儿童反复呼吸道感染危险因素及中医体质相关性分析

Analysis of the association between risk factors and TCM constitution in children with recurrent respiratory tract infections

目的探析反复呼吸道感染(RRTI)发病的危险因素,RRTI患儿中医体质分布及其易患类型。方法选取2023年6月至2024年3月在辽宁中医药大学附属医院收治的RRTI患儿193例为观察组,同期选取体检健康儿童212例为对照组。以王琦院士创立的中医体质学说为基础将儿童体质分成9种类型,对两组危险因素和中医体质类型进行调查。结果偏颇中医体质类型、食欲较差或厌食、睡眠质量欠佳、抗生素使用≥3次/年、存在过敏性疾病史和新生儿肺炎史为患该病的危险因素。在偏颇中医体质类型中,气虚质、阴虚质、特禀质为该病的易患体质类型,而平和质为患该病的保护体质类型。结论在危险因素方面,存在偏颇中医体质、食欲较差或厌食、睡眠质量欠佳、抗生素使用≥3次/年、过敏性疾病史、新生儿肺炎史的儿童更易罹患RRTI。在偏颇中医体质类型中,气虚质、阴虚质、特禀质为易患RRTI的中医体质类型。

Objective To explore the risk factors of recurrent respiratory tract infections(RRTI)and the distribution of TCM constitution in children with RRTI and their prone types.Methods A total of 193 children with RRTI were selected as observation group,who were admitted to the Affiliated Hospital of Liaoning University of Traditional Chinese Medicine from June 2023 to March 2024,and 212 healthy children were selected as control group during the same period.Based on the TCM constitution theory founded by Academician Wang Qi,the TCM constitution of these children was divided into nine types,and the risk factors and TCM constitution types were investigated in the two groups.Results Biased TCM constitution,poor appetite or anorexia,poor sleep quality,antibiotic use more than 3 times per year,history of allergic diseases and history of neonatal pneumonia were the risk factors for RRTI.Among the biased TCM constitution types,qi-deficiency constitution,yin-deficiency constitution and inherited special constitution were the prone types of the disease,while the balanced constitution was the protective type of the disease.Conclusion In terms of risk factors,the children with biased TCM constitution,poor appetite or anorexia,poor sleep quality,antibiotic use more than 3 times per year,history of allergic diseases,and history of neonatal pneumonia are more likely to develop RRTI.Among the biased TCM constitution types,qi-deficiency constitution,yin-deficiency constitution and inherited special constitution are the types of TCM constitution prone to RRTI.