治未病理念指导下中医儿童保健体系的临床应用  

Clinical Application of the Traditional Chinese Medicine Child Health Care System under the Guidance of Theory of Preventive Treatment of Disease

作　　者：吴伟霞[1,2] 李彦昕[1,2] 罗笑容[1,2] 许尤佳[1,2] WU Weixia;LI Yanxin;LUO Xiaorong;XU Youjia(Department of Pediatrics,Guangdong Hospital of Traditional Chinese Medicine,Guangdong Province,Guangzhou 510120,China;Luo Xiaorong Prestigious Doctor Studio,Guangdong Hospital of Traditional Chinese Medicine,Guangdong Province,Guangzhou 510120,China)

机构地区：[1]广东省中医院儿科,广东广州510120 [2]广东省中医院罗笑容名医工作室,广东广州510120

出　　处：《中国中医药现代远程教育》2023年第11期66-69,共4页Chinese Medicine Modern Distance Education of China

基　　金：广东省中医院中医药科学技术研究专项课题(治未病专项)【No.YN2018ZWB02】;国家中医药管理局罗笑容全国名老中医药专家传承工作室建设项目【No.14GG2X02】。

摘　　要：目的 观察、评价“治未病”理念指导下的中医儿童保健体系在儿童保健中的应用。方法 选择广州市内2所幼儿园2019年5月—2020年9月在托健康儿童300例为研究对象,分为观察组和对照组,各150例。观察组按“保健体系”方案干预。对照组不进行干预。观察时间为1年。比较2组干预前后组间体质辨识积分、中医证候积分、保健总体疗效、患病情况的差异。结果 观察组保健后体质辨识积分、中医证候积分、常见呼吸及消化系统疾病总患病率和年平均患病次数低于保健前,差异有统计学意义(P <0.05)。保健后观察组体质辨识积分、中医证候积分、常见呼吸及消化系统疾病总患病率和年平均患病次数低于对照组,差异有统计学意义(P <0.05)。观察组保健总体疗效为29.33%(44/50),高于对照组的14.67%(22/150),差异有统计学意义(P <0.05)。结论 “治未病”理念指导下的“中医儿童保健体系”方案能改善小儿偏颇体质和中医证候表现,减少常见呼吸及消化系统疾病总患病率与年平均患病次数。Objective To observe and evaluate the effect on the application of traditional Chinese medicine(TCM)child health care system under the guidance of the concept of“preventive treatment of disease”for prevention of healthcare.Methods T A total of 300 healthy children in 2 kindergartens in Guangzhou from May 2019 to September 2020 were selected as the research objects and divided into observation group and control group,with 150 cases in each group.The observation group was subjected to the“health care system”scheme.The control group did not intervene.The observation period was 1 year.The differences of body constitution identification score,TCM syndrome score,overall health efficacy and disease status were compared between the two groups before and after intervention.Results After health care,the body mass identification score,TCM syndrome score,the total prevalence rate of common respiratory and digestive diseases and the annual average number of diseases in the observation group were lower than before health care,and the differences were statistically significant(P<0.05).After health care,the body mass identification score,TCM syndrome score,the total prevalence rate of common respiratory and digestive diseases and the annual average number of diseases in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).The overall curative effect of the observation group was 29.33%(44/50),which was higher than that of the control group(14.67%,22/150),and the difference was statistically significant(P<0.05).Conclusion The clinical application of the TCM child health care system under the guidance of the theory of“preventive treatment of disease”can improve children’s biased constitution and TCM symptoms,and reduce the average annual incidence of common respiratory and digestive diseases.

关 键 词：治未病 儿科 体质辨识 中医儿童保健体系 

分 类 号：R272[医药卫生—中医儿科学]