ISSN 1674-3865  CN 21-1569/R
主管：国家卫生健康委员会
主办：中国医师协会
　　　辽宁省基础医学研究所
　　　辽宁中医药大学附属医院
中国中西医结合儿科学

中国中西医结合儿科学 ›› 2022, Vol. 14 ›› Issue (3): 185-189.doi: 10.3969/j.issn.1674-3865.2022.03.001

• 小儿哮喘疾病防治专栏 •    下一篇

基于中医体质辨识实施健康管理模式对儿童哮喘缓解期的影响

冷玲, 迟磊, 陈荣   

  1. 116011 辽宁 大连，大连市妇女儿童医疗中心（集团）呼吸科

  • 收稿日期:2021-03-22 出版日期:2022-06-25 上线日期:2023-12-01
  • 通讯作者: 迟磊，E-mail：chilei102021@163.com

Effect of health management mode on children with asthma in remission stage based on the traditional Chinese medicine physique identification

LENG Ling, CHI Lei, CHEN Rong   

  1. Dalian Municipal Women and Children's Medical Center(Group)，Dalian 116011，China

  • Received:2021-03-22 Published:2022-06-25 Online:2023-12-01
  • Contact: CHI Lei，E-mail：chilei102021@163.com

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摘要： 目的 通过中医体质辨识对偏颇体质哮喘缓解期患儿进行家庭管理干预，探讨中医综合健康管理模式对儿童哮喘缓解期的影响，为哮喘缓解期患儿的家庭管理提供理论依据。方法 选择2019年1月至2020年1月于我院门诊就诊的哮喘缓解期患儿60例为研究对象，随机分为观察组和对照组各30例。对照组采用常规管理模式，观察组采用中医综合健康管理模式，干预6个月比较两组患儿干预前后偏颇体质转化水平、哮喘控制状态、生存质量评分变化及患儿满意程度。结果 观察组与对照组偏颇体质前三位分别为肺不足(气虚质)、特禀质、气郁质。观察组治疗后偏颇体质评分低于对照组，差异有统计学意义(P<0.01);观察组治疗后哮喘控制评分、生存质量评分、满意率均高于对照组，差异有统计学意义(P<0.05)。结论 采用中医综合健康管理模式干预能有效改善患儿偏颇质状态，提高哮喘控制水平，从而进一步减少哮喘的发作次数，促进患儿身心健康，提升生存质量。

关键词:

哮喘缓解期, 健康管理, 生活质量, 中医体质, 儿童

Abstract:

Objective Family management intervention was carried out for children with asthma in remission stage of biased constitution by TCM constitution identification，so as to provide theoretical basis for family management of children with asthma in remission stage.Methods A total of 60 children with asthma in remission stage， who were treated in our hospital from January 2019 to January 2020， were randomly divided into intervention group and control group,with 30 cases in each group,by digital random table. The control group was given conventional management, and the observation group received TCM comprehensive health management. After 6 months of intervention,transformation of biased constitution, asthma control status,changes in quality of life score and satisfaction degree of children in the two groups were compared before and after intervention.Results The top three biased constitutions in the observation group and the control group were lung deficiency(qi-deficiency subscale), special constitution subscale and qi-depression subscale. The biased physique score of the observation group was lower than that of the control group after treatment, and the difference was statistically significant(P<0.01). Asthma control score, quality of life score and satisfaction rate of the observation group were higher than those of the control group after treatment,and the differences were statistically significant(P<0.05).Conclusion The comprehensive health management model of TCM can effectively improve the biased constitution of children， improve the level of asthma control， and thus further reduce the incidence of asthma， promote the physical and mental health of children，and improve the quality of life.

Key words:

Asthma in remission stage, Health management, Quality of life, Traditional Chinese medicine constitution, Children