台灣地區兒童氣喘使用中醫藥情形之文獻回顧與探討

The Literature Review and Discussion of the Asthmatic Children Using TCM in Taiwan

羅珮嘉(Pei-Chia Lo)；賴榮年(Jung-Nien Lai)

氣喘 ； 兒童 ； 中醫 ； 健保資料庫 ； 臨床研究 ； asthma ； pediatrics ； TCM ； National Health Insurance Research Database (NHIRD) ； clinical reaserch

北台灣中醫醫學雜誌

8卷1期（2016 / 03 / 01）

1 - 16

繁體中文

台灣地區兒童氣喘盛行率居高不下，推估目前有165,000多名12歲以下兒童患有氣喘。這些經由西醫診斷為氣喘的兒童，除了接受西醫常規治療外，其中有部分兒童的家長是選擇中醫治療。根據過去的文獻，有許多中藥包括小青龍湯、麻杏甘石湯、定喘湯、六味地黃丸等方劑，有針對兒童氣喘患者進行大規模的臨床研究或是進行動物實驗研究，其中大部分均具有顯著的臨床療效，而台灣利用健保資料庫研究兒童氣喘使用中醫藥的國際期刊論文，近年也受到國內臨床中西醫師的關注，筆者茲搜尋近年有關台灣地區兒童氣喘進行中藥臨床研究，及已發表之全民健保資料庫兒童氣喘使用中醫藥之論文做一整理及分析，發現國內氣喘兒童使用中醫藥的比例逐年下降，因此藉以探討國內氣喘兒童使用中醫藥之現況，以提供臨床中醫師參考。

The prevalence of pediatric asthma is high in Taiwan. Statistic indicates that there are more than 165,000 children aged under 12 years old suffered from asthma. The asthmatic children are mostly treated with Western Medicine and some of the patients chose the Traditional Chinese Medicine (TCM). According to the past literature, there are many formulas of TCM including Xiao-qing-long-tang, Ma-Xing-Gan-Shi- Tang, Ding-Chuan-Tang, Liu-Wei-Di-Huang Wan, have large scale clinical research in asthmatic patients or animal studies, and mostly had obvious efficacy in clinically. Recently, there are many nationwide or population-based studies about pediatric patients with asthma using TCM in Taiwan, and the papers are noticed by the TCM and Western Medical physicians. In this paper, we search and collect the clinical research of TCM for asthmatic children in Taiwan, and analyze the published papers of National Health Insurance Research Database (NHIDR) in pediatrics asthma patients using TCM. We investigate that the usage rate of TCM in asthmatic children is declining every year, and we discuss the probably reasons and provide the reference to clinical physicians.

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