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目的:观察从调理中气治疗小儿慢性咳嗽后的远期疗效。方法:选取佛山市顺德区第一人民医院就诊的慢性咳嗽患儿120例,按就诊顺序分为治疗组和观察组各60例。对临床治疗按中医证象积分评价有效的86例患儿分别进行治疗后1个月、3个月、6个月随访,观察两组患儿的咳嗽频度、活动后咳嗽情况、痰液、纳呆、便溏、便秘、怠倦乏力等相关中医证象量化积分变化情况,判定远期疗效。结果:治疗后1个月、3个月、6个月两组患儿治疗有效率比较,治疗组显著优于对照组,对照组复发率明显高于治疗组,差异具有统计学意义(P<0.05)。结论:从调理中气治疗岭南地区小儿慢性咳嗽疗效确切,能在一定时间内维持改善患儿的总体情况,对患儿体质恢复有重要意义。
Objective: To observe the long-term curative effect of treating chronic cough in children after conditioning. Methods: A total of 120 children with chronic cough treated by First People ’s Hospital of Shunde District of Foshan City were enrolled. According to the order of treatment, they were divided into treatment group and observation group of 60 cases each. Eighty-six children who were evaluated according to TCM syndrome points for clinical treatment were respectively followed up for 1 month, 3 months and 6 months. The frequency of cough, cough after activity, sputum, Admission, defecation, constipation, fatigue and other related indicators of quantitative changes in TCM evidence to determine the long-term efficacy. Results: Compared with the control group, the treatment group was significantly better than the control group, the recurrence rate was significantly higher in the control group than in the treatment group, the difference was statistically significant (P < 0.05). Conclusion: The treatment of chronic cough in children in Lingnan region is effective in the treatment of Lingqi area. It can maintain and improve the overall condition of children in a certain period of time, which is of great significance to the recovery of children’s physical constitution.