56例脑性瘫痪儿童中医体质回顾性分析

Retrospective Analysis of Chinese Medicine Constitution in 56 Children with Cerebral Palsy

目的:对近3年在湖南中医药大学第一附属医院住院的脑性瘫痪儿童群体进行中医体质回顾性调查研究,分析其中医体质特点和分布情况,为脑性瘫痪儿童体质调理干预提供基础与依据。方法:该课题共收集96份病历,依据纳入、排除标准,选取其中56份有效病历,借阅电子病历,收集住院脑性瘫痪儿童相关信息进行体质分型,并归纳总结中医体质特点和分布情况。结果:56例脑性瘫痪儿童中,以虚证体质居多,共52人,占总人数的92.9%,实证体质4人占7.1%。而虚证体质中,以气虚型体质人数占多数,共计42人,占总人数的75%。其中包括肺气虚8人、肾气虚17人和脾气虚17人,肺气虚型体质人数占气虚型体质人数的19.04%,脾气虚型和肾气虚型体质人数各占40.48%。年龄、性别与体质分布之间未发现明显相关性,无统计学意义(P>0.05)。结论:脑性瘫痪儿童中医体质以虚证为主,气虚型体质更为常见,其中脾气虚和肾气虚体质较多,肺气虚体质偏少。

Objective:To conduct a retrospective investigation on the TCM constitutions of children with cerebral palsy in the first Affiliated Hospital of Hunan University of Chinese Medicine in the past three years,analyze the characteristics and distribution of TCM constitutions,and provide basis for the intervention of cerebral palsy children’s constitutions.Methods:A total of 96 medical records were collected in this project.According to the inclusion and exclusion criteria,56 valid medical records were selected,and relevant information of children with cerebral palsy was collected for TCM constitution typing,and the characteristics and distribution of TCM constitutions were summarized.Results:Among the 56 children with cerebral palsy,52 had the deficiency syndrome constitution,accounting for 92.9%,and 4 had the excess syndrome constitution,accounting for 7.1%.Among the deficiency syndrome constitutions,the distribution of qi-deficiency constitutions accounted for the majority,with 42 persons accounting for 75%of the total number.Among them,there were 8 people with deficiency of lung qi,17 people with deficiency of kidney qi and 17 people with deficiency of spleen qi.The number of people with deficiency of lung qi accounted for 19.04%and 40.48%of people with deficiency of temper and kidney qi respectively.Moreover,in this investigation and analysis,no obvious correlation was found between age and the distribution of the constitution,the same with gender.Refine Results show no statistical significance(P>0.05).Conclusion:Deficiency syndrome is the main TCM constitution in children with cerebral palsy,and qi deficiency constitution is more common.And the constitution of deficiency of spleen qi and kidney qi are more,constitution of deficiency of lung qi is less.