10. URVEY ON THE RELATIONSHIP BETWEEN TRADITIONAL MEDICINE SYNDROMES IN PEDIATRIC PATIENTS UNDER 5 YEARS OLD WITH ACUTE BRONCHIAL ASTHMA AND THE CLASSIFICATION OF ACUTE ASTHMA ATTACKS ACCORDING TO GINA

Vo Thi Lanh1, Nguyen Thai Duong1,2, Nguyen Thi Ngoc Tram2, Ly Chung Huy1,2
1 University of Medicine and Pharmacy at Ho Chi Minh city
2 Le Van Thinh Hospital

Main Article Content

Abstract

Objectives: Survey on the prevalence of traditional medicine syndromes in pediatric patients under 5 years old during asthma attacks, along with the distribution of acute bronchial asthma severity grades according to the Global Initiative for Asthma (GINA) 2023, and determination of their correlation.


Methods: A cross-sectional analytical study conducted from December 2024 to April 2025, randomly selecting all pediatric patients with acute asthma attacks diagnosed according to GINA 2023 criteria whose parents consented to participate, with data collected through structured questionnaires.


Results: A total of 162 pediatric patients with acute bronchial asthma were surveyed. According to the GINA 2023 classification, the majority had mild asthma (93.8%), while the remainder had severe asthma (6.2%). Among the traditional medicine syndromes during asthma attacks, the Wind-Cold invading the Lung predominated (73.5%), followed by wind-heat invading the lung (26.5%). There was a statistically significant association between the traditional medicine syndromes and the severity classification of acute bronchial asthma according to GINA 2023 (p < 0.05).


Conclusions: Severe asthma exacerbations accounted for a low proportion according to GINA 2023 classification. Wind-Cold invading the Lung was the most common traditional medicine syndrome. The study preliminarily concluded that traditional medicine syndromes during acute asthma attacks are related to the severity levels of acute asthma exacerbations according to modern medical classifications.

Article Details

References

[1] Global Initiative for Asthma. 2023 GINA Main Report. https://ginasthma.org/2023-gina-main-report/. 2023. Accessed 2024 Sep 12.
[2] Azman S, Sekar M, Bonam S.R et al. Traditional medicinal plants conferring protection against ovalbumin-induced asthma in experimental animals: A review. J Asthma Allergy, 2021, 14: 641-662. doi:10.2147/JAA.S296391.
[3] Sathiyan J, Faeyza N, Ramasamy K et al. Complementary and alternative medicine use among pediatric emergency department patients in Singapore. Pediatr Emerg Care, 2021, 37 (12): e1566-e1570. doi: 10.1097/PEC.0000000000002117.
[4] Nguyễn Thị Hướng Dương, Lê Thu Thảo, Huỳnh Lê Trường, Nguyễn Trương Minh Thế. Tổng quan tiêu chuẩn chẩn đoán các bệnh cảnh lâm sàng y học cổ truyền của cơn hen phế quản cấp. Tạp chí Y học thành phố Hồ Chí Minh, 2020, 24 (4): 57-63.
[5] Nguyễn Thị Bay, Huỳnh Thị Lưu Kim Hường. Nhi khoa y học cổ truyền. Nhà xuất bản Y học, chi nhánh thành phố Hồ Chí Minh 2022, tr. 49.
[6] Chiarella S.E, Garcia-Guaqueta D.P, Drake L.Y et al. Sex differences in sociodemographic, clinical, and laboratory variables in childhood asthma: A birth cohort study. Ann Allergy Asthma Immunol, 2024, 133 (4): 403-412. doi: 10.1016/j.anai.2024.07.005.
[7] Mai Hồ Huỳnh Sa, Nguyễn Thắng, Nguyễn Thị Ngọc Nga, Võ Thành Lợi. Nghiên cứu tình hình sử dụng thuốc hợp lý hen phế quản cấp ở bệnh nhi điều trị nội trú tại Bệnh viện Sản Nhi Cà Mau năm 2022-2023. Tạp chí Y Dược học Cần Thơ, 2023, (61): 182-188. doi:https://doi.org/10. 58490/ctump.2023i61.1280.
[8] Seppä V.P, Gracia-Tabuenca J, Kotaniemi-Syrjänen A et al. Expiratory variability index is associated with asthma risk, wheeze and lung function in infants with recurrent respiratory symptoms. ERJ Open Res, 2020, 6 (4): 00167-2020. doi:10.1183/23120541. 00167-2020.
[9] Feng J, Cao C, Xu X. Clinical syndrome of childhood asthma based on key indicators detection. J Pak Med Assoc, 2020, 70 (9): 131-138. PMID: 33177742.
[10] Miao Ren, Shijie Luo. Correlation analysis of traditional Chinese medicine syndrome types and influencing factors of asthmatic bronchitis in children. Shaanxi University of Chinese Medicine, 2023, 7 (3): 7-12. doi: 10.26689/par.v7i3.4910.