How to take care of children with recurrent cough at home? Experts explain the prevention and treatment of respiratory diseases in children

On December 2, the National Health Commission held a press conference to introduce the prevention and treatment of respiratory diseases in winter. Mi Feng, spokesperson of the National Health Commission and deputy director of the Publicity Department, said that according to monitoring, the current epidemic of acute respiratory diseases are all caused by known pathogens, and there are corresponding mature treatment methods, and no new infectious diseases caused by new viruses or bacteria have been found.

Mi Feng stressed that it is necessary to further increase the supply of medical services, promote the "opening of pediatric outpatient clinics" at all levels and types of medical institutions such as traditional Chinese medicine hospitals and maternal and child health hospitals, increase the number of noon, night and weekend outpatient clinics according to the number of patients, extend service hours, expand inpatient beds, and constantly optimize the process of registration, examination, and payment, so as to facilitate the masses to seek medical treatment.

It is necessary to do a good job in hierarchical diagnosis and treatment, smooth referral channels, transfer personnel across departments and hospitals, ensure the supply of medical supplies, promote Internet medical treatment, and maximize the ability to receive patients. It is necessary to give full play to the role of traditional Chinese medicine, combine traditional Chinese medicine and Western medicine, and popularize the knowledge of traditional Chinese medicine in the prevention and treatment of diseases in view of common respiratory diseases in winter, so as to improve the prevention and treatment effect. It is necessary to ensure the supply of influenza and other vaccines and vaccination services, and vaccinate key groups such as the elderly and children as soon as possible to reduce the risk of disease.

"Wearing masks, washing hands frequently, and ventilating frequently are very effective in preventing the spread of respiratory diseases. Mi Feng said that it is necessary to do a good job of personal protection, do not go to work with illness, do not go to school with illness, and adhere to good personal hygiene habits and a healthy lifestyle.

In crowded places

What can be done to prevent disease?

Wang Dayan, director of the National Influenza Center of the Institute of Viral Diseases of the Chinese Center for Disease Control and Prevention, said that the following measures need to be taken:

The first is to strengthen the ventilation and disinfection of places, regularly open windows indoors for ventilation, appropriately increase the frequency of disinfection and cleaning of frequently touched public supplies and facilities, and ensure that the environment in public areas is clean and hygienic.

The second is to reduce the gathering of people in public places. Some public cultural venues, museums, indoor tourist attractions, etc. can implement measures such as reservation and peak staggering to dynamically divert passenger flow in a timely manner and avoid high density of people.

The third is to strengthen personal protection. In crowded or closed places such as airports, stations, public transportation, and farmers' markets, masks should be worn in a standardized manner, personal hygiene should be paid attention to, and direct contact with eyes, nose or mouth should be avoided as much as possible.

It's flu season

Is it too late to get vaccinated?

Wang Dayan said that at present, it is the high influenza season, and for people who have not been vaccinated against influenza before, influenza vaccination is still effective, and it is recommended that everyone get vaccinated against influenza as soon as possible.

In particular, she pointed out that people over the age of 6 months can receive influenza vaccine, especially for high-risk groups such as children, the elderly, and patients with chronic diseases, who have a higher risk of severe disease after being infected with influenza, and influenza vaccination can effectively reduce the risk of developing severe disease and death.

Traditional Chinese medicine for the treatment of respiratory diseases in children

What are the advantages?

Wu Liqun, director of the Department of Pediatrics at the East Hospital of Beijing University of Chinese Medicine, introduced that traditional Chinese medicine pays attention to syndrome differentiation and treatment, and will dialectically classify and treat children according to different causes, different symptom characteristics and different physical characteristics.

For the early stage of respiratory tract infection, the main symptoms of children are fever, runny nose, sore throat, cough and other symptoms. For fever and sore throat, young children and preschool children can use acupressure and massage, and school-age children can use scraping and ear tip bloodletting, which can play a role in clearing heat and relieving fire. For cough and phlegm, you can use the meridians to go cupping, cupping, and acupoint massage to dissolve phlegm and relieve cough.

During the recovery period of the disease, for children with cough, fatigue and poor appetite, Chinese medicine will use the treatment methods of strengthening the spleen and dissolving phlegm, replenishing deficiency and strengthening the body.

