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《儿童反复呼吸道感染治未病干预指南》解读

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《儿童反复呼吸道感染治未病干预指南》是以中医经典及中西医最新研究进展为理论基础,遵循循证性临床诊疗指南的制定方法,并结合中西医临床实际情况,提出了预防反复呼吸道感染的原则及具体方法,从3个方面进行推荐。未病先防方面,该指南以科学养育方式作为基础预防,从膳食模式、睡眠时间、体育活动、环境卫生、疫苗接种等方面进行调整,并根据中医儿童体质推荐相应喂养方式及中医食养。既病防变方面,要祛除病因,积极治疗原发病,在未病先防的基础上加入小儿推拿、穴位贴敷、药物香佩等中医外治法,必要时还可加用内服药物进行干预。瘥后防复方面,需参照未病先防内容进行防护,在痊愈之初可加入既病防变中的外治法。有别于既往指南对于药物治疗的描述,治未病指南更强调生活习惯及养育方式的合理性,在健康生活方式的大前提下结合个体中医体质特点,进行针对性更强的辨体调理,将疾病预防广泛运用于生活实际。
Interpretation of The Guidelines for Prevention and Treatment of Recurrent Respiratory Tract Infections in Children
On the theoretical basis of classic traditional Chinese medicine and the latest research progress of traditional Chinese and western medicine,following the formulation method of evidence-based clinical diagnosis and treatment guidelines,and combining with the clinical practice of traditional Chinese and western medicine,the Guidelines for Prevention and Treatment of Recurrent Respiratory Tract Infections in Children put forward the principles and specific methods for the prevention of recurrent respiratory tract infection,and makes recommendations from three aspects.In terms of prevention before disease,the guidelines takes scientific parenting as the basic prevention,adjusts the dietary pattern,sleep time,physical activity,sanitation,vaccination and other aspects,and recommends the corresponding feeding methods and TCM diet therapy according to the physique of children in traditional Chinese medicine.In terms of prevention of disease,we should eliminate the cause of the disease,actively treat the primary disease,and add external therapy of TCM,such as infantile massage,acupoint application and Chinese herbal sachet therapy on the basis of disease prevention,and if necessary,we can also add oral drugs to intervene.In the aspect of prevention of the recrudescence of diease,it is necessary to refer to the content of prevention before disease,and the content of external therapyin the prevention of disease can be added at the beginning of recovery.Different from the key description of drug treatment in previous guidelines,the guidelines emphasize the rationality of living habits and rearing practice.Under the premise of a healthy lifestyle,the guidelines combine the physical characteristics of individual traditional Chinese medicine,carry out more targeted physical discrimination and conditioning,and widely apply disease prevention to the reality of life to achieve real treatment.

The Guidelines for Prevention and Treatment of Recurrent Respiratory Tract Infections in Childrenrecurrent respiratory tract infectionschildrenpreventing or treating the disease before its develop-mentguidelinesinterpretation

于斐、曹贞艳、李嘉琦、李敏

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北京中医药大学,北京 100029

首都医科大学,北京 100069

首都医科大学附属北京中医医院,北京 100010

《儿童反复呼吸道感染治末病干预指南》 反复呼吸道感染 儿童 治未病 指南 解读

中华中医药学会团体标准项目

20220311-BZ-CACM

2024

中医药导报
湖南省中医药学会 湖南省中医管理局

中医药导报

CSTPCD
影响因子:0.952
ISSN:1672-951X
年,卷(期):2024.30(9)