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 ›› 2015, Vol. 7 ›› Issue (6): 577-580.doi: 10.3969/j.issn.1674-3865.2015.06.015

• 临床研究 • 上一篇    下一篇

基于文献研究的中医药治疗小儿反复呼吸道感染疗效评价

黄婷,谢静,黄乃英   

  1. 410007 长沙,湖南中医药大学第一附属医院儿科
  • 出版日期:2015-12-25 发布日期:2018-11-19
  • 通讯作者: 谢静,E-mail:982100692@qq.com
  • 作者简介:黄婷(1983-),女,医学硕士,主治医师。研究方向:小儿肺系疾病的诊断与治疗
  • 基金资助:
    湖南省科技计划项目(2012SK449)

Curative effect evaluation of traditional Chinese medicine in treating repeated respiratory tract infection in infants based on literature research

HUANG Ting,XIE Jing,HUANG Naiying   

  1. Department of Pediatrics, The First Affiliated Hospital of Hunan University of Chinese Medicine,Changsha 410007,China
  • Online:2015-12-25 Published:2018-11-19

摘要:
目的: 探讨中医药治疗小儿反复呼吸道感染的疗效评价方法。
方法: 利用计算机数据库检索近二十年中医药治疗小儿反复呼吸道感染的文献,将检索到的疗效指标汇总,建立数字信息表,通过三轮专家问卷调查,采用德尔菲(Delphi)法,最终得出小儿反复呼吸道感染疗效评价表。
结果: 在疾病疗效评价方法中,年发病次数、每次发病天数、免疫增强剂使用情况、反复外感、发热、咳嗽、多汗、喷嚏、抗生素使用时间等19项指标;在构成证候的指标变化评价中,年发病次数、咽部充血、反复外感、精神、食欲等11项指标;在主要结局指标的评价中,年发病次数、每次发病、咽部充血、反复外感、多汗5项指标,均数均≥0.90,变异系数均≤0.35。
结论: 通过文献研究结合Delphi 法问卷调查可以初步建立小儿反复呼吸道感染的疾病疗效评价量表,为今后的临床研究提供基础。

关键词: 小儿反复呼吸道感染, 疗效评价, 文献研究, 德尔菲(Delphi)法

Abstract:
Objective:To probe the curative effect evaluation method of traditional Chinese medicine in treating repeated respiratory tract infection(RRTI) in infants.
Methods:Search the literature of the latest 20 years on traditional Chinese medicine in treating RRTI, to summarize indexes for therapeutic effects and establish a digital information table; through three rounds of expert questionnaire, the method of Delphi Measurement was used to conclude RRTI curative effect evaluation table.
Results:The number of onset in a year,days of each onset, the use of immune enhancer,repeated exogenous infection, fever, cough, sweat, sneeze, antibiotic use time and so on were very important in disease curative effect evaluation; the number onset in year, congestion of throat,repeated exogenous infection, mental state, appetite and so on were main components in the syndrome; the number of onset in a year,days of each onset, congestion of throat, repeated exogenous infection and fever,the mean was greater than or equal to 0.90 and the coefficient of variation was less than or equal to 0.35.
Conclusion:The curative effect evaluation table can be established by using literature research combined with Delphi method,and it can provide the basis for the clinical study.

Key words: Recurrent respiratory tract infection in infants, Curative effect evaluation, Literature research, Delphi method