1. 广西中医学院第一附属医院儿科
2. 山西省太原市中医医院
3. 广西中医学院
纸质出版:2010
移动端阅览
[1]李伟伟,韩娟,吴彩文,王广青,吴要伟.哮喘性支气管炎患儿中医体质与肺功能的关系[J].中医杂志,2010,51(06):513-515.
LI Weiwei1, HAN Juan2, WU Caiwen1, et al. Relation between the TCM Constitution and the Lung Function of Asthmatic Bronchitis Children[J]. Journal of Traditional Chinese Medicine2010, 51(6): 513-515.
[1]李伟伟,韩娟,吴彩文,王广青,吴要伟.哮喘性支气管炎患儿中医体质与肺功能的关系[J].中医杂志,2010,51(06):513-515. DOI: 10.13288/j.11-2166/r.2010.06.043.
LI Weiwei1, HAN Juan2, WU Caiwen1, et al. Relation between the TCM Constitution and the Lung Function of Asthmatic Bronchitis Children[J]. Journal of Traditional Chinese Medicine2010, 51(6): 513-515. DOI: 10.13288/j.11-2166/r.2010.06.043.
目的探讨哮喘性支气管炎患儿的中医体质与肺功能的关系
为应用中医体质理论防治婴幼儿喘息性疾病奠定基础。方法将哮喘性支气管炎患儿120例按照朱氏分型方法分为正常质、痰湿质、气虚质、内热质、气阴两虚质
按照苏氏分型方法分为均衡质、肺脾质型、肺脾质型、脾肾质型、脾肾质型。检测患儿肺功能情况
分析不同体质患儿的肺功能达峰时间比(TPTEF/Te)及达峰容积比(VPTEF/Ve)。结果在120例患儿中气虚质37例占30.8%
痰湿质33例占27.5%、肺脾质型60例占50.0%;痰湿质、气虚质、内热质、气阴两虚质与正常质相比
肺功能TPTEF/Te、VPTEF/Ve明显偏低(P<0.01);痰湿质、气虚质与内热质、气阴两虚质相比
肺功能TPTEF/Te、VPTEF/Ve偏低(P<0.05);肺脾质型、肺脾质型、脾肾质型、脾肾质型与均衡质相比
肺功能TPTEF/Te、VPTEF/Ve明显偏低(P<0.01);肺脾质型与肺脾质型、脾肾质型、脾肾质型相比
肺功能TPTEF/Te、VPTEF/Ve偏低(P<0.05)。结论哮喘性支气管炎患儿气虚质、痰湿质和肺脾质型有出现较多的趋势
各体质类型患儿均存在肺功能TPTEF/Te、VPTEF/Ve的降低
痰湿质、气虚质及肺脾质型患儿较其余体质患儿小气道阻塞情况较重
肺功能存在一定程度的损害。
Objective To study the relation between the TCM constitution and the lung function of asthmatic bronchitis children to lay a foundation to apply the TCM constitution theory in preventing and treating children asthmatic diseases.Methods Following the Zhu’s method
120 asthmatic bronchitis children were divided into normal constitution
phlegm-damp constitution
qi deficiency constitution
internal heat constitution
and both qi and yin deficiency constitution.Based on the Su’s method
the cases were classified into balance constitution
lung-spleen Ⅰ constitution
lung-spleen Ⅱ constitution
spleen-kidney Ⅰ constitution
and spleen-kidney Ⅱ constitution.Their lung function was tested and the TPTEF /Te and VPTEF/Ve of each constitution were analyzed.Results Of the 120 cases
37 ones (30.8%) were qi deficiency constitution;33 ones (27.5%) were phlegm-damp constitution;and 60 ones (50.0%) were lung-spleen Ⅱ constitution.Compared with those with normal constitution
the cases with the phlegm-damp constitution
qi deficiency constitution
internal heat constitution
and both qi and yin deficiency constitution had significantly lowered TPTEF/Te and VPTEF/Ve (P<0.01).Compared with those with internal heat constitution and both qi and yin deficiency constitution
cases with phlegm-damp constitution and qi deficiency constitution had lowered TPTEF/Te and VPTEF/Ve (P<0.05).Compared with those with balance constitution
the cases with the lung-spleen Ⅰ constitution
lung-spleen Ⅱ constitution
spleen-kidney Ⅰ constitution
and spleen-kidney Ⅱ constitution had significantly lowered TPTEF/Te and VPTEF/Ve (P<0.01).Compared with those with lung-spleen Ⅰ constitution
spleen-kidney Ⅰ constitution
and spleen-kidney Ⅱ constitution
cases with lung-spleen Ⅱ constitution had lowered TPTEF/Te and VPTEF/Ve (P<0.05).Conclusion The qi deficiency
phlegm-damp
and lung-spleen Ⅱ constitutions of the asthmatic bronchitis children tend to appear more frequently.All cases have lowered TPTEF/Te and VPTEF/Ve.The cases with phlegm-damp
qi deficiency
and lung-spleen Ⅱ constitutions have a severe small airway obstruction than those with other constitutions
and there exists injured lung function.
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