儿童肺脾虚相关因素调查与分析

Investigation of Morbidity and Risk Factors for Insufficient Constitution of Lung and Spleen in Community Children

目的：探讨社区儿童肺脾虚体质发病概率,并调查儿童肺脾虚体质相关的危险因素。方法：通过流行病学方法,以问卷形式,采用病例对照研究,调查148例4~6岁社区儿童的出生体重、出生身长、生活习惯等13项相关因素,分析肺脾虚证候的分布情况,并采用Logistic回归进行危险因素分析。结果：肺脾虚儿童与正常儿童在是否早产、喂养方式、喜好冷饮、喜好寒凉水果、偏食等方面差异有统计学意义（P〈0.05）。结论：肺脾虚儿童食欲不振、面色苍白或萎黄、多汗、反复呼吸道感染等症状或疾病出现概率明显偏高。是否早产、喂养方式、喜好冷饮、喜好寒凉水果、偏食为肺脾虚体质发生的相关危险因素。

Objective ： To investigate morbidity and risk factors of constitution with lung and spleen deficiency in community children. Methods ： Using epidemiological methods by questionnaires, and method of case control study, we surveyed 148 cases of 4 to 6 years old children in communities. Contents included 13 items such as birth weight and height, habits and customs, and so on. We analyzed symptoms distrihution of spleen and lung deficiency syndrome, and used the method of Logistic regression to analyze the related risk factors. Results ： Compared with normal children, differences had statistical significance in premature, feeding patterns, preferring to cold drinks, preferring to cold and cool fruit, monophagia in the children with the constitution of lung and spleen deficiency （ P〈0.05 ）. Conclusion ： Pale yellowish complexion, hyperhidrosisand and repeated respiratory infection are the most common symptoms of children with lung and spleen deficiency. Premature, feeding patterns, preferring to cold drinks, preferring to cold and cool fruit, monophagia are the related risk factors of the constitution of lung and spleen deficiency.