首页|重症肺炎支原体肺炎儿童的中医体质分布规律及易患危险因素探析

重症肺炎支原体肺炎儿童的中医体质分布规律及易患危险因素探析

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目的 对重症肺炎支原体肺炎(SMPP)患儿的中医体质特点及易患危险因素进行探析.方法 选取2023年12月至2024年6月于辽宁中医药大学附属医院就诊的SMPP患儿122例为观察组,同期在儿保科体检的健康儿童90例作为对照组.研究对象填写危险因素调查表和中医体质辨识量表.结果 SMPP患儿中前4位体质分布情况依次为气虚质34例(27.9%)、阴虚质29例(23.8%)、特禀质15例(12.3%)、气郁质13例(10.7%).其中在平和质、气虚质、阴虚质、儿童是否过敏、饮食结构、运动习惯、抗生素使用习惯方面两组比较差异有统计学意义(P<0.05).经二元Logistic回归分析显示饮食结构不合理、较少运动、经常使用抗生素可能为影响儿童SMPP发生的危险因素,平和质可能为影响儿童SMPP发生的保护因素.结论 中医体质、饮食及运动习惯和经常使用抗生素与儿童SMPP的发生具有相关性,建议注重儿童日常体质调护、良好生活习惯的养成及抗生素的合理使用.
Analysis of the distribution of traditional Chinese medicine constitution and susceptible risk factors of severe Mycoplasma pneumoniae pneumonia in children
Objective To explore the characteristics of TCM constitution and susceptible risk factors of children with severe Mycoplasma pneumoniae pneumonia.Methods A total of 122 children treated in the Affiliated Hospital of Liaoning University of Traditional Chinese Medicine from December 2023 to June 2024 were selected as the observation group,and 90 healthy children receiving physical examination during the same period were included as the control group.The two groups of children were required to fill in the risk factor questionnaire and TCM constitution identification scale.Results The distribution of the top four constitutions in children with SMPP was as follows:qi-deficiency constitution(34 cases,27.9%),yin-deficiency constitution(29 cases,23.8%),inherited special constitution(15 cases,12.3%),and qi-stagnation constitution(13 cases,10.7%).There were statistically significant differences in balanced constitution,qi-deficiency constitution,yin-deficiency constitution,allergy,dieting structure,exercising habits and antibiotic use habits between the two groups of children(P<0.05).According to binary Logistic regression analysis,unreasonable dieting structure,less exercise,and frequent use of antibiotics were likely to be risk factors for the occurrence of SMPP in children,while balanced constitution was likely to be a protective factor for the occurrence of SMPP in children.Conclusion TCM constitution,dieting and exercising habits and frequent use of antibiotics are related to the occurrence of SMPP in children,and it is recommended to pay attention to the daily physical care,the development of good living habits and the rational use of antibiotics in children.

Severe Mycoplasma pneumoniae pneumoniaTraditional Chinese medicine constitutionRisk factorRegression analysisChild

孔馨悦、王雪峰、王宇琳

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110847 沈阳,辽宁中医药大学第一临床学院

110032 沈阳,辽宁中医药大学附属医院儿科

重症肺炎支原体肺炎 中医体质 危险因素 回归分析 儿童

2024

中国中西医结合儿科学
中国医师协会,辽宁省基础医学研究所,辽宁中医药大学附属医院

中国中西医结合儿科学

影响因子:1.03
ISSN:1674-3865
年,卷(期):2024.16(6)