145例儿童肺炎支原体肺炎中医证候学特点分析  

Approach to TCM syndrome characteristics of mycoplasma pneumoniae pneumonia in 145 children patients

作　　者：梁大为 谢静 LIANG Da-wei;XIE Jing(The First Clinical School of Traditional Chinese Medicine,Hunan University of Traditional Chinese Medicine,Changsha 410007,China)

机构地区：[1]湖南中医药大学第一中医临床学院,长沙410007

出　　处：《山西中医》2024年第4期48-50,68,共4页Shanxi Journal of Traditional Chinese Medicine

基　　金：湖南省中医药管理局科研项目(编号:A2023047);全国名老中医药专家于孟清传承工作室建设项目。

摘　　要：目的:探讨儿童肺炎支原体肺炎中医证候学特点及演变规律。方法:收集145例确诊为肺炎支原体肺炎患儿的中医证候学资料,分析入院当天、入院第3天及第5天儿童肺炎支原体肺炎的中医临床证候学特点。结果:145例患儿在入院当天及入院第3天、第5天中,咳嗽、咳痰的出现频率均最高,其次为咽红及发热;舌象均以舌红为主,舌红绛在入院第3天(18.62%)较入院当天(7.59%)所占比例升高,入院当天舌象以苔黄(35.86%)、苔薄黄(22.07%)、苔黄腻(13.79%)多见,入院第3天舌象以苔薄白(26.21%)、苔黄(21.38%)、苔黄厚(20.00%)、苔黄腻(15.17%)多见,入院第5天舌象则以苔薄白(61.38%)最多见。入院当天患儿中医证型共4种,分别为风热闭肺证(78.63%)、痰热闭肺证(15.17%)、痰湿蕴肺证(4.14%)、风寒犯肺证(2.07%),入院第3天及第5天中医证型为风热闭肺证(51.03%)、痰热闭肺证(44.83%)、痰湿蕴肺证(4.14%)。结论:儿童肺炎支原体肺炎初期以风热闭肺证最多见,随着病情进展痰热闭肺证所占比例升高,同时可兼夹瘀、湿等病理因素,临床治疗应以疏风清热化痰为主,配合活血化瘀及化湿药物的应用。Objective:To approach the characteristics and evolution rule of TCM syndrome of mycoplasma pneumoniae pneumonia in children patients.Methods:The data of TCM syndromes of 145 children patients,who were diagnosed as mycoplasma pneumoniae pneumonia,were collected.The characteristics of TCM clinical syndromes of mycoplasma pneumoniae pneumonia in the children patients were analyzed on the admission day,the third-and fifth-day of admission.Results:Among 145 children patients with mycoplasma pneumoniae pneumonia,on the admission day,the third-and fifth-day of admission,the frequencies of cough and expectoration were the highest,followed by pharyngeal redness and fever.The characteristics of tongue picture as follows:the tongue pictures all were red tongue mainly,and the proportion of deep-red tongue on the third day of admission was 18.62%,which was higher than 7.59%on the admission day;the most common tongue pictures on the admission day were yellow coating(35.86%),yellow and thin coating(22.07%)and yellowish and greasy coating(13.79%);the most common tongue pictures on the third day of admission were white and thin coating(26.21%),yellow coating(21.38%),yellow and thick coating(20.00%),yellowish and greasy coating(15.17%);The most common tongue pictures on the fifth day of admission were white and thin coating(61.38%).On the admission day,there were four kind of TCM syndrome types of children patients in total i.e.wind-heat blocking the lung syndrome(78.63%),phlegm-heat obstructing the lung syndrome(15.17%),phlegm-damp accumulating in the lung syndrome(4.14%)and wind-cold invading the lung syndrome(2.07%);while on the third-and fifth-day of admission,TCM syndrome types were wind-heat blocking the lung syndrome(51.03%),phlegmhe at obstructing the lung syndrome(44.83%)a n d phlegm-damp accumulating in the lung syndrome(4.14%).Conclusion:At the early stage of mycoplasma pneumoniae pneumonia in children patients,wind-heat blocking the lung syndrome is the most common.But with the progression of the disease,the proportion

关 键 词：肺炎支原体肺炎 儿童 中医证候分析 

分 类 号：R725.6[医药卫生—儿科]