例。观察组根据患儿体质分别给予小儿伤食方、益气养阴方适时治疗,持续干预1年,并随访1年,对照组不做干预。观察治疗前后两组呼吸道感染病种、次数、病程及疗效。
结果
治疗后两组在发病次数、病程及病种方面均有所改善,观察组明显优于对照组,差异有统计学意义(P<0.05)。随访12个月后,观察组在上呼吸道感染及气管炎次数方面减少明显优于对照组,差异有统计学意义(P<0.05)。治疗后两组肺炎发病次数均降低,但两组比较差异无统计学意义(P>0.05)。观察组疗效优于对照组,差异有统计学意义(P<0.05)。两组均未报道不良事件及不良反应的发生。
结论
小儿伤食方、益气养阴方在小儿反复呼吸道感染适时使用,可明显减少呼吸道感染发生。

关键词: 反复呼吸道感染, 体质, 治未病, 儿童

Abstract:
Objective
To evaluate the clinical efficacy and safety of Shang Shi Fang and Yi Qi Yang Yin Fang in preventing recurrent respiratory tract infection(RRTI) in children.
Methods
From July 2015 to July 2016, 90 children with RRTI were treated in the Outpatient Department of Xiamen Hospital of Traditional Chinese Medicine(gastrointestinal heating or Qi-Yin-deficiency syndrome),who  were randomly divided into observation group(n=45) and control group(n=45). According to the physical constitution of the children, the observation group was given timely treatment with Shang Shi Fang and Yi Qi Yang Yin Fang, with continuous intervention for 1 year and follow-up for 1 year, while the control group was not intervened. The types, frequency, course and curative effect of respiratory tract infection were observed before and after treatment.
Results
After treatment, both groups got improved in the frequency, course and types of disease, and the observation group was significantly superior to the control group, with statistically significant differences(P<0.05). After 12 months of follow-up, the observation group was significantly better than the control group in the reduction of frequency of upper respiratory tract infection and tracheitis(P<0.05). The incidence of pneumonia decreased in both groups after treatment, but the difference was not statistically significant(P>0.05). The effect of the observation group was better than that of the control group, and the difference was statistically significant(P<0.05). No adverse events or adverse reactions were reported in both groups.
ConclusionIt can reduce the incidence of recurrent respiratory tract infection in children to use Shang Shi Fang and Yi Qi Yang Yin Fang at a proper time.

Key words: Recurrent respiratory tract infections, Constitution, Preventive treatment of disease, Child