儿童分泌性中耳炎患者中医体质分布及与证候的关系研究

A study on the relationship between the TCM constitutions and syndrome distribution in children with secretory otitis media

目的调查儿童分泌性中耳炎患者(SOM)中医体质及证候的分布情况,探讨“辨体”与“辨证”的相关性。方法采用中医体质问卷形式对335例SOM患儿进行体质辨识,通过Pearson分析患者体质与证候的相关性。结果平和质(26.57%)为SOM患儿最常见的体质类型,气虚质(22.39%)、阳虚质(16.42%)、阴虚质(12.24%)及血瘀质(8.96%)为SOM患儿常见的偏颇体质类型,且儿童SOM患者的中医体质类型与证候密切相关。结论SOM患儿的治疗过程中,通过采用“辨体”与“辨证”结合的方法纠正偏颇体质,有利于SOM的防治,对降低SOM的发生率,提高治愈率具有重要意义。

Objective To investigate the TCM constitutions and the distribution of syndromes in children with secretory otitis media(SOM),and to explore the correlation between“constitution diff erentiation”and“syndrome diff erentiation”.Methods The constitution identifi cation of the 335 children with SOM was conducted in the form of a TCM constitution questionnaire,and the correlation between constitution and syndrome was analyzed by Pearson.Results The balanced constitution(26.57%)was the most common type in children with SOM,while the qi-defi ciency constitution(22.39%),yang-defi ciency constitution(16.42%),yin-defi ciency constitution(12.24%)and blood stasis constitution(8.96%)were the common biased constitutions in children with SOM,and the TCM constitution types were closely related to syndromes in children with SOM.Conclusion In the treatment of SOM in children,the combination of“constitution diff erentiation”and“syndrome diff erentiation”can correct biased constitutions,which is beneficial to the prevention and treatment of SOM,and is of great significance for reducing its incidence and improving its cure rate.