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

Clinical observation on infantile asthma treated with combination of community management pattern and point application therapy in “winter disease cured in summer”

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。

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 ofinfantile 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 chan- ges of infantile asthma records, observed clinical efficacy, improvement rate, frequency of asthma and visiting hospi- tal 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.