摘要
目的探讨儿童过敏性紫癜发病特点及中医证型分布情况。方法收集100例过敏性紫癜患儿临床资料，包括性别、年龄、临床体征、病程、诱因、既往史、过敏史、发病季节等，并进行中医辨证分型，分为风热伤络型、血热妄行型、脾胃湿热型、阴虚火旺型和气不摄血型。分析不同年龄、季节、肾外症状、病程及诱因情况下各证型分布情况。结果100例患儿中风热伤络型17例、血热妄行型49例、脾胃湿热型8例、阴虚火旺型10例、气不摄血型16例。患病高峰期为〉6—9岁，发病季节主要是秋、冬季，100例患儿均有皮肤症状，并且以单纯的皮肤症状、皮肤＋胃肠道＋关节最为多见，共93例；不同年龄段、季节、病程各证型分布差异均有统计学意义（P〈0．05）。结论儿童过敏性紫癜常见证型为血热妄行证，其中医证型分布与发病年龄、季节、病程有一定关系。
Objective To study the clinical features and TCM syndrome distributions of pediatric allergic purpura. Methods The clinical data including gender, age, sign, duration, inducement, past medical history, history of allergy, and seasonal incidence in 100 children with allergic purpura was collected, and all the cases were divided into 5 TCM syndromes such as wind-heat damaging vessels syndrome, blood heat moving overly syndrome, stomach- spleen damp heat syndrome, yin deficiency fire hyperactivity syndrome and qi failing to control blood syndrome. The syndrome distributions were analyzed according to age, season, symptom, duration and inducement. Results There were 17 patients with wind-heat damaging vessels syndrome, 49 patients with blood heat moving overly syndrome, 8 patients with stomach-spleen damp heat syndrome, 10 patients with yin deficiency fire hyperactivity syndrome, and 16 patients with qi failing to control blood syndrome. The peak of prevalence aged from 6 to 9 years old, and the onsets occurred mainly in autumn and winter. All children had skin symptoms and 93 children had simple skin symptoms or symptoms in the skin, gastrointestinal tract and joints. There were significant differences in the TCM syndrome distributions between age, season and duration （P 〈 0. 05 ）. Conclusion The common TCM syndrome of pediatric allergic purpura is blood heat moving overly syndrome. The TCM syndrome distribution is related to age, season and duration.
出处
《中医杂志》
CSCD
北大核心
2014年第10期865-867,共3页
Journal of Traditional Chinese Medicine
关键词
过敏性紫癜
中医证型
发病特点
allergic purpura
TCM syndromes
clinical features
