[1]陈蓓华,王仁,章帆,等.冬病夏治穴位敷贴结合社区管理模式防治儿童哮喘60例临床观察[J].中医儿科杂志,2017,(04):64-68.[doi:10.16840/j.issn1673-4297.2017.04.20]
 CHEN Beihua,WANG Ren,ZHANG Fan,et al.Clinical observation on infantile asthma treated with combination of community management pattern and point application therapy in “winter disease cured in summer”[J].Journal of Pediatrics of Traditional Chinese Medicine,2017,(04):64-68.[doi:10.16840/j.issn1673-4297.2017.04.20]
点击复制

冬病夏治穴位敷贴结合社区管理模式防治儿童哮喘60例临床观察
分享到:

《中医儿科杂志》[ISSN:/CN:62-1176/R]

卷:
期数:
2017年04期
页码:
64-68
栏目:
针灸推拿
出版日期:
2017-07-25

文章信息/Info

Title:
Clinical observation on infantile asthma treated with combination of community management pattern and point application therapy in “winter disease cured in summer”
作者:
陈蓓华1 王仁1 章帆1 顾承峰2 张坚恒1 孙雪莲1 黄晓春1 任孟利3
1. 宁波市鄞州区第二医院中医科, 浙江 宁波 315192;
2. 宁波市鄞州区潘火社区卫生服务中心中医科, 浙江 宁波 315105;
3. 宁波市鄞州区中河街道社区卫生服务中心儿科, 浙江 宁波 315192
Author(s):
CHEN Beihua1 WANG Ren1 ZHANG Fan1 GU Chengfeng2 ZHANG Jianheng1 SUN Xuelian1 HUANG Xiaochun1 REN Mengli3
1. Department of Traditional Chinese Medicine, the Second Hospital of Yinzhou District, Ningbo, Zhejiang, 315192, China;
2. Department of Traditional Chinese Medicine, Panhuo Community Health Service Centre of Yinzhou District, Ningbo, Zhejiang, 315105, China;
3. Department of Pediatrics, Zhonghe Street Community Health Service Centre of Yinzhou District, Ningbo, Zhejiang, 315192, China
关键词:
儿童哮喘冬病夏治社区管理临床观察
Keywords:
infantile asthmawinter disease cured in summercommunity managementclinical observation
分类号:
R256.12
DOI:
10.16840/j.issn1673-4297.2017.04.20
摘要:
目的 观察冬病夏治穴位敷贴结合社区管理模式防治儿童哮喘的临床疗效。方法 将纳入的120例哮喘患儿随机分为2组,对照组60例缓解期给予中药柴桂汤加味治疗,发作期予西药雾化治疗,治疗组60例在对照组治疗方法的基础上给予冬病夏治穴位敷贴结合社区管理模式,连续治疗3年后,根据患儿哮喘健康管理档案记录的变化情况,比较2组患儿的临床疗效、哮喘病情改善率、哮喘发作次数、门诊就诊次数以及平均医疗费用。结果 治疗组总有效率为95.0%,对照组为78.3%,2组比较差异有统计学意义(P<0.05);2组哮喘发作次数、门诊就诊次数、平均医疗费用比较,差异均有统计学意义(P<0.05)。结论 冬病夏治穴位敷贴结合社区管理模式能明显提高哮喘患儿的疗效,值得临床推广应用。
Abstract:
Objective To explore clinical effect of infantile asthma treated with combination of community management pattern and point application therapy in "winter disease cured in summer".Methods 120 cases of infantile asthma were randomized into control group and therapy group with 60 cases in each.The control group in remission was treated with ingredient-added Chaigui Decoction,in onset with fog inhalation of Western medicine.The therapy group was given the combination of community management pattern and point application therapy in "winter disease cured in summer" based on the therapy of control group.After 3 years therapy,based on the changes of infantile asthma records,observed clinical efficacy,improvement rate, frequency of asthma and visiting hospital as well as average cost of treatment in two groups.Results The total effective rates of therapy group and control group were 95.0% and 78.3% respectively with significant difference (P<0.05).After comparison of two groups’ average cost, frequency of asthma and visiting hospital,the difference was statistically significant (P<0.05).Conclusion The combination of point application therapy in "winter disease cured in summer" and the community management pattern can improve the effect on infantile asthma,which is worthy of clinical promotion.

