Fauquert J L, Labbé A
Hôpital thermal pour enfants Guillaume-Lacoste, La Bourboule, France.
Pediatrie. 1990;45(11):769-74.
Many questions arise when a paediatrician prescribes thermal treatment. Answers to these questions have come to light in recent literature. For paediatric indications, thermal treatment is dominated by asthma and its allergic equivalents. In such cases, sodium chloride and bicarbonated spas are used. Such indications are based on the research of the Pasteur Institute for Le Mont-Dore spa and on different modifications of intracelllular enzymes and increase of resistance to hypoxy incited by the La Bourboule spa. The waters in the spas of the Pyrenees contain sulphur, and are mainly used for the treatment of chronic or repeated ENT infections. Fundamental studies in favour of thermal treatment have only aroused indirect views. Following the enquiry made by the French National Health Service on 3,000 patients over a period of 3 years from 1983, it was found that this treatment reduces medical consumption, doctor's visits and hospital care in many cases. However no double-blind research could be performed despite the desire of several spas. These spas improve either the quality of the final product or the strict hygiene level in the thermal installations, and also the sanitary educational measures associated with thermal treatment.
当儿科医生开出处方进行热疗时，会出现许多问题。这些问题的答案在最近的文献中已有所揭示。对于儿科适应症，热疗主要用于治疗哮喘及其类似的过敏性疾病。在这些情况下，会使用氯化钠和碳酸氢盐温泉浴。这些适应症是基于巴斯德研究所对勒蒙多雷温泉浴场的研究，以及细胞内酶的不同变化和拉布尔布勒温泉浴场引起的对缺氧抵抗力的增强。比利牛斯山脉温泉浴场的水含有硫磺，主要用于治疗慢性或反复的耳鼻喉感染。支持热疗的基础研究仅引发了间接观点。根据法国国家卫生服务机构在1983年至1986年的3年时间里对3000名患者进行的调查发现，这种治疗在许多情况下减少了医疗消费、看医生次数和住院治疗。然而，尽管几家温泉浴场有意愿，但仍无法进行双盲研究。这些温泉浴场提高了最终产品的质量或热疗设施的严格卫生水平，以及与热疗相关的卫生教育措施。
