小儿肺炎中医证型、虚实辨证及相关因素分布规律探讨

详细信息    查看全文 | 推荐本文 |

英文篇名：The Regularities of Distribution of TCM Syndrome Type, Deficiency and Excess Syndrome Differentiation and Related Factors in Pediatric Pneumonia 作者：欧阳学认 ; 蔡淑君 ; 粤湘 英文作者：OUYANG Xue-ren;CAI Shu-jun;YUE Xiang;The First Affiliated Hospital of Guangzhou University of Chinese Medicine;Guangzhou University of Chinese Medicine; 关键词：小儿肺炎 ; 中医证型 ; 虚实辨证 ; 分布规律 英文关键词：pediatric pneumonia;;TCM syndrome type;;deficiency and deficiency syndrome differentiation;;the regularities of distribution 中文刊名：HNZB 英文刊名：Guiding Journal of Traditional Chinese Medicine and Pharmacy 机构：广州中医药大学第一附属医院;广州中医药大学; 出版日期：2019-05-15 出版单位：中医药导报 年：2019 期：v.25;No.331 语种：中文; 页：HNZB201909016 页数：4 CN：09 ISSN：43-1446/R 分类号：55-57+71

摘要

目的:探讨小儿肺炎中医证型、虚实辨证及相关因素的分布规律。方法:选取2017年1月至2017年6月确诊为小儿肺炎的358例住院患儿作为研究对象,采用回顾性研究,分析中医证型、虚实辨证和WBC、hs-CRP及MP-IgM的分布规律。结果:(1)中医证型分布规律:358例患儿中,风寒闭肺证7例(2.0%),风热闭肺证100例(27.9%),寒热错杂证66例(18.4%),痰热闭肺证183例(51.1%),毒热闭肺证0例(0%),阴虚肺热证0例(0%),肺脾气虚证2例(0.6%),各中医证型分布差异有统计学意义(P<0.05);(2)虚实辨证分布规律:358例患儿中,实证356例(99.4%),虚证2例(0.6%),虚实夹杂证0例(0%),各虚实辨证分布差异无统计学意义(P>0.05);(3)相关因素分布规律:小儿肺炎不同中医证型和虚实辨证的WBC、hs-CRP及MP-IgM比较,差异有统计学意义(P<0.05)。结论:小儿肺炎的中医证型分布以痰热闭肺证和风热闭肺证为主,以实证为主;不同分型、不同中医证型的肺炎患儿的WBC、hs-CRP及MP-IgM存在差异。
        Objective: To investigate the regularities of distribution of TCM syndrome type, deficiency and excess syndrome differentiation and related factors in pediatric pneumonia. Methods: A total of 358 hospitalized children with pneumonia from January 2017 to June 2017 as the research object, retrospective study was applied to analyze the regularities of distribution of TCM syndrome type, deficiency and excess syndrome differentiation and WBC, hs-CRP, and MP-IgM. Results:(1) TCM Syndrome Type: among the 358 cases, 7 cases of wind-cold invading lung(2.0%), 100 cases of wind-heat invading lung(27.9%), 66 cases of cold-heat intermingled(18.4%), 183 cases of phlegm heat obstructing the lung(51.1%), 0 case of toxic heat obstructing the lung(0%), 0 case of hyperactivity of lung Qi due to yin deficiency syndrome(0%), 2 cases of lung and spleen Qi deficiency syndrome(0.6%), the distribution of TCM syndromes was statistically significant(P<0.05).(2).Excess syndrome distribution: among the 358 cases, 356 case of demonstration(99.4%), 2 cases of deficiency syndrome(0.6%), 0 case of demonstration-deficiency intermingled(0%), there was no statistical significance in the distribution of the deficiency and excess syndrome(P>0.05).(3) Related factors: compared to WBC, hs-CRP, and MP-IgM in children with pneumonia in different TCM Deficiency and excess syndrome, the difference was statistically significant(P<0.05). Conclusion: The distribution of TCM Syndrome Types in children with different types of pneumonia is mainly sputum heat closed lung and wind heat closed lung, which is mainly positive.There are differences in WBC, hs-CRP and MP-IgM in children with different types and different TCM syndrome types.

引文

[1]马融,韩新民.中医儿科学[M].北京:人民卫生出版社,2013:55-60.
    [2]胡亚美.诸福堂实用儿科学[M].北京:人民卫生出版社,2015:1253-1255.
    [3]靳淑雁,刘世新,郑静,等.2012-2014年深圳市5岁以下儿童肺炎流行特征与病原学分析[J].实用预防医学,2016,23(6):701-704.
    [4]王雪峰,王加亮,董丹,等.基于小儿肺炎文献的中医证型分布规律研究[J].辽宁中医杂志,2008,35(9):1309-1311.
    [5]利汉其,廖友明,张广昭.小儿肺炎的病原学研究[J].中华全科医学,2011,9(1):56-57.
    [6]袁昕,闫慧敏.小儿肺炎喘嗽的中医证型特点分析[J].北京中医药,2015,34(4):294-297.
    [7]李强军.支原体肺炎中医辨证分型与临床指标相关性的研究[D].沈阳:辽宁中医药大学,2011.