顾婷婷 尚莉丽

【摘 要】 支气管肺炎是儿童常见、多发的呼吸系统疾病，也是死亡率较高的疾病。寻求安全、有效、接受度高的治疗方案仍是现今需要解决的主要问题。中医序贯疗法近年来广泛应用在各个临床科室，中医序贯治疗支气管肺炎是在中医辨证论治基础上有效结合了中医外治之法，为儿童肺炎的诊疗提供了新的思路，值得更多的研究使其标准化、规范化，从而推广至临床。

【关键词】 支气管肺炎;中医序贯疗法;辨证论治;外治法

【中图分类号】R249【文献标志码】 A 【文章编号】1007-8517（2021）07-0082-03

Western Medicine Combined with Clinical Experience of “Sequential Therapy”in Treating Children Bronchopneumonia

GU Tingting SHANG Lili*

The First Affiliated Hospital of Anhui University of traditional Chinese Medicine， Hefei 230031，China

Abstract：Bronchopneumonia is a common and multiple respiratory disease in children.It is also a disease with high mortality.At present， the main problem to be solved is to find a safe， effective and easily accepted treatment.Sequential therapy of Traditional Chinese Medicine has been widely applied in various clinical departments in recent years.Sequential treatment of bronchopneumonia with traditional Chinese Medicine used syndrome differentiation and external treatment.It has opened up a new way for the diagnosis and treatment of pneumonia in children.It is worth more research to make it standardized and popularized to clinic.

Key：words：Bronchopneumonia;Sequential Therapy of Traditional Chinese Medicine;Syndrome Differentiation and Treatment;External Law

支氣管肺炎是儿童常见、多发的一种呼吸系统疾病，主要表现为咳嗽、发热、气促等，若治疗不及时可出现呼吸、心脏衰竭、中毒性脑病等情况，是我国卫生部门最早列入的小儿防治疾病之一[1]。有报告指出，支气管肺炎的发病率、死亡率居儿童疾病首位，是5岁以下患儿死亡的主要原因，被世界卫生组织列为三种重要儿科疾病之一[2]。近年，随着空气污染的加重，儿童支气管肺炎的发病率也不断上升，严重影响了患儿身心健康和家庭生活[3]。

支气管肺炎是现代医学病名，归属于中医学的“肺炎喘嗽”“咳嗽”“马脾风”“痉咳”，亦有归属于“温病”的范畴。当前，西医治疗本病仍以抗生素、抗病毒药物等对症治疗为主，但抗生素的长期使用容易导致耐药菌增多、患儿体内菌群失调、内环境紊乱、免疫力降低等情况[4]。目前中医从药物、推拿、贴敷等多种治疗方案出发，为小儿肺炎的中医药治疗提供了独具特色的优势。……