摘要
目的探讨小儿反复呼吸道感染与中医体质及五运六气的相关性。方法选取2016年1月~2017年12月北海市中医医院收治的200例反复呼吸道感染患儿作为治疗组,另选取同期于本院体检的200例健康儿童作为对照组。将全部纳入研究对象的出生时间转换为干支纪年,在此基础上依据相应的“岁运”及“六气”时段进行归纳整理。比较两组的中医体质及五运六气,明确与发病之间的相关性。结果治疗组患儿的痰湿质和气虚质,岁运为金运和火运,司天为阳明燥金和厥阴风木的比例高于对照组,差异有统计学意义(P<0.05);两组的饮食情况比较,差异无统计学意义(P>0.05)。经多因素Logistic回归分析结果提示,司天为厥阴风木(β=0.035,OR=1.054,95%CI=0.965~1.147)、岁运为金运(β=0.023,OR=1.120,95%CI=0.783~1.235)、痰湿质(β=0.995,OR=4.634,95%CI=3.413~5.263)、气虚质(β=0.019,OR=1.197,95%CI=0.567~2.998)是小儿反复呼吸道感染的危险因素(P<0.05)。结论司天为厥阴风木、岁运为金运、痰湿质、气虚质的小儿发生反复呼吸道感染的可能性较高,发病率与这些因素呈相关性。
Objective To explore the correlation between children′s recurrent respiratory tract infection and the constitution of traditional Chinese medicine,five evolutive phases and six climatic factors.Methods From January 2016 to December 2017,a total of 200 children with recurrent respiratory tract infection admitted to Beihai Hospital of Chinese Medicine were selected as the treatment group,and a total of 200 healthy children who had physical examination in our hospital at the same time were selected as the control group.The birth time of all the cases were converted into the year of trunk and branch,and on this basis,they were summarized and sorted out according to the corresponding period of"five movements"and"six factors in nature".The correlation between the two groups′constitution of traditional Chinese medicine,five movements and six factors in nature was compared and made clear.Results The proportions of phlegm-dampness and qi-deficiency,Jinyun and Huoyun,Yangming Zaojin and Jueyin Fengmu in the treatment group were higher than those in the control group,the differences were statistically significant(P<0.05).There was no statistically significant difference in the diet of the groups(P>0.05).The results of multivariate Logistic regression analysis indicated that Jueyin Fengmu(β=0.035,OR=1.054,95%CI=0.965-1.147),Jinyun(β=0.023,OR=1.120,95%CI=0.783-1.235),phlegm dampness constitution(β=0.995,OR=4.634,95%CI=3.413-5.263),Qi deficiency constitution(β=0.019,OR=1.197,95%CI=0.567-2.998)were the risk factors of recurrent respiratory infection in children(P<0.05).Conclusion The incidence of children with recurrent respiratory tract infection is correlative with the factors including Jueyin Fengmu,Jinyun,phlegm dampness and qi deficiency constitution.
作者
蔡颖
CAI Ying(Department of Pediatrics,Beihai Hospital of Chinese Medicine,Guangxi Zhuang Autonomous Region,Beihai536000,China)
出处
《中国当代医药》
2020年第30期145-147,151,共4页
China Modern Medicine
基金
广西中医药民族医药自等经费科研课题(GZZC15-58)。
关键词
小儿反复呼吸道感染
中医体质
五运六气
相关性分析
Children with recurrent respiratory tract infections
Traditional Chinese medicine constitution
Five evolutive phases and six climatic factors
Correlation analysis
