摘要
目的为中医健康管理干预气虚体质(反复感冒)儿童临床疗效提供依据。方法2018年10~12月在河南省中医院儿科门诊选定68例气虚体质(反复感冒)儿童,制定中医健康管理干预方案(饮食、起居、运动、推拿、药茶、足浴6个方面),并定期对监护人进行健康教育。管理4个月,持续随访1年,分别于管理前、管理4个月后、8个月后、12个月后进行随访,观察干预前后不同时间点小儿气虚体质症状积分变化情况、体质改善的有效率及感冒次数变化情况。结果(1)通过中医健康管理,小儿在不同时间点(第4个月、第8个月、第12个月后),气虚体质各症状积分及总积分均较管理前降低,差异有统计学意义(P<0.001),感冒次数均较管理前明显减少,差异有统计学意义(P<0.001)。(2)12个月后气虚体质临床表现总积分减分率≥30%者68例,即中医健康管理干预气虚体质的有效率为100.0%。结论中医健康管理干预气虚体质小儿效果明显,可有效改善气虚体质,减少感冒发病次数,其干预具有远期效应。
Objective To provide evidence for the clinical effect of health management with traditional Chinese medicine on children with Qi-deficient constitution(recurrent cold).Methods A total of 68 cases of children with Qi-deficient constitution(recurrent cold)were selected,who were treated in Henan TCM Hospital.Formulate intervention regimen of TCM health management(including diet,living,sports,massage,herbal tea and foot bath),and health education was regularly carried out for the guardians of children.Management time was 4 months,the follow-up period was 1 year,and clinical efficacy was observed before management,and after the 4^(th) month,the 8^(th) month,and the 12^(th) month,including the changes in symptom score of Qi-deficient constitution,the effective rate of constitution improvement and changes in number of colds.Results(1)Through TCM health management,at different time points in a year(after the 4^(th) month,the 8^(th) month,the 12^(th) month),individual symptom score and total score of Qi-deficient constitution were lower than those before management(P<0.001);the number of colds was significantly less than before(P<0.001).(2)After the 12^(th) month,there were 68 cases whose rate of decrease in total score of clinical manifestations of Qi-deficient constitution was no more than 30%,and the effective rate of TCM health management in physical improvement of Qi-deficient constitution was 100%.Conclusion The effect of TCM health management intervention on children with Qi-deficient constitution is significant,which can effectively improve the Qi-deficient constitution and reduce the incidence of cold.TCM health management intervention for children with Qi-deficient constitution(recurrent cold)has a long-term effect.
作者
段政
王卓
DUAN Zheng;WANG Zhuo(Department of General Medicine, Nanyang First People's Hospital,Nanyang 473000,China)
出处
《中国中西医结合儿科学》
2022年第1期68-72,共5页
Chinese Pediatrics of Integrated Traditional and Western Medicine
关键词
反复感冒
气虚体质
中医健康管理
儿童
Recurrent cold
Qi-deficient constitution
TCM health management
Child
