Study on Optimization of External Treatment for Recurrent Respiratory Tract Infections in Children

XU Yanling, HUO Lili, WU Yilin, LIU Hui

XU Yanling, HUO Lili, WU Yilin, LIU Hui

Preventive Treatment of Disease Center, Shanghai TCM-Integrated Hospital Affiliated to Shanghai University of

Traditional Chinese Medicine, Shanghai 200082, China

Abstract: Objective To compare the clinical efficacy of single use of the acupoint application in both dog days and three nine-day periods after the winter solstice and the physical differentiation in four seasons of knead ridge method with the combination of the acupoint application in both dog days and three nine-day periods after the winter solstice and the physical differentiation in four seasons of knead ridge method in the prevention and treatment of recurrent respiratory tract infections in children; To optimize the treatment. Methods Totally 96 cases of recurrent respiratory tract infection in children were randomly divided into three groups, namely the acupoint application in both dog days and three nine-day periods after the winter solstice group, the physical differentiation in four seasons of knead ridge method group, and the combination of the acupoint application in both dog days and three nine-day periods after the winter solstice and the physical differentiation in four seasons of knead ridge method group, with 32 cases in each group, with 2 cases, 4 cases and 1 case lost, respectively. The acupoint application in both dog days and three nine-day periods after the winter solstice group was given the acupoint application in both dog days and three nine-day periods after the winter solstice every year; the physical differentiation in four seasons of knead ridge method group was given the physical differentiation in four seasons of knead ridge method therapy; the combination of the acupoint application in both dog days and three nine-day periods after the winter solstice and the physical differentiation in four seasons of knead ridge method group was given both therapies mentioned above. The follow-up

lasted for 1 year. The clinical efficacy of the three groups was compared. The disease types, the number of episodes, and the duration of the respiratory tract infection before and after treatment were observed. The related factors (gender, age, age of onset, birth weight, mode of birth, duration of disease, type of disease) were analyzed. Results During the follow-up for one year, the clinical efficacy of the combination of the acupoint application in both dog days and three nine-day periods after the winter solstice and the physical differentiation in four seasons of knead ridge method group was better than the other groups, with statistical significance (P<0.05). The combination of the acupoint application in both dog days and three nine-day periods after the winter solstice and the physical differentiation in four seasons of knead ridge method group was better than the other two groups in the aspects of reducing the number of episodes per unit time, shortening the duration of infection period, and changing the type of disease (disease type), with statistical significance (P<0.05). Monofactor analysis showed that there was statistical significance in the mode of birth and duration of disease among the groups (P<0.05). Ordered logistic regression analysis affecting efficacy showed that there was no statistical significance in the mode of birth, duration of disease, and age of onset (P>0.05). Conclusion The three external therapies are effective in the prevention and treatment of children's recurrent respiratory tract infections. Among them, the combination of the acupoint application in both dog days and three nine-day periods after the winter solstice and the physical differentiation in four seasons of knead ridge method is the best one.

Keywords: children; recurrent respiratory tract infection; acupoint application in both dog days and three nine-day periods after the winter solstice; physical differentiation in four seasons of knead ridge method; clinical study