儿童呼吸道感染后咳嗽中医证素分布规律研究  

Study on the Distribution of TCM Syndrome Elements in Pediatric Post Infectious Cough

作　　者：翁泽林[1] 杨京华[1] 许尤佳[1] 

机构地区：[1]广东省中医院,广东广州510120

出　　处：《中医药导报》2018年第4期52-55,共4页Guiding Journal of Traditional Chinese Medicine and Pharmacy

基　　金：广东省中医药管理局2013年建设中医药强省科研课题(20132168);广东省中医院中医药科学技术研究专项资助(YK2013B2N18)

摘　　要：目的:通过问卷调查的形式结合证素辨证方法学探讨儿童呼吸道感染后咳嗽(post infectious cough,PIC)的中医病位、病性证素特点及其组合规律,为提高儿童呼吸道感染后咳嗽临床辨证论治水平以及制定防治方案提供依据。方法:以本院儿科门诊部符合诊断标准的90例患者为研究对象,进行问卷调查,收集四诊资料,根据"证候辨证素"量表找到每一症状对各证素的权值,最后计算各症状对各证素权值之和,超过阈值100分的证素则判断成立,分析病位证素、病性证素以及病位与病性证素组合规律。结果:呼吸道感染后咳嗽中,病位证素共4个,肺为核心病位,其出现的频率(91.11%)明显高于其他病位证素,病位表(78.89%)为PIC相对常见病位证素,其他证素脾(11.11%)、胃(5.56%)出现频率较低;病位证素脾平均积分超过150;病位组合中,二病位组合最常见,共61例(67.78%),其次为单一病位19例(21.11%)。实性病性有9个,虚性病性4个。实性病性中,病性痰出现频率(24.44%)最高,其他病性证素依次为外风(8.89%)、寒(5.56%)、湿(3.33%)、气滞(2.22%)、热(2.22%)、饮(1.11%)、燥(1.11%)等。虚性病性证素依次为气虚、阴虚、血虚、阳虚,出现频率分别为40.00%、20.00%、13.33%、8.89%。虚性病性气虚、阳虚等证素平均积分超过150,提示阳气亏虚为重度病变;病性组合中,以单一病性最常见,共39例(43.33%)。病位与病性组合中,单一病性与二病位为主要组合特点,包括"气虚+肺、表""痰+肺、表"等组合形式。结论:呼吸道感染后咳嗽核心病位在肺,与表、脾、胃相关;其发病虚实互见,气虚、阳虚在本病发生、发展中具有重要意义;痰为主要实性病性,为主要病理产物,亦是主要病因。Objective： To discuss children post infectious cough （PIC） in TCM disease location, disease syn- drome characteristics and combination rule through questionnaire combined with syndrome differentiation method. To improve the children＇s post infectious cough clinical syndrome differentiation level and provide the basis for the prevention and control programs. Methods： A total of 90 cases accord with the diagnosis standard of disease patients from the pediatric outpatients of our hospital were selected as the research object for questionnaire survey and diagnostic data collection. The syndrome factor weights were found in each symptom according to the ＂ syndrome differentiation＂ scale. The sum of each symptom＇s weight value of each symptom was calculated, and the syndrome factor exceeding the threshold of 100 was judged to be established. The combination rule has been analyzed for syndrome elements of disease location, disease syndrome and disease location. Results： There were 4 syndrome factors for post infectious cough, which lung disease was the main location, the frequency of occurrence （91.11%） was significantly higher than other syndrome factor, the syndrome factor of exterior （78.89%） is relatively common among PIC. The frequency of other disease syndrome factor were lower such as spleen （ll.ll%） and stomach （5.56%）. The average score of spleen syndrome elements was more than 150. The combi- nation of the two diseases was the most common in the combination of the disease location which were totally 61 cases （67.78%）, followed by single disease were 19 eases （21.11%）. In the aspect of syndrome elements, there were 8 sthenic syndromes, 4 asthenia syndromes. Among the sthenic syndromes, the highest occurrence was phlegm （24.44%）, and other disease syndrome factor were wind （8.89%）, cold （5.56%）, wet （3.33%）, and qi （2,22%）, fever （2.22%）, drinking （1.11%）, dry （1.11%）, etc. Thc factors of asthenia syndromes were qi deficiency, Yin deficien

关 键 词：呼吸道感染后咳嗽 证素 病位 病性 儿童 

分 类 号：R272[医药卫生—中医儿科学]