目的 观察生长贴联合子午流注开穴法治疗身高超矮儿童脾肾亏虚型的近期临床疗效.方法 选取2019年3-5月在武汉市中西医结合医院儿科就诊的身高超矮儿童脾肾亏虚型62例,采用随机数字表法分为对照组30例和治疗组32例,对照组予赖氨酸维B12颗粒口服治疗,治疗组使用生长贴联合子午流注开穴法治疗,2组均连续治疗3个月,并于治疗后及治疗后第3个月统计疗效.结果 治疗组总有效率为78.13％(25/32),明显高于对照组的43.33％ (13/30),2组比较,差异有统计学意义(P＜0.05).治疗前2组症状、体征积分比较,差异无统计学意义(P＞0.05),具有可比性;治疗后及治疗后第3个月2组的症状、体征积分均较同组治疗前明显降低,差异均有统计学意义(P＜0.05或P＜0.01),且治疗组与对照组同期比较,降低更显著(P＜0.01).治疗前2组的生长速度(GV)、身高标准差(SDS)、骨龄(BA)比较,差异无统计学意义(P＞0.05),具有可比性;治疗后2组的BA及治疗组的GV和身高SDS均较同组治疗前明显升高,差异有统计学意义(P＜0.05);治疗后第3个月2组的GV、身高SDS及BA均较同组治疗前明显升高,差异均有统计学意义(P＜0.05),且治疗组的GV和身高SDS升高更显著(P＜0.05).结论 生长贴联合子午流注开穴法治疗身高超矮儿童脾肾亏虚型疗效显著,可明显改善症状、体征,显著提高儿童GV、身高SDS及BA,值得临床推广应用.

目的:通过问卷调查分析固表解毒灵颗粒对儿童新型冠状病毒(SARS-CoV-2)感染相关症状的防治效果.方法:对武汉市中西医结合医院职工子女符合入组标准的儿童,给予固表解毒灵中药颗粒剂口服.分别于服药前后进行两次问卷调查,分析入组儿童的一般资料、规律口服固表解毒灵颗粒情况以及服药前后SARS-CoV-2感染相关症状发生的情况.结果:共188名儿童入组参与问卷调查,服用固表解毒灵颗粒后发热、咽痛、咳嗽咳痰等相关不适症状得到改善,并且未出现新的SARS-CoV-2感染相关症状,但差异无统计学意义(P＞0.05);≥7～18岁组累计口服固表解毒灵颗粒时间及规律口服中药情况优于1～＜7岁组.结论:≥7～18岁儿童口服固表解毒灵颗粒依从性好,固表解毒灵颗粒对SARS-CoV-2感染相关症状具有一定的防治作用,但仍需进一步大样本研究进行证实.

目的 观察龙牡壮骨颗粒治疗小儿磨牙症脾虚风动证的临床疗效.方法 选取2017年6月至2018年12月在武汉市第一医院儿科睡眠专科门诊就诊的磨牙症脾虚风动证患儿52例,均给予龙牡壮骨颗粒口服治疗,连续治疗4周后统计临床疗效和用药安全性.结果 50例中痊愈6例(占12％),显效30例(占60％),有效12例(占24％),无效2例(占4％),总有效率为96％(48/50).结论 龙牡壮骨颗粒治疗小儿磨牙症脾虚风动证临床疗效满意,不仅口感较好,服用方便,易于患儿接受,而且用药安全性良好,临床值得推广应用.

Objective:To study the constitution improvement and hypotensive effect of TCM early comprehensive intervention onpeople with high-normal blood pressure.Methods:A total of 293 people with high-normal blood pressure who were biased constitution were randomly divided into three groups,99 people in group A received TCM early comprehensive intervention,96 people in group B only received holistic health guidance,98 people in group C without any intervention.The constitution improvement and hypotensive effect was observed after a year.Results:The total effective rate of first biased constitution improvement:group A was better than group B and C (P＜0.05,P＜0.01),there was no significant difference between B and C group.The total effective rate of hypotensive effect:group A was better than group B and C (P＜0.01),group B was better than group C (P＜0.01).Conclusion:The holistic health guidance could effectively reduce high-normal blood pressure,while high early comprehensive intervention could improve the biased constitution reduce blood pressure which was better than holistic health guidance.The combination of TCM early comprehensive intervention and holistic health guidance was a better intervention scheme,which was an appropriate technology to prevent people from high-normal blood pressure,it was effective safety,easy to promote,and expected to radically reduce the incidence of hypertension.

