180例儿童过敏性紫癜患儿体质分析及体质干预影响观察

目的：调查并分析过敏性紫癜患儿常见体质类型,观察相应干预措施对其预后的影响,提高过敏性紫癜患儿的远期预防和治疗效果。方法：收集180例过敏性紫癜患儿临床资料,应用王琦体质9分法量表,对其进行体质分类并进行统计学分析。然后将180例患儿随机分为对照组和观察组各90例,对照组进行常规治疗和健康宣教,观察组加用体质干预,根据患儿个体差异,从运动、饮食、情志、起居、药物、食疗各方面,制定相应体质的措施,定期观察回访,督促患儿实施,记录干预前后患儿体质变化及中医证候积分,观察期内临床痊愈率及复发率的变化。观察周期1年。最终对两组患儿情况进行统计学分析。结果：180例过敏性紫癜患儿中,体质以湿热质和阴虚质为主,分别占27.22%和22.78%。经体质干预,观察组在体质改善、临床康复、降低复发率方面,明显优于对照组,P〈0.05,差异有统计学意义。结论：湿热质和阴虚质为过敏性紫癜患儿的主要体质类型;对过敏性紫癜患儿进行体质干预可提高远期预防和治疗效果。

Constitution Analysis and Physical Intervention Effect of 180 Cases of Children with Henoch-Schonlein Purpura

Objective ： To investigate and analyze the common constitution type in children with Henoch- Schonlein purpura and to observe the intervention measures and its effect on prognosis in children with Henoch-Schonlein purpura to improve long-term preventive and therapeutic effect. Methods ： The clinical data of 180 cases of children allergic purpura was collected. WANG Qi＇s 9 law scale was applied to carry on the classification of constitution and make a statistical analysis. Then, 180 patients were randomly divided into control group and observation group with 90 cases in each. The control group was given conventional treatment and heahh education, and the observation group added physical intervention, in accordance with individual differences, from exercise, diet, emotion, living, drugs, therapeutic aspects, formulate corresponding physical measures. Before and after intervention, physical changes, and TCM syndromeintegral, the observation period, the clinical cure rate and recurrence rate were recorded. Observation period was 1 year. Finally two groups children were statistically analyzed. Results： Among 180 cases of anaphylactoid purpura in children, damp-heat and yin deficiency were the main constitutions, respectively 27.22% and 22.78%. Through the physical intervention, the observation group in physical improvement, clinical rehabilitation and reducing relapse rate, was significantly better than the control group, P〈0.05, the difference was statistically significant. Conclusion ： Damp-heat and yin deficiency in children with Henoch- Schonlein purpura are main body constitution types ; physical intervention may improve long-term preventive and therapeutic effect.