摘要
目的:观察中医治未病思想在小儿咳嗽变异性哮喘中的临床运用,观察其疗效及安全性。方法:选取我院2014年5月至2017年5月来我院门诊就诊的120例小儿咳嗽变异性哮喘患者,用随机数字表法随机分为观察组和对照组各60例。对照组采用硫酸特布他林联合吸入用布地奈德混悬液雾化吸入,观察组在对照组西医治疗的基础上,向患者宣传"未病先防"、"既病防变"、"瘥后防复"的中医"治未病"思想,且观察组就诊时均属于"既病"范畴,均加用中药汤剂及穴位贴敷治疗。两组患者药物干预时间均为两周,并于停药后第3月进行随访,观察两组患者咳嗽症状、血清Ig G、Ig E指标、复发情况及不良反应。结果:观察组总有效率为91.7%,对照组总有效率为78.3%。两组比较,差异有统计学意义(P<0.05);观察组停药时、停药后第3月血清Ig G水平与对照组比较均有显著性差异(P<0.05);对照组停药3月后复发率为28.3%,观察组复发率为8.3%,两组比较有显著性差异(P<0.05)。且两组患者均无明显不良反应。结论:在小儿咳嗽变异性哮喘中联合中药、穴位贴敷等特色治疗,可明显提高其疗效。确立"预防为主"、"既病防变"的学术思想,既能控制疾病的发生发展,又能减缓疾病的复发和恶化。
Objective： To investigate the clinical application of TCM treatment of cough variant asthma,and to observe its efficacy and safety. Methods： 120 children with cough variant asthma were selected in our hospital from May 2014 to May 2017.They were randomly divided into observation group and controlled group with 60 cases in each group. The controlled group used terbutaline inhalation combined with Budesonide Suspension for Inhalation,the observation group was conducted propaganda of traditional Chinese medicine＂preventive treatment of disease＂thought on＂prevention before disease＂,＂disease prevention＂and＂recurrence after cure＂on the basis of the controlled group,and the observation group were all belong to＂disease＂,was treated with traditional Chinese medicine decoction and acupoint therapy. The two groups of patients were two weeks after the intervention,and were followed up third months after the withdrawal. The cough symptoms,serum Ig G,Ig E indexes,recurrence and adverse reactions were observed in the two groups. Results： The total effective rate was 91. 7% in the observation group and78. 3% in the controlled group. The comparison between the two groups,the difference was statistically significant（ P 0. 05）;The observation group at the time of drug withdrawal,withdrawal after third months the serum level of Ig G compared with the controlled group had significant difference（ P 0. 05）; The controlled group discontinued in March after the recurrence rate was28. 3%,the recurrence rate of the observation group was 8. 3%,the two groups was significant the difference（ P0. 05）. There were no obvious adverse reactions in the two groups. Conclusion： Combined treatment of traditional Chinese medicine and acupoint sticking can obviously improve the curative effect of cough variant asthma in children. The establishment of the＂prevention＂and ＂disease prevention＂academic thought,can not only control the development of the disease,and delay disease recurrence and progression.
作者
刘改花
LIU Gaihua(Department of Pediatrics, Hospital of 3201 Hanzhong Shaanxi 723000, China)
出处
《四川中医》
2018年第3期149-152,共4页
Journal of Sichuan of Traditional Chinese Medicine
关键词
咳嗽变异性哮喘
治未病
三级预防
Cough variant asthma
Preventive treatment of disease
Three levels of prevention
