手足口病中西医结合诊疗指南
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基金项目:国家自然科学基金项目(82060884);国家中医药管理局高水平中医药重点学科建设项目(ZYYZDXK-2023190);云南省科技厅重点研发计划项目(202103AC100005);云南省万人计划青年拔尖人才专项(YNWR-QNBJ-2019-196)


Guidelines for the Diagnosis and Treatment of HFMD with Integrated Traditional Chinese and Western Medicine
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    摘要:

    手足口病是一种以手、足、臀等部位的斑丘疹和疱疹,口腔疱疹、溃疡,或伴发热为临床症状体征的儿童常见的急性出疹性传染病。多数病例为轻症,仅以皮肤黏膜表现为主,预后良好;重症患儿还可累及神经系统、呼吸循环系统等多个器官和系统病变。本病在中医属“温病”“时疫”“疮疹”“疱疹”范畴。其属于我国法定报告的丙类传染病,也是国家卫健委发布的《健康儿童行动提升计划(2021—2025年)》重点防控的疾病之一。针对手足口病不同阶段的治疗,中西医互参,并及早进行干预治疗,具有重要意义。本方案制定项目组采用文献分析、制订临床问题、文献分析、德尔菲法专家问卷调研、中西医专家会议讨论等方法,在《手足口病诊疗指南(2018年版)》《中医儿科临床诊疗指南·手足口病(修订)(2016年版)》的基础上制定本方案,以期规范手足口病的中西医结合治疗,充分发挥中西医治疗优势,切实提高中西医结合治疗手足口病的临床疗效。

    Abstract:

    Hand,foot,and mouth disease(HFMD) is a common acute exanthematous infectious disease in children,characterized by maculopapular and vesicular rashes on the hands,feet,and buttocks,oral vesicles,ulcers,and sometimes accompanied by fever.Most cases are mild,primarily manifesting as skin and mucosal symptoms,with a good prognosis.However,severe cases can affect multiple organs and systems,including the nervous and respiratory circulatory systems.In traditional Chinese medicine(TCM),HFMD falls under the categories of “warm diseases”“epidemics”“sores” and “vesicular diseases”.It is classified as a Category C infectious disease in China and is one of the key diseases targeted for prevention and control in the Healthy Children Action Enhancement Plan(2021—2025) issued by the National Health Commission.For the treatment of HFMD at different stages,it is of great significance to integrate TCM and Western medicine and to intervene early.This specialist group developed the guidelines through literature analysis,formulation of clinical questions,expert questionnaires using the Delphi method,and discussions among TCM and Western medicine experts based on the Guidelines for the Diagnosis and Treatment of Hand,Foot,and Mouth Disease(2018 edition) and the Clinical Diagnosis and Treatment Guidelines for Pediatric Traditional Chinese Medicine:Hand,Foot,and Mouth Disease(Revised 2016 edition).The guidelines aim to standardize the integrated treatment of HFMD with TCM and Western medicine,fully utilizing the strengths of both approaches to effectively improve clinical outcomes in the treatment of HFMD.

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《手足口病中西医结合临床诊疗指南》制定专家组.手足口病中西医结合诊疗指南[J].世界中医药,2024,(17).

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  • 收稿日期:2024-02-27
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  • 在线发布日期: 2024-10-14
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