不同发病年龄小儿肺炎中医证型分布及转归规律研究

Syndrome Distribution and Prognosis of Infantile Pneumonia at Different Ages

目的:探讨不同发病年龄小儿肺炎的中医证型分布及其转归规律。方法:观察300例小儿肺炎治疗前及治疗过程中的中医证型,分析不同发病年龄小儿肺炎的中医证型分布及转归规律。结果:2～3岁急性期小儿肺炎以痰热闭肺证为主(P<0.01),4～7岁、8～12岁患儿急性期肺炎以风热闭肺证多见(P<0.01)。2～3岁患儿急性期肺炎风热闭肺证易向脾虚痰蕴证及气阴两虚证转变(P<0.01),4～7岁患儿急性期肺炎风热闭肺证易向脾虚痰蕴证转变,痰热闭肺证易向痰瘀互阻证及脾虚痰蕴证转变(P<0.01)。结论:不同发病年龄小儿肺炎的中医证型分布及其转归有一定的规律性。

Objective： To discusses the distribution and prognosis of infantile pneumonia at different ages.Methods： The TCM syndromes of 300 cases were observed,and the distribution and prognosis of infantile pneumonia at different ages were analyzed.Results： 2-3 years old children with at acute stage were usually diagnosed as phlegm-heat obstructing the lung syndrome（P＆lt;0.01）,and 4-7 years old children and 8-12 years old children at acute stage were usually diagnosed as wind-heat obstructing the lung syndrome（P＆lt;0.01）.2-3 years old children with wind-heat obstructing the lung syndrome usually transformed into spleen deficiency and phlegm stagnation syndrome or of qi-yin syndrome（P＆lt;0.01）,4-7 years old children with wind-heat obstructing the lung syndrome usually transformed into spleen deficiency and phlegm stagnation syndrome,and with phlegm-heat obstructing the lung syndrome usually transformed into stagnating of phlegm and blood stasis syndrome or spleen deficiency and phlegm stagnation syndrome（P＆lt;0.01）.Conclusion： The syndrome distribution and prognosis of infantile pneumonia has its law in children at different ages.