摘要
目的探讨小儿肺炎喘嗽中医各证型的证候特点以及与客观指标间的相关性,为临床辨证论治提供依据。方法回顾2011年9月—2012年2月确诊为肺炎的住院患儿98例,按照标准进行中医辨证分型,观察各证型的证候学特点,并分析其与客观指标的相关性。结果小儿肺炎病程按风寒闭肺证、风热闭肺证、痰热闭肺证、毒热闭肺证、阴虚肺热证、肺脾气虚证逐渐延长(P<0.01);患儿各证型WBC、CRP比较差异有统计学意义(P<0.05),其中毒热闭肺证、痰热闭肺证、风热闭肺证CRP升高明显。各证型PT、FIB、D-Dimer比较差异有统计学意义(P<0.05),其中毒热闭肺证均较其他证型升高,且均高于正常值。结论小儿肺炎在证型分布上以痰热闭肺证最为多见;病程与中医证型存在一定的相关性;毒热闭肺证、痰热闭肺证患儿炎症改变重,毒热闭肺证存在高凝状态。
Objective To explore the characteristics of TCM syndromes in infantile pneumonia and its correlation with objective indicators, aiming to provide references for clinical syndrome differentiation and treatment. Methods A retrospective analysis on 98 cases of infantile pneumonia from September of 2011 to February of 2012 was performed. According to criteria, TCM syndrome differentiation was performed to observe the characteristics of each TCM syndrome and analyze its correlation with objective indicators. Results The duration of infantile pneumonia gradually prolonged by the sequence of syndrome of wind-cold blocking lung, syndrome of wind-heat blocking lung, syndrome of phlegm-heat blocking lung, syndrome of heat-toxicity blocking lung, syndrome of yin deficiency and lung heat, syndrome of lung-spleen qi deficiency （ P 〈 0. 05 ）. The differences of WBC and CRP among each syndrome were significant （ P 〈 0. 05 ）, of them the CRP of syndrome of heat-toxicity blocking lung, syndrome of phlegm-heat blocking lung and syndrome of wind-heat blocking lung was increased. The differences of PT, FIB and D-Dimer among each syndrome were significant （ P 〈 0. 05 ）, of them the syndrome of heat-toxicity blocking lung was higher than the rest and above the normal. Conclusion The syndrome of phlegm-heat blocking lung was more frequent in infantile pneumonia; there was correlation between duration of disease and TCM syndrome; there was more severe inflammation in infants with syndrome of heat-toxicity blocking lung and syndrome of phlegm- heat blocking lung; there was hypercoagnlable state in syndrome of heat-toxicity blocking lung; the results could provide guide for clinical treatment.
出处
《北京中医药》
2015年第4期294-297,共4页
Beijing Journal of Traditional Chinese Medicine
关键词
儿童
肺炎喘嗽
中医证型
特点
分析
infant
pneumonia with cough
TCM syndrome
characteristics
anaylsis
