Research On Plan About TCM Diagnosis And Treatment Of Post-Infectious Cough Popularized In Primary Hospitals

BackgroundPost-Infectious Cough is cough caused by respiratory tract infection which is infected by a rariety of pathogns such as bacteria, viruses, mycoplasma, chlamydia, etc, cough is not relieved while the infection is cured. In the opinion of western medicine, the pathognesis of PIC is still not exactly clear at present. For treatment, there is no effective drug for PIC in western medicine. But TCM has its distinct advantage in the therapy of cough. In the treatment of stubborn cough, chronic cough, ancient physicians had plenty of clinical experience, which can be referenced for TCM syndrome differentiation treatment of PIC nowadays. In recent years, some exploratory researches about TCM syndrome differentiation treatment of PIC have been taken in China. But it is hard to make a standard and popularize the manual for the existing researches are lack of foundation about sufficient surrey research and systemic argument, especially for the unclear diagnosis and inclusion criteria for PIC and the defective research design. According to the "Guide for diagnosis and treatment of cough", it is hard to take it into practice in primary hospitals, because of the shortage of medical technology and resources, because for the diagnosis of PIC, the Pulmonary Function Testing(PFT) and induced sputum cytological examination are needed to be undertaken t indentify and exclude the similar diseases. So it is necessary to form a simple effective and cheap way for diagnosis and treatment, in order to popularize it in primary hospitals.ObjectivesSimplify the diagnosis and treatment plan of Post-Infectious Cough, form the "simple diagnosis and treatment manual for Post-Infectious Cough", improving the manual in practice, form a plan which is suitable to popularize in primary hospitals, in the end.MethodsApply the initial formation of the "simple diagnosis and treatment manual for Post-Infectious Cough" in three primary hospitals.enrool 100 patients, take the drugs of task for 10 days, discover its defects and modify the way of diagnosis in practice, and finally form a diagnosis and treatment plan of PIC which is suitable to popularize in primary hospital by analyzing the medical cases.ResultAfter 10 days'treatment for the 100 including patients, compare the scores of cough before and after the treatment by way of Rank Sum Test. The result are significantly different. The rate of improvement is 64.21%, the rate of cure is 16.84%, the rate of effective (including the improve and cure) is 81.05%. The average time of remission is 5.36±2.019 days.ConclusionApplication of "simple diagnosis and treatment Manual for Post-Infectious Cough", had simplify the procedure for diagnosis and treatment of Post-Infectious Cough in primary hospitals, reduce the cost of diagnosis. Syndrome differentiation treatment of TCM on this basis, have satisfactory clinical effictiveness. But the manual is not perfeet, it is mainly because we have to cut down the examinations of diagnosis for the insufficient equipment in primary hospitals, and it may lead to misdiagnosis for the lack of necessary examinations.