多地15059名学龄前儿童亚健康体质调查与研究  

Investigation and study on sub-health constitution of 15059 preschool children in differentcities

作　　者：许瑾 李欢 袁飞 杨帅 崔晓梅 赵广森 吕沛宛 颜仕星 侯江红 XU Jin;LI Huan;YUAN Fei;YANG Shuai;CUI Xiao-mei;ZHAO Guang-shen;LYU Pei-wan;YAN Shi-xing;HOU Jiang-hong(Henan Province Hospital of TCM(The Second Affliated Hospital of Henan University of Chinese Medicine),Zhengzhou 450002,China;Henan University of Chinese Medicine,Zhengzhou 450002,China;Shanghai Daosheng Medical Technology Co.,LTD.,Shanghai 201600,China)

机构地区：[1]河南省中医院(河南中医药大学第二附属医院),郑州450002 [2]河南中医药大学,郑州450002 [3]上海道生医疗科技有限公司,上海201600

出　　处：《中华中医药杂志》2023年第4期1787-1791,共5页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金：国家重点研发计划中医药现代化研究重点专项(No.2018YFC1704704)。

摘　　要：目的:调查分析学龄前儿童不同体质的证候特点及差异性,为儿童体质辨识及临床诊疗提供参考依据。方法:运用调查量表对河南郑州、南阳及陕西咸阳三地的15059名3~6岁学龄前儿童进行体质辨识信息采集,采用记分方式判定儿童体质类型,分析不同体质儿童的差异性特点,建立不同体质儿童与行为表现或体征的Logistic回归模型。结果:亚健康儿童中排名前五的体质为阳虚体(22.7%,3416/15055)、积滞体(18.5%,2 779/15 055)、气虚体(17.7%,2 671/15 055)、肝火体(10.6%,1 603/15 055)、痰湿体(7.9%,1195/15055)。阳虚体质与麦粒肿(OR=1.34)、头发稀疏(OR=1.22)、头发发黄(OR=1.13)等存在密切关联(P<0.01,P<0.05);积滞体质与睡觉时翻来翻去(++)(OR=1.74)、漏斗胸(OR=1.40)、肋外翻(OR=1.29)、面色花斑(OR=1.25)等存在密切关联(P<0.01);气虚体质与偏食(++)(OR=1.93)、每次大便量(++)(OR=2.47)等存在密切关联(P<0.01);肝火体质与容易急躁或发脾气(OR=14.25)、多动现象(OR=8.48)、结膜充血(OR=4.50)等存在密切关联(P<0.01);痰湿体质与喉痰多(++)(OR=3.01)等存在密切关联(P<0.01);热盛体质与出现唇红(OR=2.23)、舌色红(OR=2.06)、咽充血(OR=1.72)存在密切关联(P<0.01);怯弱体质与出现手蜕皮(OR=2.42)、面色苍白(OR=1.78)存在密切关联(P<0.05);高敏体质与出现大便不成形或前干后稀(+)(OR=0.11)存在密切关联(P<0.01)。结论:不同亚健康儿童体质与其体征和行为表现存在不同相关性,此为儿童体质辨识及临床诊疗提供提供了客观参考依据。Objective:To investigate and analyze the symptom characteristics and differences of preschool children with different constitutions,so as to provide reference for children's constitution identification and clinical diagnosis and treatment.Methods:The scale was used to collect the physical fitness identification information of 15059 preschool children aged 3-6 from Henan Zhengzhou,Nanyang and Shaanxi Xianyang,the physical type of children was determined by scoring,the different characteristics of children with different constitution were analyzed,and the Logistic regression model of children with different constitution and behavioral performance or signs was established.Results:The top five constitutions of sub-health children were yang deficiency(22.7%,3416/15055),stagnation(18.5%,2779/15055),qi deficiency(17.7%,2671/15055),liver fire(10.6%,1603/15055),phlegm and dampness(7.9%,1195/15055),yang deficiency constitution was closely associated with stele(OR=1.34),hair thinning(OR=1.22)and yellowing(OR=1.13),etc.(P<0.01,P<0.05).There was a close correlation between sleeping rolleover(++)(OR=1.74),pectus excavatum(OR=1.40),costal valgus(OR=1.29)and facial freckles(OR=1.25),etc.(P<0.01).Qi deficiency constitution was closely associated with partial eating(++)(OR=1.93)and large stool volume(++)(OR=2.47),etc.(P<0.01).Liver fire constitution was closely associated with impatience or tantrum(OR=14.25),hyperactivity(OR=8.48)and conjunctival hyperemia(OR=4.50),etc.(P<0.01).Phlegm and dampness constitution was closely associated with laryngeal phlegm(++)(OR=3.01),etc.(P<0.01).Heat-flled constitution was closely associated with lip redness(OR=2.23),tongue redness(OR=2.06)and pharyngeal congestion(OR=1.72)(P<0.01).Cowardice was closely related to hand molting(OR=2.42)and pallor(OR=1.78)(P<0.05).Hypersensitive constitution was closely associated with the occurrence of unformed stool or dry before thin(+)(OR=0.11)(P<0.01).Conclusion:Different sub-health children's physical conditions have different correlations with their physical

关 键 词：儿童体质辨识 体质量表 行为表现 相关性 

分 类 号：R179[医药卫生—妇幼卫生保健]