武汉市0～6岁健康儿童中医体质调查研究  

Investigation and study of TCM constitution of healthy children aged 0 to 6 in Wuhan

作　　者：刘晓鹰[1] 兰克 王元元[1] 王亦宸 王珺[3] 胡成华 张红艺 万文越 陈杏梅 

机构地区：[1]湖北省中医院儿科,武汉430061 [2]武汉市第三医院公共卫生科,武汉430060 [3]华中师范大学医院公共卫生科,武汉430079 [4]武汉市江汉区前进街社区卫生服务中心,武汉430014 [5]武汉市汉阳区二桥社区卫生服务中心,武汉430051 [6]武汉市青山区红钢城社区卫生服务中心,武汉430080 [7]武汉市新州区仓埠街卫生院,武汉431400

出　　处：《中国中西医结合儿科学》2017年第4期336-339,共4页Chinese Pediatrics of Integrated Traditional and Western Medicine

基　　金：湖北省科技厅软科学研究专项(2012GDA03401)

摘　　要：目的通过对武汉市0~6岁不同年龄段儿童进行中医体质调查,初步得出各年龄段的中医体质分类,为健康儿童中医保健提供指导。方法采用横断面现场调查法,将0~6岁健康儿童分为4个不同年龄组进行中医体质问卷调查。结果共收集350份有效问卷,其中平和质总体分布为65%(228/350),偏颇质为35%(122/350)。随年龄增长不同年龄组平和质占比逐渐减小(84%~52%),偏颇质比例逐渐增加(16%~48%),其中兼夹体质由0%增至30%;各年龄组体质分布各有其不同特点,肺不足体质中,兼夹特禀质差异有统计意义(P<0.05)。即肺不足质易兼特禀质。初中及以下学历的父母其子女出现偏颇质的概率差异有统计学意义(P<0.05)。结论武汉市0~6岁儿童中医偏颇体质分布随年龄增长比例逐渐增大且复杂;各年龄组偏颇体质分布各有特点,说明划分成4个年龄段有其现实意义,并提示在体质干预中对不同年龄组应有所侧重,在疾病治疗中也需注意不同年龄段的体质特点,进行"辨体施治",以提高中医疗效。Objective To work out a classification of TCM constitution at different ages by investiga-ting the children aged 0 to 6 in Wuhan, in order to provide guidance for TCM health care in healthy chil-dren. Methods By cross-sectional survey, the healthy children aged 0 to 6 were divided into 4 age groups, and the questionnaire survey on TCM constitution was performed in them. Results A total of 350 valid questionnaires were collected,which showed that the distribution of mild constitution was 65% （228/350）,biased constitution 35%（122/350）. When the children grew older, the percentage of mild constitution was decreasing（84% to 52%） , while that of biased constitution was increasing（16% to 48 % ） , in which the per-centage of combined constitution was increasing（0% to 30%）. The constitution distribution of different age groups had their own features. In lung-deficiency constitution, the difference on Tebing constitution was of statistical significance（P〈0. 05） , which meant that the lung-deficiency constitution was often combined with Tebing constitution. There was statistical difference on the probability of being biased constitution in the children whose parents only had middle school education or lower（P〈0. 05）. Conclusion The distribution percentage of TCM biased constitution in children aged 0 to 6 in Wuhan increases with the increase of age and also becomes complex, and different age group has different features, which indicates that it is of practical signifi-cance to divide the children into 4 age groups. It also shows that attention should be paid to different points in different groups during the constitution intervention. In the treatment it’s necessary to pay attention to different features and perform treatment based on constitutions differentiation in order to improve the effect.

关 键 词：体质 中医 调查 辨体施治 儿童 

分 类 号：R272[医药卫生—中医儿科学]