Verification Of The Clinical Path Of TCM In Acute Diarrhea In Children

Infantile diarrhea is a group of pediatric digestive diseases caused by multi-pathogen&multifactor,the clinical manifestations of which include both increased stool frequency and the change of stool’s character. The duration less than two weeks of it is called acute diarrhea. In our country, it is the most frequent childhood disease second only to respiratory infection, and it is also assumed the most important disease in childhood such as nutritional anemia, rickets, pneumonia. The acute diarrhea in TCM is divided into:wind-cold diarrhea, damp-heat diarrhea, indigestion diarrhea, hypo-function of the spleen diarrhea, cold-dampness diarrhea, deficiency of the spleen-yang and kidney-yang diarrhea and so on, which are treated with Chinese herb tea, patent medicines, massage and herb pasting Etc.The concept of clinical pathway comes from the United States. It refers to a standardized set of diagnosis and treatment procedures established for a particular disease. Its core lies in making the standardization of diagnosis, examination, treatment, care and other activities of the disease to be a specific process plan. In the1980s, the U.S. government began to implement the Diagnosis Related Groups-prospective payment system (DRGs-PPS), which is arranged by the diagnosis of diseases to deal with rising medical expense. It forced hospitals to make profit only when the medical expenses lower than that of DRGs-PPS standards. Therefore, the hospitals began to use the clinical pathway to standardize health care processes, control medical costs, and then achieved good results. Since then, the clinical path has also been widely used in the United Kingdom, Australia, Singapore, Japan and other countries.China began to introduce clinical path since1996, which gradually gets the attention of the medical profession and government departments with the advancement of health care reform in recent years. And hospitals in the country had make many clinical trials, with remarkable results. On this basis, the study of TCM’s clinical path emerged. TCM’s clinical path is the unique, special diagnosis and treatment system based on Chinese medicine theory and experience, with the mode of the medical diagnosis, treatment methods and drugs. It has important significance to built a standardized and scientific Chinese medicine system.Because of the divergences in the diagnosis and treatment of infantile diarrhea in the Chinese medicine profession, especially in the diagnostic classification Traditional Chinese Medicinal various genres, there’re large regional differences, so its TCM clinical pathway is essential. This article accordings to the Clinical Guidelines in infantile diarrhea Traditional Chinese Medicine Clinical formulated by the State Administration of TCM, uses of pediatric diarrhea (infantile diarrhea) TCM clinical pathway pilot-acute outpatient observation table (CRF tables), Oriental Hospital of Beijing University of Traditional Chinese Medicine Pediatric collected30cases of children with acute diarrhea cases. We summarized the clinical characteristics and laws of the Chinese medicine treatment of acute infantile diarrhea and verified the practicality of the clinical pathway by recording the treatment process of cases, paying the visit to their parents, and regulating the dates.The results are as follows:(1) in the standard regimen of5days,22cases were cured in total cases,4cases were significantly effective, and4cases were effectual, the rate of effect was86.7%,and the total cure rate was100%; (2) in acute infantile diarrhea in TCM type, we found that frequency of occurrence from largest to smallest, followed by:damp-heat diarrhea, diarrhea of indigestion, diarrhea due to hypofunction of the spleen, wind-cold type diarrhea, but both diarrhea due to cold-dampness diarrhea and deficiency of the spleen-yang and kidney-yang diarrhea was uncommon;(3) the commonly used therapeutic approach in TCM of infantile diarrhea:Chinese patent medicines. Traditional Chinese external therapy and herb tea;(4) treatment of damp-heat diarrhea of the most common application of proprietary Chinese medicines Cang Ling anti-diarrhea oral solution, followed by the particles and children of the maple Polygonum gastrointestinal granules, diarrhea due to hypofunction of the spleen application Xing pi raising children gastrointestinal granules;(5) the average total cost of Out-patient is about135.0RMB, drugs cost more than half of it, treatment cost next, inspection fee is less than one tenth, about63%of the overall cost is of Chinese treatment. TCM features is more prominent;(6) overall satisfaction of parents reached97.3%, it has high satisfaction.Conclusion:The application of clinical pathway in Traditional Chinese Medicine to treat acute infantile diarrhea,which produces a good curative effect,has a prominent feature in traditional Chinese medicine, higher parents’satisfaction.