广州地区280例手足口病患儿中医体质分析  

An analysis of TCM constitution of 280 cases of hand, foot and mouth disease in Guangzhou area

作　　者：马书鸽[1] 张晓莹[1] 郑小红[1] 陈凤媚[1] 

机构地区：[1]广东省妇幼保健院,广东广州510010

出　　处：《中医临床研究》2018年第24期60-61,104,共3页Clinical Journal Of Chinese Medicine

基　　金：广东省中医药局科研资助项目(20161030)

摘　　要：目的:研究广州地区手足口病患儿的中医体质规律,从而指导患儿平素饮食和调护,预防手足口病的发生。方法:通过对符合手足口病诊断标准的280例小儿运用中医脉象信息采集体质辨识系统的儿童体质辨识软件进行体质辨识,结合临床症状及舌脉,总结并分析手足口病患儿的体质类型。结果:280例手足口病患儿中医体质分布中,平和质2.1%,脾虚质56.1%,湿热质87.5%,痰湿质38.6%,心肝火旺质80.0%,特禀质16.8%。其中,普通型手足口病患儿200例,体质分布占前三位的分别为湿热质、脾虚质、痰湿质。重症手足口病患儿80例,体质分布占前三位的分别为湿热质、心肝火旺质、脾虚质。结论:手足口病患儿体质多呈偏颇体质,以湿热质、脾虚质、心肝火旺质为主。其中,普通型手足口病患儿以湿热质、脾虚质和痰湿质为主。重症手足口病患儿以湿热质、心肝火旺质和脾虚质为主。Objective： To study the physical constitution of traditional Chinese medicine of children with hand-foot-mouth disease in Guangzhou, so as to instruct children with regular diet and nursing care, and prevent the occurrence of hand-foot-mouth disease. Methods： 280 children who met the diagnostic criteria of hand-foot-mouth disease were selected and the software of TCM pulse information acquisition and constitution identification system was used to identify children＇s constitution, combined with clinical symptoms and lingual pulse, the physical types of children with HFMD were summarized and analyzed. Results： In 280 cases of hand-foot-and-mouth disease, the distribution of TCM constitution was 2.1% of placidity, 56.1% of spleen deficiency, 87.5% of dampness and heat, 38.6% of phlegm and dampness, 80.0% of heart and liver fire, and 16.8 % of essence. Among them, 200 children with common hand-foot-and-mouth disease, whose physical distribution accounted for the top three were hygrothermal, spleen deficiency and phlegm. There were 80 cases of severe hand-foot-mouth disease, and the physical distribution of the first three cases was hygrothermal, heart, liver and spleen deficiency. Conclusion： The body mass of children with hand-foot-and-mouth disease was mostly biased constitution, with the main features of dampness and heat, spleen deficiency, and heart and liver fire. Among them, the common type of hand, foot and mouth disease in children was with damp heat, spleen deficiency and phlegm mainly. Severe hand, foot and mouth disease in children was with hot and humid, heart and liver fire and spleen deficiency.

关 键 词：手足口病 中医体质 湿热质 脾虚质 心肝火旺质 

分 类 号：R272.6[医药卫生—中医儿科学]