儿童喘息性支气管炎中医证型与影响因素的相关性分析

Miao Ren, Shijie Luo
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引用次数: 0

摘要

目的:探讨儿童喘息性支气管炎中医证型与影响因素的相关性,为儿童喘息性气管炎的临床辨证提供依据和参考。方法:收集我院2021年3月至2022年3月197例喘息性支气管炎住院患者的临床资料,参照《朱福堂实用儿科学》(2002年第7版)和《中医药行业标准儿科疾病及中医证候诊断与疗效标准》(1994年,国家中医药管理局)进行诊断、分类,分析儿童喘息性支气管炎的中医证型及影响因素。结果:(1)小儿喘息性支气管炎的中医证型以寒性哮喘为主;(ii)性别对喘息性支气管炎患儿中医证型影响较大,各证型间差异有统计学意义(P<0.05);(iii)不同年龄组小儿喘息性支气管炎中医证型分布无显著差异(P>0.05);(iv)出生状况对小儿喘息性支气管炎中医证型分布无影响(P>0.05);(v) 喘息性支气管炎患儿分娩方式与中医证型分布无显著相关性(P>0.05);(vi)寒哮喘综合征、热哮喘综合征和冷热混合综合征患儿均未采用母乳喂养,虚多混合型患儿喂养方式差异无统计学意义(P>0.05);(vii)小儿喘息性支气管炎中医证型与哮喘/变态反应家族史无显著相关性(P>0.05);(viii)不同中医证型与药物和食物过敏史有显著相关性(P<0.05);(ix)哮喘性支气管炎患儿嗜酸性粒细胞百分率正常或偏高,不同中医证型间差异无统计学意义(P>0.05)。结论:小儿哮喘性支气管炎的中医证型与性别、喂养史、过敏史等因素有关,可能是影响小儿喘息性支气管炎中医证型的因素。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Correlation Analysis of Traditional Chinese Medicine Syndrome Types and Influencing Factors of Asthmatic Bronchitis in Children
Objective: To explore the correlation between traditional Chinese medicine (TCM) syndrome types and the influencing factors of asthmatic bronchitis in children, as well as to provide clinical syndrome differentiation basis and reference for the treatment of children with asthmatic bronchitis. Methods: The clinical data of 197 inpatients with asthmatic bronchitis in our hospital from March 2021 to March 2022 were collected, referring to “Zhu Futang Practical Pediatrics” (7th Edition, 2002) and “Chinese Medicine Industry Standards – Standards for Diagnosis and Efficacy of Pediatric Diseases and Syndromes of Traditional Chinese Medicine” (1994, State Administration of Traditional Chinese Medicine) for diagnosis, classification, and analysis of TCM syndrome types and the influencing factors of asthmatic bronchitis in children. Results: (i) cold asthma syndrome contributed to the majority of TCM syndrome types of pediatric asthmatic bronchitis; (ii) gender had a great influence on TCM syndromes types in children with asthmatic bronchitis, and the differences among the TCM syndrome types were statistically significant (P < 0.05); (iii) there was no significant difference in the distribution of TCM syndrome types of pediatric asthmatic bronchitis among different age groups (P > 0.05); (iv) birth status had no effect on the distribution of TCM syndrome types of pediatric asthmatic bronchitis (P > 0.05); (v) no significant correlation was observed between the mode of delivery and the distribution of TCM syndrome types in children with asthmatic bronchitis (P > 0.05); (vi) children with cold asthma syndrome, heat asthma syndrome, and mixed cold and heat syndrome were not breastfed, and there was no significant difference in the feeding methods of children with mixed deficiency and excess syndrome (P > 0.05); (vii) no significant correlation was observed between the TCM syndrome types of pediatric asthmatic bronchitis and family history of asthma/allergy (P > 0.05); (viii) a significant correlation was observed between different TCM syndrome types and history of drug and food allergy (P < 0.05); (ix) normal or high eosinophil percentage was commonly observed in children with asthmatic bronchitis, and there was no significant difference among the different TCM syndrome types (P > 0.05). Conclusion: The TCM syndrome types of pediatric asthmatic bronchitis are related to gender, feeding history, allergy history, and other factors, which may be influencing factors of the TCM syndrome types of pediatric asthmatic bronchitis.
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