“冬病夏治贴敷疗法”防治小儿肺系疾病疗效相关因素回顾性研究

Retrospective study of correlative factors influencing efficacy of preventing and treating pediatric lung disease with point application therapy based on curing winter diseases in summer

目的:回顾性研究"冬病夏治贴敷疗法"防治小儿肺系疾病疗效相关因素。方法:收集辽宁中医药大学附属医院2012年夏"三伏"至2014年夏"三伏"敷患儿符合病例纳入标准者1 752例,以针对患者问卷调查为切入点,以夏季三伏天贴敷为被试因素,以咳喘反复发作为主症的肺系疾病小儿患者为观察对象,观察"冬病夏治贴敷疗法"临床疗效与患儿疾病病程、体质等相关因素的关系。结果:患儿病程≤3年、4-6年、7-10年、>10年各组比较有显著性差异(P<0.05);偏于阴虚质者400例,有效率88.5%;偏于气虚质者28例,有效率92.9%,湿热质者149例,有效率81.2%;痰湿质110例,有效率85.4%;特禀质者803例,有效率85.7%;阳虚质262例,有效率87.1%。参加贴敷的不同体质小儿的疗效无明显差异,但阴虚质、特禀质的疗效疗效趋势更明显;疗程1-3年、4-6年、7-10年,各组间比较有显著性差异(P<0.05)。结论:"冬病夏治贴敷疗法"疗效影响因素与患儿疾病病程、治疗疗程密切相关,表明病程越短,疗程越长,其治疗效果越明显,与患儿不同体质无明显差异,但阴虚质、特禀质的疗效趋势更明显。

Objective： A retrospective study is carried out to find the correlative factors inl uencing ei cacy of preventing and treating pediatric lung disease with point application therapy based on curing winter diseases in summer. Methods： One thousand seven hundred and fifty-two children from Affiliated Hospital of Liaoning University of Traditional Chinese Medicine who were treated with point application therapy and conformed to the inclusion criteria from the summer of 2012 to 2014 were collected. The curative effect, disease courses, constitutions of patients were observed with the questionnaire survey as the entry point, with acupoint-sticking in dos-days as the subject factor, and with children with primary symptom of recurrent cough and gasp as the observation subjects. Results： The difference among children with disease courses less or equal to 3years, between 3 and 6 years, between 6 and 10 years, and more than 10 years was significant（P〈0.05）. Statistics results showed that the effective rate of 400 patients with yin deficiency constitution was 88.5%, effective rate of 28 patients with qi deficiency constitution was 92.9%, effective rate of 149 patients with dampness-heat constitution was 81.2%, effective rate of 110 patients with phlegmdampness constitution was 85.4%, effective rate of 803 patients with allergic constitution was 85.7%, and effective rate of 262 patients with yang deficiency constitution was 87.1%. The difference in curative effect of application therapy among children with different constitutions was not significant, but the trend of curative effect in children with yin deficiency constitution and allergic constitution was more obvious. The difference in curative effect among groups with different treatment courses was significant（P〈0.05）. Conclusion： The correlative factors inl uencing ei cacy of point application therapy based on curing winter diseases in summer are closely related with treatment courses and disease courses. The results indicate that the shorter disease courses, longer treatment courses, the curative effect is better. The curative effect is not related with constitution obviously, but the trend of curative effect in children with yin deficiency constitution and allergic constitution is more obvious.