小儿哮喘急性发作期中医临床路径72例实施观察

Observation on the clinical pathway of traditional Chinese medicine in 72 children with acute asthma

目的:观察小儿哮喘急性发作期中医临床路径的实施效果。方法:将144例支气管哮喘急性发作期患儿随机分为观察组和对照组,每组72例。观察组予中医临床路径方案治疗,对照组予西医常规治疗。比较两组的临床疗效,住院时间,治疗前后的中医证候积分,肺功能FVC、FEV、FEV/FVC的变化。结果:观察组临床痊愈率为43.06%(31/72),显著高于对照组[23.61%(17/72)](P<0.05);观察组住院时间显著少于对照组(P<0.05);两组的中医证候积分在治疗后均明显低于本组治疗前(P<0.05),且观察组显著低于对照组(P<0.05);治疗后,两组肺功能FVC、FEV、FEV/FVC较本组治疗前均显著升高(P<0.05),且观察组肺功能FVC、FEV、FEV/FVC指标较对照组显著升高(P<0.05)。结论:小儿哮喘急性发作期中医临床路径的实施能明显改善患儿的症状和体征,改善肺功能,缩短住院时间,提高临床痊愈率,可在临床上推广应用。

Objective: Evaluating objectived the effects of TCM clinical pathway in children with acute asthma. Methods:A total of 144 children with acute asthma were randomly divided into observation group and control group, with 72 cases in each group. The observation group was treated according to the clinical pathway and the control group received conventional treatment in western medicine according to the guidelines. The clinical efficacy, length of hospitalization time, TCM syndrome score, lung function FVC, FEV, FEV/FVC were compared between the two groups before and after treatment. Results: The recovery rate was 43.06%(31/72) in the observation group and 23.61%(17/72) in the control group, showing significant statistical differences(P<0.05). The average hospitalization time of patients in observation group significantly shorter than that in control group(P<0.05).The total TCM syndrome scores of the two groups decreased after treatment compared with before treatment(P<0.05), and the observation group was lower than that of the control group(P<0.05). The lung function FVC, FEV, FEV/FVC increased after treatment compared with before treatment(P<0.05), and the observation group was higher than that of the control group(P<0.05).Conclusion: Implementation of TCM clinical pathway in children with acute asthma can significantly improve the symptoms and signs, improve lung function, shorten the hospitalization time, improve the cure rate, which can be widely promoted in clinical practice.