120198名儿童胃肠积热分布特征的横断面研究  

Cross-sectional study on the distribution characteristics of gastrointestinal heat retention syndrome in 120198 children

作　　者：秦雪颖 马雪颜 刘铁钢 于河 田园硕 姜琳 杨祥正 尹宏智 谷晓红[2,3] QIN Xueying;MA Xueyan;LIU Tiegang;YU He;TIAN Yuanshuo;JIANG Lin;YANG Xiangzheng;YIN Hongzhi;GU Xiaohong(Dongzhimen Hospital,Beijing University of Chinese Medicine,Beijing 00700,China;Institute of Chinese Medicine Epidemic Disease,Beijing Universityof Chinese Medicine,Beijing 100029,China;School of Chinese Medicine,Beijing University Chinese Medicine,Beijing 100029,China;Shenzhen Hospital(Longgang),Beijing University of Chinese Medicine,Shenzhen 518172,China)

机构地区：[1]北京中医药大学东直门医院,北京100700 [2]北京中医药大学中医疫病研究院,北京100029 [3]北京中医药大学中医学院,北京100029 [4]北京中医药大学深圳医院(龙岗),深圳518172

出　　处：《中华中医药杂志》2024年第5期2657-2661,共5页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金：国家中医药管理局创新团队和人才培养计划(No.ZYYCXTD-C-202006);北京中医药大学科研发展基金项目(No.2021-ZXFZJJ-036)。

摘　　要：目的:全面调查深圳市龙岗区幼儿园儿童胃肠积热分布情况及不同人群分布特征。方法:采用横断面研究设计,普查深圳市龙岗区442所幼儿园120 198名在园儿童,使用“儿童胃肠积热自评诊断与评价量表”进行胃肠积热诊断及程度分级,线上采集儿童性别、年龄、父母受教育程度、家庭人均月收入、患病情况等信息,分析在园儿童中胃肠积热分布情况及不同人群中胃肠积热构成比差异。结果:深圳市龙岗区120 198名在园儿童中,胃肠积热儿童占比为47.36%,轻度、中度、重度分别占28.03%、17.62%、1.71%。胃肠积热在女童、3~5岁、本地、独生子女、看护人非父母、父母学历本科以上、家庭人均月收入1~2万元的儿童中占比较高(P<0.01),胃肠积热儿童消化道疾病、呼吸道疾病、过敏性疾病等多类疾病患病率较高,不同程度胃肠积热儿童患病率存在差异,轻度<中度<重度(P<0.01)。结论:深圳市龙岗区幼儿园儿童胃肠积热占比较高,应重视胃肠积热证态,增加早期筛查、宣教、干预力度,促进儿童身心健康。Objective:To investigate the distribution of gastrointestinal heat retention syndrome in children of kindergartens in Longgang District,Shenzhen.Methods:A total of 120198 children from 442 kindergartens in Longgang District,Shenzhen were investigated with the diagnostic model and evaluation scale of gastrointestinal heat retention,children's demography,family social background,conditions of the disease and other basic information were divided into different groups,analysis of different characteristics of the distribution of gastrointestinal heat retention syndrome ratio and differences.Results:The prevalence rate of gastrointestinal heat retention syndrome in 120198 kindergarten children in Longgang District,Shenzhen was 47.36%,in which mild,moderate and severe cases accounted for 28.03%,17.62%and 1.71%respectively.The distribution of gastrointestinal heat retention syndrome was higher in female,3-5 years old,local,only child,non-parents as the main caregiver,parents with education level of bachelor degree or above,and family average monthly income between 10000 and 20000(P<0.01).The prevalence of digestive tract,respiratory tract,allergic concerning diseases in children with gastrointestinal heat retention syndrome was higher,and the prevalence was severe>moderate>mild(P<0.01).Conclusion:The proportion of children with gastrointestinal heat retention syndrome in kindergartens in Longgang District,Shenzhen is relatively high.More attention should be paid to this situation to promote the physical and mental health of children by increasing screening,education and intervention.

关 键 词：胃肠积热 幼儿园 儿童 横断面研究 深圳市龙岗区 分布 特征 

分 类 号：R272[医药卫生—中医儿科学]