“辨体治未病”理论在治疗儿童反复呼吸道感染中的应用  

Clinical Application of “Preventive Treatment of Disease with Constitution Differentiation” Theory in Children Recurrent Respiratory Tract Infection

作　　者：王欣[1] 王玉水[1] 赵久龄[1] 刘艳[1] 

机构地区：[1]天津市南开医院儿科,天津300100

出　　处：《中医药临床杂志》2016年第11期1610-1613,共4页Clinical Journal of Traditional Chinese Medicine

基　　金：天津市中医药管理局中医/中西医结合科研项目(编号:13052)

摘　　要：目的:观察中医"辨体治未病"理论应用于儿童反复呼吸道感染的临床效果。方法:将120例反复呼吸道感染儿童随机分为中医治疗组90例,西医对照组30例,其中中医治疗组,以体质辨证为基础,分为正常质、痰湿质、气虚质、内热质和气阴两虚质,分别自立春、立夏、立秋、立冬节气开始,给予相应中医治疗。对照组于立春、立夏、立秋、立冬节气开始给予匹多莫德治疗。结果:中医治疗组脱落8例,西医对照组脱落8例,各组开始治疗前后1年呼吸道感染次数的比较:治疗前中医治疗组各组和西医组呼吸道感染次数比较无统计学差异(P>0.05);各组自身治疗后前后统计学比较均有显著性差异(P均<0.01);治疗后中医正常质组与西医组比较无显著性差异(P>0.05),痰湿质组、气虚质组、内热质组、气阴两虚质与西医组比较,均有统计学差异(P均<0.01);中医治疗各组与西医组治疗前IgG比较:治疗后IgG比较均无显著差异(P值分别为0.068,0.059均>0.05);中医治疗组各组(正常质组、痰湿质组、气虚质组、内热质组、气阴两虚质组)及西医组治疗后与治疗前自身比较,IgG均有显著提高(P均<0.01)。结论:基于中医"辨体治未病"理论的捏脊结合中药疗法治疗儿童反复呼吸道感染具有较好的优势,其作用机制不仅仅局限于提高机体免疫球蛋白水平,可能存在其他的免疫调节机制,有待于进一步研究。Objective： To observe the clinical effect of ＂ Preventive Treatment of Disease with Constitution Differentiation ＂ theory in children with recurrent respiratory tract infections（RRTIs）. Method： 120 children of RRTIs were randomly divided into traditional Chinese medicine group（treatment group, n = 90）and control group（western medi- cine group, n = 30）. Based on the constitution differentiation, treatment group was divided into five subgroups： Gentle, Phlegm-Wet, Qi Deficiency, Inner-Heat and Qi-Yin Deficiency type. All cases were given the appropriate treatment on four Solar terms （ Start of Spring, Start of Summer, Start of Autumn and Start of Winter）. Results： 8 cases lost in each group. There was no statistical significance btetween the two groups in the times of respiratory infections after the treatment begining in the first year（P〉 0.05）. Comparison on before and after treatment, there were statistically significant differences in each group（P〈 0.01）. After treatment, in addition to the Gentle type subgroups, there was significant difference between each subgroup of Chinese Medicine and control group（P〈 0.01）. And the serum levels of IgG were significantly increased in all groups after treatment（P〈 0.01）. Conclusions： Chiropractic combined with traditional Chinese medicine therapy, based on ＂ Preventive Treatment of Disease with Constitution Differentiation ＂ theory, has better advantages in the treatment of children with RRTIs. The mechanism is not limited to improve the immune globulin level, there may be other immune regulation mechanism, which remains for further research.

关 键 词：体质辨证 治未病 中医 反复呼吸道感染 

分 类 号：R272.6[医药卫生—中医儿科学]