179例腺样体肥大患儿中医辨证分型和纤维鼻咽镜分析  

Analysis of TCM syndrome differentiation and fiberoptic nasopharyngoscope in 179 children with adenoid hypertrophy

作　　者：张静[1] 李丽娟 魏玮 张刚 Zhang Jing;Li Lijuan;Wei Wei;Zhang Gang

机构地区：[1]广州市妇女儿童医疗中心,广东广州510628

出　　处：《中医临床研究》2021年第21期25-27,共3页Clinical Journal Of Chinese Medicine

基　　金：广州市卫生和计划生育科技项目(20192A010011),穗卫中医[2019]3号。

摘　　要：目的:研究小儿腺样体肥大的中医证候、证型分类和纤维鼻咽镜的相关性。方法:采用回顾性研究,采集病例中的中医四诊和纤维鼻咽镜结果资料,运用频数分析、描述性分析、集成学习对小儿腺样体肥大的中医证候、证型分类和纤维鼻咽镜的相关性进行分析。结果:179例腺样体肥大患儿中医证型主要有肺脾气虚型、痰湿蕴积型、肺经蕴热型和风寒袭鼻型。而小儿腺样体肥大的不同中医证型与腺样体肥大分度具有统计学意义(P<0.05)。其中肺脾气虚型的患儿肥大分度较其余三型患儿重。中医证候中以鼻鼾、张口呼吸、鼻塞和胃纳欠佳症状多见。结论:岭南地区腺样体肥大患儿常见证型有4型,多为肺脾气虚型,治疗多从肺、脾两脏为主。不同的中医辨证分型和腺样体肥大的分布程度具有相关性。治疗腺样体肥大的同时应积极治疗其他的合并症如鼻窦炎和变应性鼻炎。集成学习方法得出的中医各证型的重要中医证候,对日后研究此病的量表有一定的帮助。Objective:To study the correlation between traditional Chinese medicine(TCM)syndromes,syndromes classification and fiberoptic nasopharyngoscopy of adenoidal hypertrophy in children.Methods:A retrospective case study was conducted to collect the results of the four TCM diagnoses and fiberoptic nasopharyngoscopy from the cases,and to analyze the correlation between the TCM syndromes,syndrome type classification and fiberoptic nasopharyngoscopy of adenoidal hypertrophy in children by frequency analysis,descriptive analysis and ensemble learning.Results:The TCM syndromes of 179 children with adenoid hypertrophy mainly include deficiency of lung spleen qi,accumulation of phlegm and dampness,heat accumulation of lung meridian and nose attack by wind and cold.There was statistical significance between different TCM syndromes and adenoidal hypertrophy grading in children(P<0.05).Among them,the degree of hypertrophy in children with lung and spleen qi deficiency was heavier than that in the other three types.The major syndromes of traditional Chinese medicine were nose snoring,mouth breathing,nasal congestion and poor stomach.Conclusion:There are 4 common types of adenoid hypertrophy in children in Lingnan area,most of which are lung and spleen qi deficiency type.The treatment is mainly from lung and spleen.Different TCM syndrome differentiation and the degree of adenoidal hypertrophy are correlated.Adenoidal hypertrophy should be accompanied by active treatment of other complications such as sinusitis and allergic rhinitis.The important TCM syndromes of various TCM syndromes obtained by the integrated learning method will be helpful for the future study of the scale of this disease.

关 键 词：腺样体肥大 中医辨证分型 纤维鼻咽镜 集成学习 

分 类 号：R256.11[医药卫生—中医内科学]