不同发病年龄小儿肺炎中医证型分布及转归规律研究  

Syndrome Distribution and Prognosis of Infantile Pneumonia at Different Ages

作　　者：史竞懿[1] 姜之炎[1] 徐彬彬[1] 李华[2] 毛黎明[2] 李慧群 

机构地区：[1]上海中医药大学附属龙华医院儿科,上海200032 [2]上海市嘉定区中医医院儿科,上海201800 [3]上海市奉贤区中医医院儿科,上海201400

出　　处：《上海中医药大学学报》2013年第3期36-37,41,共3页Academic Journal of Shanghai University of Traditional Chinese Medicine

基　　金：上海市卫生局中医药科研基金资助项目(2010L010A);国家中医临床研究基地建设项目(LYTD-15)

摘　　要：目的:探讨不同发病年龄小儿肺炎的中医证型分布及其转归规律。方法:观察300例小儿肺炎治疗前及治疗过程中的中医证型,分析不同发病年龄小儿肺炎的中医证型分布及转归规律。结果:2～3岁急性期小儿肺炎以痰热闭肺证为主(P<0.01),4～7岁、8～12岁患儿急性期肺炎以风热闭肺证多见(P<0.01)。2～3岁患儿急性期肺炎风热闭肺证易向脾虚痰蕴证及气阴两虚证转变(P<0.01),4～7岁患儿急性期肺炎风热闭肺证易向脾虚痰蕴证转变,痰热闭肺证易向痰瘀互阻证及脾虚痰蕴证转变(P<0.01)。结论:不同发病年龄小儿肺炎的中医证型分布及其转归有一定的规律性。Objective： To discusses the distribution and prognosis of infantile pneumonia at different ages.Methods： The TCM syndromes of 300 cases were observed,and the distribution and prognosis of infantile pneumonia at different ages were analyzed.Results： 2-3 years old children with at acute stage were usually diagnosed as phlegm-heat obstructing the lung syndrome（P＆lt;0.01）,and 4-7 years old children and 8-12 years old children at acute stage were usually diagnosed as wind-heat obstructing the lung syndrome（P＆lt;0.01）.2-3 years old children with wind-heat obstructing the lung syndrome usually transformed into spleen deficiency and phlegm stagnation syndrome or of qi-yin syndrome（P＆lt;0.01）,4-7 years old children with wind-heat obstructing the lung syndrome usually transformed into spleen deficiency and phlegm stagnation syndrome,and with phlegm-heat obstructing the lung syndrome usually transformed into stagnating of phlegm and blood stasis syndrome or spleen deficiency and phlegm stagnation syndrome（P＆lt;0.01）.Conclusion： The syndrome distribution and prognosis of infantile pneumonia has its law in children at different ages.

关 键 词：小儿肺炎 证型分布 证型转归 年龄 

分 类 号：R272[医药卫生—中医儿科学]