广州地区儿童社区获得性肺炎的中医证型分布特点研究  

A Study on the Distribution of Traditional Chinese Medicine Syndrome Types in Children with Community-acquired Pneumonia in Guangzhou Area

作　　者：杨涣露 邓嘉丽 方枫琪 黄钢花[2] YANG Huan-Lu;DENG Jia-Li;FANG Feng-Qi;HUANG Gang-Hua(The First Clinical Medical School of Guangzhou University of Chinese Medicine,Guangzhou 510405 Guangdong,China;Dept.of Pediatrics,the First Affiliated Hospital of Guangzhou University of Chinese Medicinc,Guangzhou 510405 Guangdong,China)

机构地区：[1]广州中医药大学第一临床医学院,广东广州510405 [2]广州中医药大学第一附属医院儿科,广东广州510405

出　　处：《广州中医药大学学报》2023年第1期28-34,共7页Journal of Guangzhou University of Traditional Chinese Medicine

基　　金：广东省自然科学基金项目(编号:0624135)。

摘　　要：【目的】调查广州地区的社区获得性肺炎住院患儿中医证型的分布特点及影响因素。【方法】采用回顾性分析方法,收集2019~2021年期间在广州中医药大学第一附属医院儿科住院治疗的4099例社区获得性肺炎患儿的临床资料,运用频数描述及卡方检验,探讨其中医证型分布特点。【结果】(1)2019~2021年的社区获得性肺炎患儿男性多于女性,以幼儿期和学龄前期为本病的高发人群,且好发于秋季和冬季,发病月份以1月和9月为主。(2)除样本量较小的肺脾气虚证和毒热闭肺证外,其余不同证型间的性别分布不存在显著性差异(P>0.05),但不同证型间的季节分布有显著性差异(P<0.05)。(3)中医证型分布由高到低依次为:痰热闭肺证(59.80%)、寒热错杂证(18.80%)、风热闭肺证(17.90%)、风寒闭肺证(2.44%)、湿热闭肺证(0.90%)、肺脾气虚证(0.17%)和毒热闭肺证(0.02%)。【结论】广州地区儿童社区获得性肺炎发病与年龄分期、性别、发病季节和发病月份密切相关;中医证型以痰热闭肺证最为多见,且不同证型的发病季节、发病月份有所不同。Objective To investigate the distribution of traditional Chinese medicine(TCM)syndrome types in the hospitalized children with community-acquired pneumonia(CAP)in Guangzhou area and to analyze the influencing factors.Methods The clinical data of 4099 CAP children who were hospitalized in the Department of Pediatrics of the First Affiliated Hospital of Guangzhou University of Chinese Medicine from the year of 2019 to2021 were retrospectively analyzed,and the frequency analysis and chi-square test were applied to explore the distribution of their TCM syndrome types.Results(1)The hospitalized children with CAP during the year of 2019 to2021 were more likely to be male than to be female,and high prevalence was presented in the infancy and preschool children.The disease was more likely to occur in autumn and winter,especially in January and September.(2)Except for the small sample size of qi deficiency of lung and spleen syndrome and heat-toxin blocking lung syndrome,there was no significant difference in the gender distribution among various syndrome types(P>0.05).However,there was significant difference in the distribution of onset season among various syndrome types(P<0.05).(3)The percentage of the TCM syndrome types in descending order was phlegm-heat obstructing lung syndrome(59.80%),concurrence of cold and heat syndrome(18.80%),wind-heat obstructing lung syndrome(17.90%),wind-cold obstructing lung syndrome(2.44%),damp-heat obstructing lung syndrome(0.90%),qi deficiency of lung and spleen syndrome(0.17%)and heat-toxin blocking lung syndrome(0.02%).Conclusion The onset of CAP in children from Guangzhou area is closely related to the age group,gender,seasons and months.The phlegm-heat obstructing lung syndrome is the most common syndrome type for the CAP children,and the season and month of onset vary in the syndrome types.

关 键 词：广州地区 儿童 社区获得性肺炎 中医证型 痰热闭肺证 回顾性分析 

分 类 号：R259.631[医药卫生—中西医结合]