儿童哮喘舌象变化规律与中医体质及血清IgE的相关性  

Correlation among Tongue Picture,Constitution and level of Serum IgE in Children with asthma

作　　者：林冰[1] 

机构地区：[1]广东省第二中医院,广州510405

出　　处：《吉林中医药》2013年第8期809-811,共3页Jilin Journal of Chinese Medicine

摘　　要：目的通过观察150例哮喘患儿缓解期舌象,探讨其与患儿中医体质变化规律和血清IgE水平的相关性。方法选取哮喘患儿及健康儿童各150例,将哮喘患儿随机分为中药综合治疗组(A组)和西药综合治疗组(B组),健康儿童作为对照组(C组)。3组儿童在第0、2、4、6、8个月各采集1次舌象,应用中医舌象仪软件进行量化处理,分析黄厚腻苔的组成百分比及变化规律;在第0、8个月进行1次体质调查诊断,分析痰湿质、湿热质组成比及变化规律;在第0、4、8个月进行1次血清IgE水平检测。结果从第0个月开始,A组黄苔、厚苔、腻苔的组成比例,随着时间推移逐渐下降;A、B组湿热质、痰湿质比例逐渐下降,C组无明显下降趋势;A、B组血清IgE与C组相比明显升高,A、B组间无明显差异。结论中医疗法能明显降低患儿黄厚腻苔比例,去除湿热、痰湿等病理因素,并调节患儿体质,患儿痰湿质、湿热质比例。同时中西医治疗对降低血清IgE水平均有明显作用,可能对预防哮喘发作有积极作用。Objective 150 Children with asthma were randomly divided into Group A and Group B. Group A refers to the synthetical treatment group with traditional Chinese medicine, and those given western medicine synthetical treatment belong to Group B. Another 150 healthy children were selected to form Group C. This study observes the variation in tongue picture of the 150 children with asthma in remission period, applying the tongue image analysis software to process the data in quan- tity, with three research objectives. First, it aims to find out the variation law of sufferers＇ traditional Chinese medicine constitution as well as their level of serum IgE. It also intends to analyze the correlation among the tongue picture change law of children with asthma, their constitution and the serum IgE level. The third purpose is to investigate the effects of sufferers＇ constitution on tongue syndrome evolution and serology variation. Method Tongue picture is collected in the 0th , 2nd , 4th, 6th, and 8th month respectively from three groups. The tongue image analysis instrument is used to process the data in quantity,and to work out the percentage and the variation rule of yellowish fur, thick fur, and greasy fur. In the 0 and 8th month, there is a constitution survey and diagnosis conducted in all the three groups to analyze the percentage of phlegm - dampness constitution and dampness - heat constitution, along with the variation law. In the 0 th, 4 th, 8 th month, there is a serum IgE level test carried out in the three groups. Results It is found that since the 0th month, the composition proportion of yellowish fur, thick fur, and greasy fur in the group with the traditional Chinese medicine treatment has gradually been de- clining as time passes. Yet there are no significant change discovered in both the western medicine treatment group and the healthy group. As the 0th month starts, the percentage of dampness - heat constitution and phlegm - dampness constitution in Group A and Group B gradually decreases, while there

关 键 词：哮喘 小儿 舌象 中医体质 血清IGE 湿热 痰湿 

分 类 号：R473.72[医药卫生—护理学]