小儿过敏性紫癜中医证型、虚实辨证及相关因素分布规律探讨

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英文篇名：The Regularities of Distribution of TCM Syndrome Type, Deficiency and Excess Syndrome Differentiation and Related Factors in Children with Henoch Schonlein Purpura 作者：欧阳学认 ; 梁俊杰 ; 龙勋华 ; 蔡淑君 ; 刁佳宁 英文作者：OUYANG Xue-ren;LIANG Jun-jie;LONG Xun-hua;CAI Shu-jun;DIAO Jia-ning;The First Affiliated Hospital of Guangzhou University of Chinese Medicine;Guangzhou University of Chinese Medicine; 关键词：小儿过敏性紫癜 ; 中医证型 ; 虚实辨证 ; 分布规律 英文关键词：henoch schonlein purpura;;TCM syndrome type;;deficiency and excess syndrome differentiation;;the regularities of distribution 中文刊名：HNZB 英文刊名：Guiding Journal of Traditional Chinese Medicine and Pharmacy 机构：广州中医药大学第一附属医院;广州中医药大学; 出版日期：2019-03-15 出版单位：中医药导报 年：2019 期：v.25;No.327 语种：中文; 页：HNZB201905019 页数：4 CN：05 ISSN：43-1446/R 分类号：59-61+66

摘要

目的:探讨小儿过敏性紫癜中医证型、虚实辨证及相关因素的分布规律。方法:选取2010年2月至2017年5月262例过敏性紫癜患儿作为研究对象,采用回顾性研究,分析中医证型、虚实辨证和hs-CRP、ASO及IgA的分布规律。结果:(1)中医证型分布规律:262例患儿中,风热伤络证129例(49.24%),血热妄行证130例(49.62%),肝肾阴虚证1例(0.38%),气虚血瘀证2例(0.76%),各中医证型分布差异有统计学意义(P<0.05);(2)虚实辨证分布规律:262例患儿中,实证259例(98.85%),虚证1例(0.38%),虚实夹杂证2例(0.76%),各虚实辨证分布差异有统计学意义(P<0.05);(3)相关因素分布规律:小儿过敏性紫癜不同中医证型和虚实辨证的hs-CRP、ASO及IgA相比,差异无统计学意义(P>0.05)。结论:不同分型的过敏性紫癜患儿中医证型分布以风热伤络和血热妄行为主,以实证为主。不同分型、不同中医证型的过敏性紫癜患儿hs-CRP、ASO和IgA均无明显差异。
        Objective: To investigate the regularities of distribution of TCM syndrome type, deficiency and excess syndrome differentiation and related factors in children with henoch schonlein purpura. Methods: A total of 262 hospitalized children with Henoch Schonlein purpura from February 2010 to May 2017 were selected as the research object. Retrospective study was uaed to analyze the regularities of distribution of TCM syndrome type, deficiency and excess syndrome differentiation, hs-CRP, ASO and IgA. Results:(1) TCM Syndrome Type:Among the 262 cases, there were 129 cases of wind heat invading collaterals syndrome(49.24%), 130 cases of hemopyretic bleeding syndrome(49.62%), 1 cases of liver kidney yin deficiency syndrome(0.38%), and 2 cases of Qi deficiency and blood stasis syndrome(0.76%), and the distribution of TCM syndromes was statistically significant(P<0.05).(2) excess syndrome distribution: Among the 262 cases, there were 259 case of demonstration(98.9%), 1 cases of deficiency syndrome(0.38%) and 2 cases of deficiency syndrome(0.76%), and there was statistical significance in the distribution of the deficiency and excess syndrome(P<0.05).(3) related factors: there was no statistically significant difference on hs-CRP, ASO and IgA among different TCM deficiency and excess syndrome(P>0.05). Conclusion: The wind heat invading collaterals syndrome and hemopyretic bleeding syndrome are the main syndrome of henoch schonlein purpura, and excess syndrome is the main syndrome. there was no statistically significant difference on hs-CRP, ASO and IgA among different TCM deficiency and excess syndrome.

引文

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