哮喘性支气管炎患儿中医体质与肺功能的关系  

Relation between the TCM Constitution and the Lung Function of Asthmatic Bronchitis Children

作　　者：李伟伟[1] 韩娟[2] 吴彩文[1] 王广青[1] 吴要伟[3] 

机构地区：[1]广西中医学院第一附属医院儿科 [2]山西省太原市中医医院 [3]广西中医学院

出　　处：《中医杂志》2010年第6期513-515,共3页Journal of Traditional Chinese Medicine

基　　金："十一五"国家科技支撑计划资助项目;广西面向农村和城市社区推广适宜卫生技术项目(S200820)

摘　　要：目的探讨哮喘性支气管炎患儿的中医体质与肺功能的关系,为应用中医体质理论防治婴幼儿喘息性疾病奠定基础。方法将哮喘性支气管炎患儿120例按照朱氏分型方法分为正常质、痰湿质、气虚质、内热质、气阴两虚质,按照苏氏分型方法分为均衡质、肺脾质型、肺脾质型、脾肾质型、脾肾质型。检测患儿肺功能情况,分析不同体质患儿的肺功能达峰时间比(TPTEF/Te)及达峰容积比(VPTEF/Ve)。结果在120例患儿中气虚质37例占30.8%,痰湿质33例占27.5%、肺脾质型60例占50.0%;痰湿质、气虚质、内热质、气阴两虚质与正常质相比,肺功能TPTEF/Te、VPTEF/Ve明显偏低(P<0.01);痰湿质、气虚质与内热质、气阴两虚质相比,肺功能TPTEF/Te、VPTEF/Ve偏低(P<0.05);肺脾质型、肺脾质型、脾肾质型、脾肾质型与均衡质相比,肺功能TPTEF/Te、VPTEF/Ve明显偏低(P<0.01);肺脾质型与肺脾质型、脾肾质型、脾肾质型相比,肺功能TPTEF/Te、VPTEF/Ve偏低(P<0.05)。结论哮喘性支气管炎患儿气虚质、痰湿质和肺脾质型有出现较多的趋势,各体质类型患儿均存在肺功能TPTEF/Te、VPTEF/Ve的降低,痰湿质、气虚质及肺脾质型患儿较其余体质患儿小气道阻塞情况较重,肺功能存在一定程度的损害。Objective To study the relation between the TCM constitution and the lung function of asthmatic bronchitis children to lay a foundation to apply the TCM constitution theory in preventing and treating children asthmatic diseases.Methods Following the Zhu＇s method,120 asthmatic bronchitis children were divided into normal constitution,phlegm-damp constitution,qi deficiency constitution,internal heat constitution,and both qi and yin deficiency constitution.Based on the Su＇s method,the cases were classified into balance constitution,lung-spleen Ⅰ constitution,lung-spleen Ⅱ constitution,spleen-kidney Ⅰ constitution,and spleen-kidney Ⅱ constitution.Their lung function was tested and the TPTEF /Te and VPTEF/Ve of each constitution were analyzed.Results Of the 120 cases,37 ones （30.8%） were qi deficiency constitution;33 ones （27.5%） were phlegm-damp constitution;and 60 ones （50.0%） were lung-spleen Ⅱ constitution.Compared with those with normal constitution,the cases with the phlegm-damp constitution,qi deficiency constitution,internal heat constitution,and both qi and yin deficiency constitution had significantly lowered TPTEF/Te and VPTEF/Ve （P0.01）.Compared with those with internal heat constitution and both qi and yin deficiency constitution,cases with phlegm-damp constitution and qi deficiency constitution had lowered TPTEF/Te and VPTEF/Ve （P0.05）.Compared with those with balance constitution,the cases with the lung-spleen Ⅰ constitution,lung-spleen Ⅱ constitution,spleen-kidney Ⅰ constitution,and spleen-kidney Ⅱ constitution had significantly lowered TPTEF/Te and VPTEF/Ve （P0.01）.Compared with those with lung-spleen Ⅰ constitution,spleen-kidney Ⅰ constitution,and spleen-kidney Ⅱ constitution,cases with lung-spleen Ⅱ constitution had lowered TPTEF/Te and VPTEF/Ve （P0.05）.Conclusion The qi deficiency,phlegm-damp,and lung-spleen Ⅱ constitutions of the asthmatic bronchitis children tend to appear more frequently.All cases have lowered TPTEF/Te and VPTEF/Ve.The

关 键 词：哮喘性支气管炎 儿童 中医体质 肺功能 

分 类 号：R272[医药卫生—中医儿科学]