270例7～12岁儿童单纯性肥胖病中医证型调查

目的：分析7~12岁儿童单纯性肥胖病的病史、症状及体征,探讨中医证候分布情况,以期指导临床辨证论治。方法：采用流行病学的调查研究方法,选取487例7~12岁肥胖儿童,发放肥胖儿童调查表,并用SPSS19.0软件对合格的270份调查表数据进行统计分析,依据证候分型标准分析出中医证型分布情况。结果：7~12岁儿童单纯性肥胖病中医证型分布为：胃热湿阻证（173例,占64.1%）,脾虚湿困证（52例,占19.3%）,肝郁气滞证（19例,占7%）,脾肾两虚证（26例,占9.6%）。结论：7~12岁儿童单纯性肥胖病最常见的证型为：胃热湿阻证、脾虚湿困证、肝郁气滞证、脾肾两虚证;最常见症状与体征为：形体肥胖、喜食冷饮、出汗较多、口中异味、动则气促、手足心热、大便干结、消谷善饥;证型受儿童饮食偏好的影响较明显。

TCM Syndrome Survey of 270 Cases From 7 to 12-year-old Children with Simple Obesity

Objective： Analysis on history, symptoms and signs of 7 to 12-year-old children with simple obesity disease was carried on to explore traditional Chinese medicine symptoms distribution, in order to guide clinical diagnosis and treatment. Methods ： The epidemiological investigation method was used. We selected 487 cases of obese children and sent obese children questionnaire, and SPSS19.0 software was used to qualify 270 questionnaire data for statistical analysis, according to syndrome differentiation standard of syndrome type of traditional Chinese medicine distribution. Results ： The distribution of TCM syndromes of 7 to 12-year-old children with simple obesity was as follows：the stomach-heat and dampness-stagnation syndrome（ 173 cases, accounting for 64.1% ）, the spleen-deficiency and dampness-stagnation syndrome（ 52 cases, accounting for 19.3% ）, liver-qi stagnation syndrome （ 19 cases, accounting for 7% ）, the spleen- kidney deficiency syndrome （ 26 cases, accounting for 9.6% ）. Conclusions ： The most common syndromes of 7 to 12-year-old children with simple obesity are： the stomach-heat and dampness-stagnation syndrome, the spleen-deficiency and dampness-stagnation syndrome, liver-qi stagnation syndrome and the spleen- kidney deficiency syndrome. The most common symptoms and signs are as follows： obesity, preferring cold diet, more sweat, mouth odor, shortness of breath due to movement, feverish palms and soles, dry stool; syndrome types are influenced obviously by children＇s food preferences.