摘要
目的 通过收集肥胖儿童的临床症状信息,探讨学龄儿童肥胖症中医证型分布特点、临床特征等.方法 选取2023年3月-2024年2月期间北京市东城区3所小学,以年级分层,以班级为整群单位,每个年级均随机抽取3～4个班级,被抽中班级所有学生纳入调查.身高与体重数据和中医证候量表问卷由经过培训的专业人员现场去学校采集,测量儿童共计1156名,其中肥胖133名,最终收集到105名肥胖儿童中医证候量表问卷.结果 本研究通过聚类分析发现儿童肥胖的中医证型有4类:脾虚湿盛证、肝郁脾虚证、湿热内蕴证、脾虚胃热证,各占40.0％、36.2％、16.2％、7.6％.结论 儿童肥胖的中医证型分布频率依次是脾虚湿盛证、肝郁脾虚证、湿热内蕴证、脾虚胃热证.
Abstract
Objective To investigate the distribution characteristics and clinical features of traditional Chinese medicine(TCM)syndromes in school-age children with obesity by collecting clinical symptom information.Methods From March 2023 to February 2024,three primary schools in Dongcheng District,Beijing,were selected.A stratified sam-pling method was used based on grade levels,and entire classes were randomly chosen,with 3-4 classes selected from each grade.All students in the selected classes were included in the survey.Height and weight data,along with TCM symp-tom questionnaire responses,were collected on-site by trained professionals.A total of 1 156 children were measured,a-mong whom 133 were identified as obese.Finally,TCM symptom questionnaires were collected from 105 obese children.Results Cluster analysis revealed four TCM syndrome types associated with childhood obesity,i.e.,spleen deficiency with excessive dampness(40.0％),liver stagnation and spleen deficiency(36.2％),internal accumulation of dampness-heat(16.2％),and spleen deficiency with stomach heat(7.6％).Conclusion The distribution frequency of TCM syn-drome types in obese children,in descending order,is as follows:spleen deficiency with excessive dampness,liver stagna-tion and spleen deficiency,internal accumulation of dampness-heat,and spleen deficiency with stomach heat.
维普
万方数据