新生儿期脑损伤对患儿中医体质的影响  

Influence of Neonatal Brain Injury on Constitution of Traditional Chinese Medicine of the Children

作　　者：杨春芳 张亚洲 庄颖 周涣林 田亚琴 YANG Chunfang;ZHANG Yazhou;ZHUANG Ying;ZHOU Huanlin;TIAN Yaqin(General Hospital of Southern War Zone,Chinese People's Liberation Army,Guangzhou Guangdong 510010,China)

机构地区：[1]中国人民解放军南部战区总医院,广东广州510010

出　　处：《中医药导报》2022年第12期127-130,共4页Guiding Journal of Traditional Chinese Medicine and Pharmacy

摘　　要：目的:研究新生儿期有脑损伤病史患儿的中医体质分布规律,指导脑损伤患儿的养护,促进其早期康复。方法:选取2018年1月至2021年8月因新生儿期脑损伤在中国人民解放军南部战区总医院儿科住院行康复治疗的6个月龄至3岁的患儿为研究对象,共146例。采用横断面调查法和病例回顾法,对研究对象的主要抚养者进行问卷调查,并收集患儿住院期间相关病历资料。统计研究对象的体质类型,分析新生儿期脑损伤对患儿中医体质的影响。结果:146例新生儿期有脑损伤病史的患儿中有41例(28.08%)平和体质,105例(71.92%)偏颇体质,偏颇体质以气郁质(27.40%)为主。脑损伤类型为缺氧缺血性脑损伤(45.21%)、早产儿脑损伤(22.60%)、中枢感染性脑损伤(13.70%)、脑发育不良(10.96%)、高胆红素脑损伤(3.42%)、脑出血(4.11%),前三者皆以气郁质最多,后三者则以平和体质为主。3组患儿平和质、气郁质与其他偏颇体质血清神经元烯醇化酶(NSE)比较,差异无统计学意义(P>0.05)。结论:新生儿期脑损伤患儿以平和质和气郁质为主,患儿体质类型与新生儿期脑损伤类型有关,而与损伤程度无明显关系。Objective:To study the constitution of traditional Chinese medicine of children with brain injury in the neonatal period,then to guide the care and promote the early development of the children.Methods:146children aged from 6 months to 3 years who were hospitalized in the Department of Pediatrics,General Hospital of Southern War Zone,Chinese People’s Liberation Army for rehabilitation treatment due to neonatal brain injury from January 2018 to August 2021 were selected as the study subjects.Cross sectional survey and case review were used to conduct questionnaire survey on the main caregivers of the study object and collect the relevant medical records of the children during hospitalization.Statistic the constitution type of the research object,and analyze the influence of brain injury in neonatal period on children’s TCM constitution.Results:Among 146children with a history of brain injury in the neonatal period,41(28.08%)had a calm constitution and 105(71.92%)had a biased constitution,and the biased constitution was mainly qi-yu constitution(27.40%).The types of brain injury were hypoxic-ischemic brain injury(45.21%),premature brain injury(22.60%),central infectious brain injury(13.70%),cerebral dysplasia(10.96%),hyperbilirubin brain injury(3.42%),and cerebral hemorrhage(4.11%).The former three constitutions are dominated by qi-yu,while the latter three are dominated by calm constitution.There was no significant difference between the serum NSE of the three groups(P>0.05).Conclusion:Children with neonatal brain injury were predominantly calm and qi-yu,and their body type was related to the type of neonatal brain injury but not to the degree of injury.

关 键 词：脑损伤 新生儿 中医体质 婴幼儿体质辨识 儿童早期发展 神经元烯醇化酶 

分 类 号：R272.1[医药卫生—中医儿科学]