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目的观察冬病夏治穴位敷贴结合社区管理模式防治儿童哮喘的临床疗效。方法将纳入的120例哮喘患儿随机分为2组,对照组60例缓解期给予中药柴桂汤加味治疗,发作期予西药雾化治疗,治疗组60例在对照组治疗方法的基础上给予冬病夏治穴位敷贴结合社区管理模式,连续治疗3年后,根据患儿哮喘健康管理档案记录的变化情况,比较2组患儿的临床疗效、哮喘病情改善率、哮喘发作次数、门诊就诊次数以及平均医疗费用。结果治疗组总有效率为95.0%,对照组为78.3%,2组比较差异有统计学意义(P<0.05);2组哮喘发作次数、门诊就诊次数、平均医疗费用比较,差异均有统计学意义(P<0.05)。结论冬病夏治穴位敷贴结合社区管理模式能明显提高哮喘患儿的疗效,值得临床推广应用。
Objective To observe the clinical effect of applying summer acupoints dressing and community management mode to prevent and cure childhood asthma. Methods A total of 120 asthmatic children were randomly divided into two groups. 60 cases in the control group were treated with Chaigui Decoction during the remission period, and atomized by Western medicine in the attack period. 60 cases in the treatment group were given on the basis of the treatment of the control group Winter disease summer acupoint application combined with community management mode, after 3 consecutive years of treatment, according to the changes of children’s asthma health management records, compare the clinical efficacy of two groups of children, the improvement rate of asthma, the number of asthma attacks, outpatient visits The number of times and the average medical costs. Results The total effective rate was 95.0% in the treatment group and 78.3% in the control group, with significant difference between the two groups (P <0.05). There were statistically significant differences between the two groups in the number of asthma attacks, outpatient visits and average medical expenses Significance (P <0.05). Conclusion The application of winter acupuncture points in summer treatment combined with community management can significantly improve the efficacy of asthma in children, worthy of clinical application.