小儿轮状病毒性肠炎45例中医辨证论治分析  

An analysis on the TCM syndrome differentiation and treatment of the 45 cases of infantile rotavirus enteritis

作　　者：刘爽[1] 米继强[1] 段晓征[1] LIU Shuang;MI Jiqiang;DUAN Xiaozheng(Affiliated Hospital of Changchun University of Chinese Medicine,Changchun 130117,China)

机构地区：[1]长春中医药大学附属医院,长春130117

出　　处：《长春中医药大学学报》2021年第5期1034-1038,共5页Journal of Changchun University of Chinese Medicine

基　　金：吉林省中医药科技项目(2019183);吉林省高等教育学会科研课题(JGJX2020C42);吉林省教育厅“十三五”科学技术项目(JJKH20170698KJ);中医药传承与创新“百千万”人才工程(岐黄工程)王烈国医大师传承工作室;2020年度吉林省高教科研重点课题(JGJX2020C42)。

摘　　要：目的探讨儿童轮状病毒性肠炎的临床发病特征,分析其与传统中医证型的联系,并进一步阐明辨证的依据。方法结合多年临床实践,查阅与中医药有关的古今各类文献,甄别出其常见的临床体征和表现,通过对小儿轮状病毒性肠炎的调查量表,建立数据库,进行统计分析。结果本研究通过对45例中医证候资料完整的患儿进行调查研究,发现湿热泻共29例,占64.4%,提示其主要的中医证型为湿热泻。伤食泻约占12.8%,位于第2位。结论湿热泻是小儿轮状病毒性肠炎的主要中医证型。Objective To explore the clinical characteristics of rotavirus enteritis in children,analyze its relationship with the traditional Chinese medicine syndromes,and further clarify the basis for syndrome differentiation.Methods On the basis of clinical practice,various ancient and modern TCM literature related to the disease was reviewed to identify its common clinical signs and manifestations,and a database was established for statistical analysis through a survey scale of rotavirus enteritis in children.Results In this study,the investigation of the 45 children with the complete TCM syndrome data about rotavirus enteritis finds that there are 29 cases of diarrhea with the syndrome of damp-heat,accounting for 64.4%of the study subjects,which suggests that it is the main TCM syndrome of the disease.While diarrhea with the syndrome of improper diet accounts for about 12.8%,occupying the second place.Conclusion Diarrhea with damp-heat is the main TCM syndrome type of rotavirus enteritis in children.

关 键 词：小儿轮状病毒性肠炎 中医 辨证 

分 类 号：R725.7[医药卫生—儿科]