参考文献/References:

[1] 中华医学会儿科学会呼吸学组,《中华儿科杂志》编辑委员会.儿童支气管哮喘诊断与防治指南[J].中华儿科杂志,2008,10(46):745-753.
[2] 国家中医药管理局.中医病证诊断疗效标准[S].南京:南京大学出版社,1994:286.
[3] 全国儿科哮喘协作组,中国疾病预防控制中心环境与健康相关产品安全所.第三次中国城市儿童哮喘流行病学调查[J].中华儿科杂志,2013,10(51):729-735.
[4] 董庆霞.冬病夏治穴位敷贴及拔罐治疗小儿咳嗽变异性哮喘临床疗效观察[J].四川中医,2015,8(33):154-155.
[5] 韩新民.小儿冬病夏治穴位贴敷述要[J].中医儿科杂志,2011,7(4):1-3.
[6] 陈蓓华.儿童哮喘管理在基层医院临床工作中的实践[J].中国农村卫生事业管理,2012,7(32):763-764.

相似文献/References:

[1]傅大治.中西医结合治疗儿童哮喘急性发作期78例疗效观察[J].中医儿科杂志,2015,(01):18.
 FU Dazhi.Clinical observation of 78 cases of pediatric acute asthma treated with integrated traditional Chinese and western medicine[J].Journal of Pediatrics of Traditional Chinese Medicine,2015,(04):18.
[2]高旅,浦佳希.中医药对儿童哮喘的认识及研究进展[J].中医儿科杂志,2015,(01):70.
 FU Jiaxi,WU Liping.Traditional Chinese medicine progress in the understanding and research on childhood asthma[J].Journal of Pediatrics of Traditional Chinese Medicine,2015,(04):70.
[3]施晓冬,李培君.中西医结合护理干预小儿哮喘43例临床观察[J].中医儿科杂志,2015,(03):78.
 SHI Xiaodong,LI Peijun.Efficacy observation of integrative nursing intervention on 43 cases of infantile asthma[J].Journal of Pediatrics of Traditional Chinese Medicine,2015,(04):78.
[4]李西媛,邢向晖.防哮膏治疗儿童哮喘缓解期20例临床观察[J].中医儿科杂志,2016,(02):16.[doi:10.16840/j.issn1673-4297.2016.02.06]
 LI Xiyuan,XING Xianghui.Clinical observation of 20 cases of pediatric asthma in remission period treated with Fangxiao Gao[J].Journal of Pediatrics of Traditional Chinese Medicine,2016,(04):16.[doi:10.16840/j.issn1673-4297.2016.02.06]
[5]任辉杰,黄超,陈丽亚,等.三伏贴改善哮喘儿童阳虚证候137例临床观察[J].中医儿科杂志,2016,(03):32.[doi:10.16840/j.issn1673-4297.2016.03.13]
 REN Huijie,HUANG Chao,CHEN Liya,et al.Clinical observation on the efficacy of Winter Disease Dog Days Plaster in improving syndrome of yang-insufficiency for children with asthma[J].Journal of Pediatrics of Traditional Chinese Medicine,2016,(04):32.[doi:10.16840/j.issn1673-4297.2016.03.13]
[6]纪彤,田永萍.综合外治法治疗小儿哮喘96例[J].中医儿科杂志,2006,(01):46.
 Ji Tong,Tian Yongping.Chinese drugs at the acupoint for 96 cases of children asthma[J].Journal of Pediatrics of Traditional Chinese Medicine,2006,(04):46.
[7]陈淑彦,司小兵,张文宙.刘世琼教授“冬病夏治”治疗小儿咳嗽48例[J].中医儿科杂志,2006,(03):36.
[8]曹建梅,王明明,陆力生.冬病夏治中药穴位贴敷法治疗儿童哮喘缓解期临床观察[J].中医儿科杂志,2006,(06):33.
[9]李惠红,欧阳素德,何悦硕.天灸疗法佐治儿童支气管哮喘合并过敏性鼻炎42例疗效观察[J].中医儿科杂志,2007,(04):45.
 Li Huihong,Ouyang Sude,He Yueshuo.Natural moxibustion therapy on asthma complicated with allergic rhinitis in children: an observation of 42 cases[J].Journal of Pediatrics of Traditional Chinese Medicine,2007,(04):45.
[10]叶茂青.敷贴法防治儿童哮喘的思路[J].中医儿科杂志,2009,(04):54.

备注/Memo

备注/Memo:
收稿日期:2016-04-05。
作者简介:陈蓓华(1962-),女,主任中医师,医学学士,主要从事中医儿科临床工作。
更新日期/Last Update: 1900-01-01