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

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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
  • 收稿日期:2018-04-13 出版日期:2018-12-25 上线日期:2018-12-25
  • 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
  • Received:2018-04-13 Published:2018-12-25 Online:2018-12-25
  • Contact: OUYANG Xiaoyan,E-mail:632687915@qq.com

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.Conclusion:It 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