摘要
目的探讨小儿肺炎急性期中医证候、病原体分布特征及病原体与中医证候之间的相互关系。方法对162例肺炎患儿进行辨证分型,检测病原体,分析小儿肺炎急性期的中医证候分布,病原体特征及与中医证候的相关性。结果小儿肺炎急性期以风热闭肺证为主(87.65%),年龄与小儿肺炎急性期中医证候分布具有相关性(P<0.01);以病毒感染(33.95%)及混合感染(45.68%)为多,病毒感染以EB病毒为主(89.47%),两种以上病毒混合感染占65.79%;中医证候与病原体类型无相关性(P>0.05)。结论小儿肺炎急性期年龄越小,越容易发生痰热闭肺重证;小儿肺炎急性期风热闭肺证中以病毒及病毒混合细菌感染多见,痰热闭肺证中以病毒感染多见;病毒感染中以多种病毒混合感染常见。
Objective To investigate children pneumonia distribution characteristics of TCM syndromes and the relationship between the distribution characteristics of pathogen and TCM syndrome. Methods 162 eases of pediatric pneumonia were differentiated to analgze the relationship among distribution characteristics of TCM syndromes and pathogen and TCM syndrome. Results 87.65 % acute pneumonia was wind-heat tightening the lung;during the acute pneumonia, distribution char- acteristics of TCM syndromes were related with age（ P 〈0.01 ）, Among pathogen infection,33.95% bacterial infection and 45.68% mixed infection accounted for the larger portion. EB virus infection accounted for 89.47%. The rate of co-infections of two or more virus was 65.79%. Conclusion Acute pneumonia heppens in younger children, the more prone to phlegm-heat tightening the lung;during the acute pneumonia, viruses, viruses and bacteria mixed infection was the most common in wind-heat tightening the lung, virase was the most common in phlegm-heat obstructing lungs;in viruses infection, mixed viruses infection was the most common.
出处
《上海中医药杂志》
2010年第2期14-15,共2页
Shanghai Journal of Traditional Chinese Medicine
基金
上海市卫生局资助项目(2008YSZB001)
关键词
小儿肺炎
急性期
中医证候
病原体
Children pneumonia
acute phase
TCM syndromes
pathogen
