基于聚类分析8~12岁儿童肥胖症的中医证型分布研究  

Distribution of TCM Syndrome Types of Obesity in Children Aged 8-12 Years Based on Cluster Analysis

作　　者：李天鑫 屈爱卿 任昕昕 宋兴磊 高嘉 黎明莉 刘应科[2] LI Tian-xin;QU Ai-qing;REN Xin-xin;SONG Xing-lei;GAO Jia;LI Ming-li;LIU Ying-ke(The First Clinical College of Medicine,Beijing University of Chinese Medicine,Beijing 100029;Department of Pedi-atrics,Beijing Hepingli Hospital,Beijing 100013;Beijing Heping North Road School,Beijing 100013)

机构地区：[1]北京中医药大学第一临床医学院,北京100029 [2]北京市和平里医院儿科,北京100013 [3]北京市和平北路学校,北京100013

出　　处：《世界中西医结合杂志》2024年第11期2228-2231,2236,共5页World Journal of Integrated Traditional and Western Medicine

基　　金：首都卫生发展科研专项项目(首发2022-2-7011)。

摘　　要：目的通过收集肥胖儿童的临床症状信息,探讨学龄儿童肥胖症中医证型分布特点、临床特征等。方法选取2023年3月—2024年2月期间北京市东城区3所小学,以年级分层,以班级为整群单位,每个年级均随机抽取3~4个班级,被抽中班级所有学生纳入调查。身高与体重数据和中医证候量表问卷由经过培训的专业人员现场去学校采集,测量儿童共计1156名,其中肥胖133名,最终收集到105名肥胖儿童中医证候量表问卷。结果本研究通过聚类分析发现儿童肥胖的中医证型有4类:脾虚湿盛证、肝郁脾虚证、湿热内蕴证、脾虚胃热证,各占40.0%、36.2%、16.2%、7.6%。结论儿童肥胖的中医证型分布频率依次是脾虚湿盛证、肝郁脾虚证、湿热内蕴证、脾虚胃热证。Objective To investigate the distribution characteristics and clinical features of traditional Chinese medicine(TCM)syndromes in school-age children with obesity by collecting clinical symptom information.Methods From March 2023 to February 2024,three primary schools in Dongcheng District,Beijing,were selected.A stratified sampling method was used based on grade levels,and entire classes were randomly chosen,with 3-4 classes selected from each grade.All students in the selected classes were included in the survey.Height and weight data,along with TCM symptom questionnaire responses,were collected on-site by trained professionals.A total of 1156 children were measured,among whom 133 were identified as obese.Finally,TCM symptom questionnaires were collected from 105 obese children.Results Cluster analysis revealed four TCM syndrome types associated with childhood obesity,i.e.,spleen deficiency with excessive dampness(40.0%),liver stagnation and spleen deficiency(36.2%),internal accumulation of dampness heat(16.2%),and spleen deficiency with stomach heat(7.6%).Conclusion The distribution frequency of TCM syndrome types in obese children,in descending order,is as follows:spleen deficiency with excessive dampness,liver stagnation and spleen deficiency,internal accumulation of dampness-heat,and spleen deficiency with stomach heat.

关 键 词：学龄儿童 肥胖 中医证型 

分 类 号：R589.2[医药卫生—内分泌]