Some children may experience abdominal distention, nausea, vomiting, loss of appetite, irregular stool (loose stool or dry stool) and other manifestations of spleen and stomach dysfunction during the course of the disease. It can be treated internally or externally by combining internal and external treatment.

In addition, for the current more cases of Mycoplasma pneumoniae drug resistance, the use of traditional Chinese medicine syndrome differentiation treatment can achieve good clinical efficacy. In recent years, this has also been confirmed by clinical and experimental studies related to traditional Chinese medicine.

For critically ill patients with respiratory diseases in children

How does Chinese and Western medicine work together?

Liu Qingquan, president of Beijing Hospital of Traditional Chinese Medicine, said that from the current point of view, the population of respiratory infections, especially children, is still mainly mild, and the main manifestation is upper respiratory tract infection. It is rare for patients to have severe pneumonia, so there is no need to be nervous.

Even if the child is diagnosed with severe pneumonia, the current combination of traditional Chinese and Western medicine treatment still has a very good effect, and most of the children recover very well, which has also been well verified in the new crown epidemic. Traditional Chinese medicine can not only shorten the duration of hyperthermia, but also block the progression of the disease to severe and critical disease, and is also of great significance in preventing the emergence of microbial resistance.

An important treatment principle of traditional Chinese medicine is the "simultaneous treatment of the lungs and intestines", which aims to treat pneumonia by clearing the intestines and dissipating heat, blocking the development of the disease, and preventing acute respiratory failure. For those who are seriously ill and have been put on a ventilator, early intervention of traditional Chinese medicine can shorten the use time of the ventilator.

When choosing to care for your child at home

What should I be aware of?

Yang Jinghua, director of the Department of Pediatrics of Guangdong Provincial Hospital of Traditional Chinese Medicine, said that in terms of home care, parents should first pay attention to the change of temperature. The second is to pay attention to indoor ventilation, which is helpful to reduce the accumulation of indoor pathogens. Third, it is best not to smoke indoors, try to go out as much as possible during the illness, and avoid going to crowded and noisy places.

Proper attention should also be paid when it comes to diet. Nutrition should be balanced and rich, but it should be light, appropriate intake of vegetables and fruits, and avoid unhealthy diets. Try to avoid spicy and fried foods such as chili peppers and french fries to avoid further damage to the lungs. The child's spleen and stomach function is relatively weak, food must be easy to digest, try to avoid eating foods with high calories, and do not ingest desserts or drinks. Drink enough water, but juice should not be a complete substitute for drinking water.

In the care of the recovery period of the disease, it is necessary to avoid raw and cold seafood, fat, sweet and greasy, but also do not make up for it too early, which will let the evil qi stay in the spleen and stomach, which is not conducive to the recovery of the disease. You can use some small methods at home to promote the recovery of children's spleen and stomach function, such as using grain sprouts, malt, hawthorn boiled water to promote digestion, and using pediatric massage methods such as chiropractic pinching and kneading the plate door to promote spleen and stomach function.

Children have prolonged relapses during the rehabilitation process

Cough, runny nose, loss of appetite, what to do?

Wu Liqun said that this kind of situation is believed to be due to the fact that the residual evil is not exhausted in the later stage of the disease, and the righteous qi has been injured, and the traditional Chinese medicine adopts the method of syndrome differentiation and treatment, and can use the method of internal or external treatment to clear the remaining evil, help the righteous qi, strengthen the spleen and dissolve phlegm, and relieve cough and phlegm. Drugs for internal administration include traditional Chinese medicine or proprietary Chinese medicine prescribed according to the individual condition of the child, and external treatment methods, such as cupping, acupoint massage, etc., which have a good effect on poor absorption of pneumonia rales.

In the later stage of the disease, dietary therapy can be used, such as cough, phlegm, phlegm white and thin, you can use tangerine peel and ginger to stew pears, tangerine peel has a good dry and damp expectorant effect, ginger has the effect of warming the lungs and dissolving phlegm, and pears and pear peels have the effect of moistening the lungs and reducing fire. If the child has a dry cough and less phlegm, you can use lily and Chuanbei to stew pears, lily and Chuanbei have the effect of nourishing yin and moisturizing the lungs. In addition, you can also use methods such as massage and massage.

Text | Reporter Wang Li

Source | Yangcheng Evening News • Yangcheng Pie

Editor-in-charge | Chan Wan Yun

Proofreading | Zhou Yong