摘要
目的:分析学龄前儿童慢性咳嗽中医证型分布规律,比较急、慢性咳嗽体质特征的差异。方法:共纳入符合评价标准的急、慢性咳嗽学龄前患儿260例,其中慢性咳嗽140例、急性咳嗽120例。分析慢性咳嗽患儿中医证型分布规律,比较急、慢性咳嗽患儿中医体质特征分布的差异,并探讨慢性咳嗽患儿体质特征与病程的相关性。结果:①慢性咳嗽证型分布依次为痰湿蕴肺证48例(34.3%)、风盛挛急证32例(22.9%)、肝火犯肺证25例(17.9%)、痰热郁肺证18例(12.9%)、肺阴亏虚证13例(9.3%)、胃气上逆证4例(2.9%),其中痰湿蕴肺证最为常见,与其他证型比较差异有统计学意义(P<0.05)。②慢性咳嗽患儿体质特征分布依次为:特禀质>气虚质>痰湿质>气郁质>湿热质>阳虚质>阴虚质>平和质>血瘀质,以特禀质、气虚质、痰湿质最常见;急性咳嗽患儿体质特征分布依次为:特禀质>气虚质>平和质>湿热质>痰湿质>气郁质>阴虚质>阳虚质=血瘀质,以特禀质、气虚质、平和质最常见。③慢性咳嗽患儿特禀质、气郁质、痰湿质、阳虚质、阴虚质体质特征与病程呈正相关,与特禀质相关性最为显著;患儿病程与兼有体质数呈正相关,与平和质呈负相关。结论:学龄前儿童慢性咳嗽中医证型以痰湿蕴肺证、风盛挛急证、肝火犯肺证多见,其体质特征与急性咳嗽患儿有一定的差异性,且与病程呈正相关。
Objective:To analyze the distribution of Chinese medical syndrome types in preschool children with chronic cough,and compare the differences of constitution characteristics between chronic cough and acute cough.Methods:A total of 260 preschool children with acute or chronic cough who met the evaluation criteria were included,including 140 cases with chronic cough and 120 cases with acute cough.The distribution rules of Chinese medical syndrome types in children with chronic cough were analyzed,the differences in the distribution of Chinese medical constitution characteristics between acute and chronic cough were compared,and the relationship between the constitution characteristics and the course of disease in children with chronic cough was discussed.Results:①The distribution of syndrome types in chronic cough was as follows:48 cases with syndrome of phlegm-dampness stagnating in lung(accounted for 34.3%),32 cases with syndrome of spasm due to intense wind(accounted for 22.9%),25 cases with syndrome of liver fire invading lung(accounted for 17.9%),18 cases with syndrome of phlegm-heat stagnating in lung(accounted for 12.9%),13 cases with syndrome of deficiency of lung yin(accounted for 9.3%),4 cases with syndrome of adverse rising of stomach qi(accounted for 2.9%).Among them,the syndrome of phlegm-dampness stagnating in lung was the most common,and there were significant differences compared with the other syndrome types(P<0.05).(2)The distribution of constitution characteristics of children with chronic cough was as follows:special constitution>qi deficiency constitution>phlegm dampness constitution>qi stagnation constitution>damp heat constitution>yang deficiency constitution>yin deficiency constitution>normal constitution>blood stasis constitution.Special constitution,qi deficiency constitution and phlegm dampness constitution were the most common.The distribution of constitution characteristics of children with acute cough was as follows:special constitution>qi deficiency constitution>normal constitution>damp heat constitution>phlegm dampness constitution>qi stagnation constitution>yin deficiency constitution>yang deficiency constitution=blood stasis constitution.Special constitution,qi deficiency constitution and normal constitution were the most common.(3)The constitution characteristics of special constitution,qi stagnation constitution,phlegm dampness constitution,yang deficiency constitution and yin deficiency constitution in children with chronic cough were positively correlated with the course of disease,and the correlation with special constitution was the most significant.The course of disease was positively correlated with the number of combined constitutions,and negatively correlated with the normal constitution.Conclusion:The Chinese medical syndrome types of chronic cough in preschool children are mainly syndrome of phlegmdampness stagnating in lung,syndrome of spasm due to intense wind and syndrome of liver fire invading lung.There are certain differences in constitution characteristics between chronic cough and acute cough,and the constitution characteristic is positively related to the course of disease.
作者
李颉
李华
戎芬
LI Jie;LI Hua;RONG Fen(Department of Traditional Chinese Medicine,Shanghai Children's Hospital,Shanghai Jiao Tong University,Shanghai 200040,China;School of Public Health,Shanghai University of Traditional Chinese Medicine,Shanghai 201203,China)
出处
《上海中医药大学学报》
CAS
2020年第4期27-32,共6页
Academic Journal of Shanghai University of Traditional Chinese Medicine
基金
上海市卫计委中医药科研专项研究项目(2016LP026)。
关键词
慢性咳嗽
学龄前儿童
中医证型
中医体质
相关性
chronic cough
preschool children
Chinese medical syndrome type
Chinese medical constitution
correlation
