广州地区儿童变应性鼻结膜炎中医证型相关研究
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R272

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广东省2021年度教育科学规划课题(高等教育专项)(2021GXJK060);国家自然科学基金项目(81974581)


Study on Chinese Medicine Syndromes of Children with Allergic Rhinoconjunctivitis in Guangzhou
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    摘要:

    目的:探讨广州地区儿童变应性鼻结膜炎(ARC) 的中医证型特点。方法:选取广州地区186 例ARC 患儿,其中湿热夹风证133 例、肺气虚寒证40 例、脾气虚弱证5 例、肺经蕴热证4 例、血虚生风证4 例。采用眼部症状体征总评分(TOSS)、鼻部症状总评分(TNSS) 评估患儿的症状,采用鼻结膜炎生活质量调查问卷(RQLQ) 评估患儿的生活质量,分析不同中医证型ARC 患儿症状和生活质量的差异。结果:不同中医证型患儿症状评分比较,仅流鼻涕评分差异有统计学意义(P<0.05),而肺经蕴热证患儿的流鼻涕症状最明显。不同中医证型患儿TNSS、TOSS 比较,差异均无统计学意义(P>0.05)。不同中医证型患儿RQLQ 各项细则评分及总分比较,仅非鼻眼症状差异有统计学意义(P<0.05),而脾气虚弱证患儿的非鼻眼症状最明显。不同中医证型患儿非鼻眼症状评分比较,仅咽痒、易怒评分差异有统计学意义(P<0.05),而脾气虚弱证患儿的咽痒、易怒症状最明显。结论:广州地区不同中医证型ARC 患儿的症状和生活质量差异均不明显,仅流鼻涕症状及非鼻眼症状评分差异较大,又以肺经蕴热证患儿的流鼻涕症状及脾气虚弱证患儿的非鼻眼症状最明显。

    Abstract:

    Abstract: Objective: To explore the characteristics of Chinese medicine syndromes of children with allergic rhinoconjunctivitis(ARC) in Guangzhou. Methods: A total of 186 children with ARC in Guangzhou were selected, including 133 cases with damp-heat with wind syndrome,40 cases with deficiency-cold of lung qi syndrome,5 cases with spleen qi weakness syndrome, 4 cases with heat accumulation in the lung meridian syndrome and 4 cases with blood deficiency generating wind syndrome. The total ocular symptom score(TOSS) and total nasal symptom score(TNSS) were used to evaluate the symptoms of children,and the Rhinoconjunctivitis Quality of Life Questionnaire(RQLQ) was used to evaluate the quality of life of children. The differences of symptoms and quality of life between ARC children with different Chinese medicine syndromes were analyzed. Results:The symptom scores of children with different Chinese medicine syndromes were compared,and the significant difference was only found in the comparison of the score of runny nose(P<0.05),and the symptom of runny nose in children with heat accumulation in the lung meridian syndrome was the most obvious. There were no significant differences being found in the comparison of TNSS and TOSS between children with different Chinese medicine syndromes(P>0.05). The scores of each indicator and total scores of RQLQ of children with different Chinese medicine syndromes were compared,and the significant difference was only found in the comparison of non-nasal and nonocular symptoms(P<0.05), and the non- nasal and non- ocular symptoms in children with spleen qi weakness syndrome were the most obvious. The scores of non- nasal and non- ocular symptoms in children with different Chinese medicine syndromes were compared,and significant differences were only found in the comparisons of scores of throat itching and irritability(P<0.05),and the symptoms of throat itching and irritability in children with spleen qi weakness syndrome were the most obvious. Conclusion:There was no significant difference being found in the comparisons of symptoms and quality of life between children with ARC with different Chinese medicine syndromes. The significant differences were only found in the comparisons of the scores of symptom of runny nose and non-nasal and non-ocular symptoms,and the symptom of runny nose and non-nostril symptoms in children with spleen qi weakness syndrome were the most obvious.

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刘雯,项道满,阮岩.广州地区儿童变应性鼻结膜炎中医证型相关研究[J].新中医,2022,54(10):26-29

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  • 在线发布日期: 2022-05-24
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