摘要
目的观察急性感染性腹泻的中医证候分布特点。方法对1078例急性感染性腹泻患者进行中医证候调查。观察寒湿证、湿热证、暑湿证、伤食证、疫毒证分布情况,对各证候分布在不同季节进行比较,对各证候分布在不同年龄段进行比较。结果 1078例中湿热证464例(占43.04%),寒湿证321例(占29.79%),暑湿证218例(占20.22%),伤食证16例(占1.48%),疫毒证59例(占5.47%)。在不同季节,寒湿证、湿热证、暑湿证分布具有明显差异。寒湿证在春季比例最高,其次为冬、夏季,秋季最低;湿热证在冬季比例最高,其次为秋、夏季,春季最低;暑湿证仅见于夏秋季节,又以秋季为多。在不同的年龄段,寒湿证、湿热证、伤食证的分布有显著差异。寒湿证青年患者比例最高,其次为老年患者,中年患者最低;湿热证中年患者比例最高,其次为老年患者,青年患者最低;伤食证老年患者比例最高,其次为中年患者,青年患者最低。结论急性感染性腹泻以湿热证最常见,其次为寒湿证与暑湿证,疫毒证与伤食证均较少见,部分证候分布因发病季节及年龄段的不同存在差异。
Objective To observe the distribution characteristics of TCM syndromes of acute infectious diarrhea.Methods An investigation of TCM syndromes was carried out in 1 078 patients with acute infectious diarrhea,and the distribution of cold-damp syndrome,damp-heat syndrome,summer-damp syndrome,improper-diet-related impairment syndrome and pestilent-toxin syndrome was observed.The distribution of all syndromes was compared in different seasons and age groups.Results In 1 078 cases,there were 464 with damp-heat syndrome（43.04%）,321 with cold-damp syndrome（29.79%）,218 with summer-damp syndrome（20.22%）,16 with improper-diet-related impairment syndrome（1.48%） and 59 with pestilent-toxin syndrome（5.47%）.The distribution of cold-damp syndrome,damp-heat syndrome and summer-damp syndrome was significantly different in different seasons.The proportion of cold-damp syndrome was the highest in spring,second in winter and summer,and lowest in autumn.The proportion of damp-heat syndrome was the highest in winter,second in autumn and summer,and lowest in spring.The summer-damp syndrome only occurred in summer and autumn,but was more common in autumn.The distribution of cold-damp syndrome,damp-heat syndrome and improper-diet-related impairment syndrome was significantly different in different age groups.The proportion of cold-damp syndrome was the highest in young group,second in aged group,and lowest in middle-aged group.The proportion of damp-heat syndrome was the highest in middle-aged group,second in aged group,and lowest in young group.The proportion of improper-diet-related impairment syndrome was the highest in aged group,second in middle-aged group,and lowest in young group.Conclusion The most common syndrome type in infectious diarrhea is damp-heat syndrome,and second ones are cold-damp syndrome and summer-damp syndrome.The pestilent-toxin syndrome and improper-diet-related impairment syndrome are seldom.The distribution of some syndromes is different in different seasons and age groups.
出处
《北京中医药大学学报（中医临床版）》
2011年第5期5-8,共4页
Journal of Beijing University of Traditional Chinese Medicine
基金
北京中医药大学第二临床医学院院级课题(No.YJ201007)
关键词
感染性腹泻
证候
季节
年龄
infectious diarrhea
syndromes
season
age
