摘要
目的:分析黑龙江地区小儿手足口病各证型演变规律,提出治疗方案。方法:通过收集患儿临床资料,观察入院当天(基线点)、治疗后第3、5、7、10天的临床表现,确定各观察点中医分型,统计不同观察点各证型演变规律。应用证候演变概率法对患儿各证候在不同观察点的证候演变规律进行系统分析,并提出相应治疗方案。结果:从基线点当天的发病数量来看,邪犯肺卫证和肺胃热炽证的发病人数居多,从基线点到第3天,以证候的持续存在概率较为突出,其中,湿热交阻证持续存在概率为89. 17%,心脾积热证持续存在概率为84. 41%。第3～5天,邪犯肺卫证及肺胃热炽证发病人数仍较多,且以邪犯肺卫证的持续存在概率较为明显。第5～7天,各证候的持续存在概率大幅度下降的同时,转愈及向肺胃阴伤证的概率增大。第7～10天,剩余患儿仍存在向肺胃阴伤证及其他证型转变的情况。结论:手足口病患儿在各观察点存在不同的演变规律,证实了本病符合温病转归的同时,作者提出了相应的治疗方案。
Objective: To analyze the syndrome evolution pattern of Hand-Foot-Mouth Disease( HFMD) in children at Heilongjiang area,meanwhile put forward the therapeutic Methods: By collecting the clinical data of patients with HFMD children,then children who admitted to hospital at the same day( baseline points),at the 3 rd,5 th,7 th,10 th day after the first clinical manifestation were observed and the TCM syndromes were determined. We applied system analysis by using syndrome evolution probabilistic methods for children patients with HFMD syndromes observed at different observation points and put forward the therapeutic methods. Results: At the baseline point,there was high incidence of lung evil syndrome and lung and stomach heat syndrome cases. From the baseline to the first three days,the syndrome persisting probability was especially prominent,the transfer to cross-resistance with damp and heat syndrome persisting probability was 89. 17%,heart and spleen heat syndrome persisting probability was 84. 41%. The first three to five days,there was high incidence of lung evil syndrome and lung and stomach heat syndrome cases,the lung evil syndrome persisting probability was especially obvious. The first five to seven days,the probabilities of each syndrome were greatly reduced and the evolution of lung and stomach Yin injury and the recovered children cases gradually increased. On the first seven to ten days,the probability of transferring to the deficiency still exists. Conclusion: HFMD children at different observation points have different evolutions. In accordance with the outcome of the warm disease,the author put forward the corresponding treatment plan.
作者
王有鹏
刘璐佳
曲婉莹
杨阳
景伟超
刘志伟
WANG Youpeng;LIU Lujia;QU Wanying;YANG Yang;JING Weichao;LIU Zhiwei(The Second Affiliated Hospital of Heilongjiang University of Chinese Medicine. Harbin 150001 , Heilongjiang,China;Heilongjiang University of Traditional Chinese Medicine,Harbin 150040,Heilongjiang,China)
出处
《辽宁中医杂志》
CAS
2019年第3期521-524,共4页
Liaoning Journal of Traditional Chinese Medicine
基金
黑龙江省中医药管理局中医药中青年科技攻关项目(ZQG-043)
关键词
手足口病
证候
演变规律
治疗
Hand - Foot - Mouth Disease
syndrome
syndrome evolution pattern
therapeutic methods
