汕头市反复呼吸道感染儿童中医体质初步探讨与健脾益肺法治验

Research of Shantou RRTIs Children Constitutions and Treatment with the Method of TCM Jian PiYiFei

目的:初步探讨本地反复呼吸道感染(RRTIs)儿童中医体质与老中医健脾益肺法治疗经验。方法:选择急性上呼吸道感染后仍有咳嗽症状的RRTIs患儿200例,统计小儿中医体质类型,并随机分为对照组和观察组,每组100例。对照组常规用药,观察组加服健脾益肺汤,两组疗程均为60 d。结果:200例患儿中医体质前4位为肺气不足(17.5%)、脾气不足(17.0%)、阴亏内热(15.5%)和脾弱湿滞(14.5%)。两组均取得满意的治疗效果,在食欲改善方面,观察组优于对照组,差异有统计学意义(P<0.05)。在RRTIs疗效、体液免疫指标和咳嗽疗效方面,观察组优于对照组,但差异均无统计学意义(P>0.05)。结论:肺气不足、脾气不足、阴亏内热和脾弱湿滞是汕头市RRTIs儿童常见的中医偏颇体质,健脾益肺法经验有利于改善RRTIs患儿体质。

Objective： To investigate the type constitution of Shantou children with recurrent respiratory tract infections （ RRTIs ） , and the efficacy of JianPiYiFei＇s method.Method： After analyzing the TCM constitution types, 200 RRTIs children with post-infection cough （ PIC ） were randomly divided into the observation and the control groups with 100 cases in each group. Adding the control group was treated with routine medication, the observation group was treated with Shantou TCM＇s JianPiYiFei soup. The treatment course of two groups was both 60 days. Result： The distribution of TCM constitution of Shantou children with RRTIs were Lung Qi deficiency （ 17.5% ）, Spleen Qi deficiency （ 17.0% ）, Yin deficiency （ 15.5% ） and Spleen function deficiency （ 14.5% ） . in the aspect of improving the clinical symptom of Spleen, the observation group was marked higher than that of the control group （ P〈0.05 ） .In symptom improvement aspect, both group were marked better than before （ P〉0.05 ） . Conclusion： Kind types of TCM constitution of Shantou children with RRTIs are Lung Qi deficiency, Spleen Qi deficiency, Yin deficiency and Spleen function deficiency. Shantou TCM＇s JianPiYiFei soup is useful to children with RRTIs in Shantou.