基于文献研究的小儿反复呼吸道感染的证候分布规律

Study on the syndrome distribution of pediatric recurrent respiratory tract infection based on the literature

目的探讨小儿反复呼吸道感染的证候分布规律,为临床研究提供参考依据。方法查阅近20年有关小儿反复呼吸道感染的相关文献,建立信息采集表,使用统计软件,对中医证型、证素及症状进行频数、频率统计,聚类分析。结果通过对提取的症状尝试3~6类进行分析,结果 4类较为满意：1）自汗、乏力、面色萎黄、少气懒言、便溏、食欲低下、咳喘、舌淡、苔白、指纹淡红;2）口气臭秽、大便偏干、口干欲饮、厌食、苔黄、指纹深红;3）急躁易怒、五心烦热、面色少华、食欲不振、咽干、唇淡色白、大便先干后稀、脉弦;4）五迟五软、肌肉松弛、面色少华、鸡胸龟背、形体消瘦、毛发稀疏、指纹淡紫。结论小儿反复呼吸道感染的常见证型为肺脾两虚型、积热内蕴型、脾虚肝旺型、肾虚骨弱型。

Objective To investigate syndrome distribution of pediatric recurrent respiratory tract infection, and to provide reference for clinical research. Methods The related literature about pediatric recurrent respiratory tract infection in recent 20 years were reviewed to establish the information collection table and analyze the frequent num- ber,frequency and cluster analysis of TCM syndromes with statistical software. Results Symptoms ranged from 3 to 6 categories were collected, but only 4 kinds of symptoms were remarkable ： 1 ） spontaneous sweating, fatigue, pale complexion, less speech, diarrhea, poor appetite, cough, pale tongue, moss white, reddish fingerprint ;2） foul breath, dry stool, dry mouth for drink, anorexia, yellow, dark red fingerprint ; 3 ） irritability, burning sensation of five centres, pale complexion, poor appetite, dry throat, pale white lips, dry and wet stool, string pulse ;4） late development and soft muscle in five body parts, muscle relaxation, pale complexion, pigeon-breast and humpback, emaciation, sparse hair, pale purple fingerprint. Conclusion The common syndromes of children with recurrent respiratory tract infec- tion are deficiency lung and spleen, heat accumulation in the body, spleen deficiency and liver hyperfunction ,weak kidney and bone.