小儿肺炎继发性腹泻病的中医证型分析

目的：探讨小儿肺炎继发性腹泻病的中医临床证型,以此来指导临床辨证施治。方法：通过对国内外小儿肺炎继发性腹泻病相关文献进行系统回顾,了解本领域研究现状,总结其中医证型的文献分布规律。并在此基础上设计临床调查问卷,通过较大样本的临床流行病学调查研究,采集症状、体征、舌象、脉象等基本信息,以方差分析、频数统计等方法,归纳小儿肺炎继发性腹泻病的中医证型分布规律。结果：84例患儿中肺脾胃气虚者58例（69.0%）,脾肾阳虚者18例（21.4%）,肝脾不和者8例（9.5%）。其中,肺脾胃气虚者和脾肾阳虚者年龄以30 d～2岁为主,分别占55.2%和55.6%;肝脾不和者年龄以6～14岁为主,占62.5%。结论：小儿肺炎继发性腹泻病以肺脾胃气虚、脾肾阳虚、肝脾不和为辨证分型,肺脾胃气虚为主要辨证分型。

Analysis on Syndrome Types of Children with Pneumonia Diarrhea

Objective： To investigate the clinical syndrome type of TCM of children with pneumonia diarrhea disease,so as to guide the clinical treatment based on syndrome differentiation. Methods： A systematic review of domestic and foreign relevant literature on children pneumonia induced diarrhea,understanding the current status of research in the field of literature,and summarized the distribution of the TCM syndrome type. Design of clinical questionnaire on this basis,through the clinical epidemiological study of a larger sample,collected the symptoms and signs,tongue,pulse and other basic information,using analysis of variance,frequency statistics method,induction of TCM syndrome type of children with pneumonia diarrhea disease. Results： 58 cases of 84 patients of lung spleen and stomach qi deficiency（ 69. 0%）,18 cases of spleen-kidney yang deficiency（ 21. 4%）,8 cases of liver-spleen disharmony（ 9. 5%）. Among them,age of lung spleen and stomach qi deficiency and yang deficiency of spleen-kidney was 30 days to 2 years,accounted for 55. 2% and55. 6%; age of liver-spleen disharmony was 6 to 14 years,accounted for 62. 5%. Conclusion： Syndrome differentiation for children with pneumonia diarrhea disease is lung spleen and stomach qi deficiency,spleen-kidney yang deficiency,liver-spleen disharmony,lung spleen and stomach qi deficiency type is the main syndrome differentiation.