Objective:To analyze the correlation between blood pressure of high-normal blood pressure people and TCM constitution features.Methods:Cross-sectional survey method was used,and 616 high-normal blood pressure people were collected to conduct constitution identification questionnaire,so that qualitative and quantitative data of constitutions can beretrieved for statistical analysis on the correlation between constitutions distribution characteristics blood pressure.Results:Biased constitution was common among high-normal blood pressure people,mostly yang deficiency constitution,dampness-heat constitution and phlegm-wetness constitution.Compound biased constitution was also common with the characteristics of intermingled deficiency and excess,opposition of yin-yang.There was sex and age difference in constitution distribution.Conclusion:High-normal blood pressure is related to a variety of biased constitutions.Regulating biased constitutions should be paid attention in treating high-normal blood pressure,focused on improving yang deficiency constitution,dampness-heat constitution,phlegm-wetness constitution and opposition of yin-yang,gave consideration to compound biased constitution with the characteristics of intermingled deficiency and excess and sex and age differences at the same time,in order to achieve early prevention of hypertension.

目的:观察调体中药方案对乳腺增生病的疗效.方法:乳腺增生病患者90例,中医体质分别属于气虚痰湿复合质、痰温血瘀复合质、阴虚阳虚复合质各30例,每种体质分为对照组和试验组.前者给予体质健康教育,后者加用中药调理方案3个月.结果:试验组体质、证候评分及乳腺腺体厚径等均有所改善,疗效优于对照组.结论:中药调体结合健康教育对乳腺增生病疗效显著,可以作为中医防治乳腺增生等慢性病的新方法.

Objective:To analyze traditional Chinese medicine(TCM) constitution features and investigate intervention strategy.Methods:For the aged over 60-year old conducting physical examination from April to August 2012 in Dongfang Hospital of Beijing University of Chinese Medicine,the constitution survey was used for qualitative and quantitative analysis on the TCM constitution.Results:Total 755 valid questionnaires were collected.After the analysis,it was found that there were 386 cases with abnormal constitution(51.1%),257 cases(66.6%) with composite abnormal constitution,91 cases(35.4%) with yangdeficiency and yin-deficiency;130 cases(33.7%) with asthenia constitution(qi-deficiency,yin-deficiency and yang-deficiency),49 cases(12.7%) with sthenia constitution(phlegm-dampness,dampness-heat,blood stasis,qi-stagnation) and 207 cases(53.6%)with inclusion of asthenia and sthenia.Conclusion:Composite abnormal constitution is common in the aged people,obviously in athenia constitution and asthenia-sthenia constitution.To formulate comprehensive intervention strategies according with the constitution features in the aged:to adjust constitution is the most important,comprehensive means are used,properly adjust and tonic,strengthen body resistance meanwhile eliminate pathogenic factors,pay attention to self-regulation and etc.It is hopeful to prevent and treat aged disease radically,and improve life quality with qreat siqnificance.

目的:探明城市女性乳腺增生病与中医体质的相关性.方法:采用匹配病例-对照研究设计,收集500例乳腺增生病患者、500名健康体检者,进行中医体质辨识问卷调查,得出偏颇体质的定性及定量数据,根据调查情况对中医偏颇体质进行分类归纳.结果:城市患乳腺增生病女性偏颇体质较多,其中以复合体质多见.结论:乳腺增生病是与中医体质相关的慢性疾病,且以复合体质多见,城市女性应重点改善阳虚体质,调理体质应兼顾多种偏颇体质,综合调理,从而达到预防乳腺增生病的目的.

我国正常高值血压发生人数众多,发展成高血压病概率极大,是心脑血管病主要的危险因素.研究发现,正常高值血压与体质偏颇及“病络”状态存在相关性.在防治方面,目前西医对正常高值血压的早期干预是否应采用药物手段尚存在争议,推荐以改善生活方式为主;中医指导从饮食、运动、情志及起居自我调理为主,医助调体通络为辅,但循证医学证据有待加强.立足于中医“治未病”防治理念防病求本、欲病救萌,可有效降低高血压病的发生率,实现真正意义上的防控高血压目标.

Objective To formulate the simple obesity patients nutrition knowledge attitude practice(KAP) questionnaire,and to testify and analyze its reliability and validity.Methods 82 cases were collected in the line with the study standards to fill in the simple obesity patients nutrition KAP questionnaire.The test-retest method,using Kappa coefficient was used to analyze its reliability,and correlation coefficient was used to analyze its validity.Results The Kappa coefficient of all items in the questionnaire was 0.685 4 to 0.850 5,the correlation coefficient between the scores of each item and the total scores was 0.316 1 to 0.719 5,which had correlation and the correlation was all statistically significant(P<0.01).The statistical results showed,the questionnaire was consistent with the ideas at the beginning of research,and could better reflect the simple obesity patients nutrition knowledge attitude practice.Conclusion The simple obesity patients nutrition knowledge attitude practice questionnaire formulated in this study is good in reliability and validity,which can be used for simple obesity patients nutrition knowledge attitude practice survey.