小儿肺炎支原体感染后咳嗽发作时间与证候相关性初探

Study on the relationship between syndrome characteristics and cough attack time in infants with pneumonia mycoplasma infection

目的探讨小儿肺炎支原体感染后咳嗽发作时间与证候的相关性,为临床辨治本病提供参考依据。方法湖南中医药大学第一附属医院儿科2013年2月至2014年2月收治151例肺炎支原体感染后咳嗽患儿,对其临床资料进行整理,统计各证候的分布情况,分析证候与咳嗽发作季节、发作时辰的相关性。结果肺炎支原体感染后咳嗽以风热犯肺证、风寒袭肺证、肺气亏虚证多见;各证候发生无明显季节差异;咳嗽发作与时辰存在一定相关性;风寒袭肺证咳嗽发作有向戌时集中的趋势,但差异无统计学意义(P>0.05),风热犯肺证咳嗽发作以清晨卯时、夜间戌时多见,肺气亏虚证咳嗽没有明显时辰规律。结论小儿肺炎支原体感染后咳嗽的发作具有一定的时间规律性,临床证候与发作时间具有一定相关性。

Objective To study the relationship between syndrome characteristics and attack time of cough in infantile pneumonia mycoptasma infectious, then to provide guidance for the clinical diagnosis and treatment. Methods A total of 115 cases of infantile pneumonia mycoplasma postinfectious cough were ad- mitted to the First Affiliated Hospital of Hunan University of TCM from Feb. 2913 to Feb. 2914. We col- lected the clinical data and counted the distribution of syndromes, then analyzed the correlation between syn- dromes and attack seasons and attack time of cough. Results The most common syndromes of infantile pneumonia mycoplasma postinfectious cough were syndrome of wind-heat invading lung, syndrome of wind- cold attacking lung and syndrome of deficiency of Lung Qi. The attack time of cough caused by wind-cold attacking lung had a tendency to focus on Xu Shi,but there was no statistical difference （P〉0.05）. The attack time of cough caused by wind-heat invading lung focused on Mao Shi and Xu shi, while the attack time of cough caused by deficiency of Lung Qi had no rules to follow. Conclusion The attack time of infantile pneumonia mycoplasma postinfectious cough has a certain rule,and there exists certain correlation between clinical syndromes and attack time.