小儿呼吸道合胞病毒性肺炎的中医证候学特点  

Study on the Characteristics of TCM Syndromes of Children's Respiratory Syncytial Virus Pneumonia

作　　者：杨燕[1] 闫慧敏[1] 梁建卫[2] 李瑞丽[3] 

机构地区：[1]首都医科大学附属北京儿童医院中医科,北京市100045 [2]广州市儿童医院中医科 [3]南京中医药大学第一临床医学院

出　　处：《中医杂志》2008年第11期1010-1012,共3页Journal of Traditional Chinese Medicine

基　　金：“十五”国家科技攻关计划项目(2004BA716B03)

摘　　要：目的研究小儿呼吸道合胞病毒性肺炎的中医证候学特点。方法对114例风热闭肺证、痰热闭肺证患儿进行证候学资料调查及统计分析。结果风热闭肺证和痰热闭肺证患儿在发热、痰壅、紫绀、舌象、脉率、精神方面差异有统计学差异(P<0.05),痰热闭肺证重于风热闭肺证;在恶风恶寒方面差异有统计学意义(P<0.05),风热闭肺证重于痰热闭肺证;其他指标比较无统计学意义(P>0.05)。结论发热、痰壅、恶寒、紫绀、舌象、脉率、精神的程度可作为小儿呼吸道合肥病毒性肺炎风热闭肺证、痰热闭肺证的主要鉴别指标。Objective To study the characteristics of TCM syndromes of children＇s respiratory syncytial virus （RSV） pneumonia. Methods The 114 children with RSV pneumonia diagnosed as ＂wind heat affecting the lung＂ and ＂phlegm heat invading the lung＂ in TCM were analyzed. Results The phlegm heat invading the lung syndrome was worse in the symptoms of fever, sputum retention, cyanosis, tongue, pulse and mental status （P〈0.05）. The wind heat affecting the lung syndrome was worse in the symptom of aversion to wind and cold （P〈0.05）. There was no difference in other indices （P〈0.05）. Conclusion The severity of symptoms in fever, sputum retention, cyanosis, tongue, pulse and mental status can be served as the differentiation of the two syndromes in RSV pneumonia in childer.

关 键 词：呼吸道合胞病毒性肺炎 证候学分析 小儿 

分 类 号：R272[医药卫生—中医儿科学]