[1]黄秋凤,赵彩霞,何平.229例儿童过敏性紫癜中医证型与体质的相关性探索[J].陕西中医药大学学报,2020,(6):089-93.[doi:10.13424/j.cnki.jsctcm.2020.06.020]
　Huang Qiufeng,Zhao Caixia,He Ping.An Exploration of the Correlation between TCM Syndrome Types and Constitutions of 229 Cases of Children with Allergic Purpura[J].Journal of Shaanxi University of Traditional Chinese Medicine,2020,(6):089-93.[doi:10.13424/j.cnki.jsctcm.2020.06.020]
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229例儿童过敏性紫癜中医证型与体质的相关性探索()
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《陕西中医药大学学报》[ISSN:2096-1340/CN:61-1501/R]

卷:
期数:
2020年6期
页码:
089-93
栏目:
出版日期:
2020-11-26

文章信息/Info

Title:
An Exploration of the Correlation between TCM Syndrome Types and Constitutions of 229 Cases of Children with Allergic Purpura
文章编号:
2096-1340(2020)06-0089-05
作者:
黄秋凤1; 赵彩霞1; 何平2
1.云南中医药大学,云南昆明650021;
2.云南中医药大学第一附属医院,云南昆明650021
Author(s):
Huang Qiufeng 1 ;  Zhao Caixia 1 ;  He Ping 2
1. Yunnan University of Chinese Medicine, Kunming, Yunnan 650021;
2. The First Affiliated Hospital of Yunnan University of Chinese Medicine, Kunming, Yunnan 650021
关键词:
过敏性紫癜; 儿童; 证型; 体质; 相关性
Keywords:
Henoch - Schonlein purpura;  children;  syndrome types;  constitution;  correlation
分类号:
R725.5
DOI:
10.13424/j.cnki.jsctcm.2020.06.020
文献标志码:
A
摘要:
目的分析云南过敏性紫癜儿童的中医证型及体质的相关性?将辨体质与辨证相结合,从体质角度为治疗及预防过敏性紫癜提供借鉴?方法采用横断面调查问卷的形式收集患儿的一般情况?中医证候?中医体质信息等相关资料,进行统计学处理?结果在229例过敏性紫癜儿童中,单一体质共187例,占81.7%,兼夹体质共42例,占18.3%?其中187例单一体质的儿童体质构成分别为阴虚质(31.00%)?平和质(17.60%)?气虚质(16.60%)?湿热质(13.40%)?痰湿质(9.10%)?阳虚质(7.50%)?血瘀质(3.20%
Abstract:
Objective To analyze the correlation between TCM syndrome types and constitutions of children with allergic purpura in Yunnan. The combination of constitution differentiation with syndrome differentiation provides a reference for the treatment and prevention of allergic purpura. Methods A cross - sectional questionnaire was used to collect children＇s general information, TCM syndromes, TCM constitutions and other relevant data which were statistically processed. Results Among 229 children with Henoch - Schonlein purpura, there were 187 cases of single constitution, accounting for 81. 7%, and 42 cases of combined constitution, accounting for 18. 3%. Among them, 187 children with single constitution were composed of Yin deficiency type( 31%) , moderate type ( 17. 60%) , Qi deficiency type( 16. 60%) ,damp - heat type ( 13. 40%) , phlegm type( 9. 10%) , and Yang deficiency type ( 7. 50%) , blood stasis type( 3. 20%) ,special quality type ( 1. 60%) . The distribution of TCM syndrome types in this survey is: wind - heat injury syndrome ( 29. 7%) > blood - heat syndrome ( 19. 6%) > gastrointestinal heat syndrome ( 14. 0%) > damp - heat block syndrome ( 12. 7%) > Spleen and Kidney Yang Deficiency Syndrome ( 10%) > Qi Deficiency and Blood Stasis Syndrome ( 9.7%) > Yin Deficiency and Fire Vigor syndrome( 4. 3%) Conclusion Allergic purpura associated with heat injury syndrome usually occurs to children with Qi deficiency while allergic purpura associated with blood - heat syndrome often occurs to children with yin deficiency and allergic purpura blood - heat delusion syndrome occurs to children with spleen and kidney - yang deficiency.

参考文献/References:

[1]胡亚美,江载芳,申昆玲,等.诸福棠实用儿科学[M].北京:人民卫生出版社(8版),2014:773.
[2]中华医学会儿科学分会免疫学组,《中华儿科杂志》编辑委员会.儿童过敏性紫癜循证诊治建议[J].中华儿科杂志,2013,51(7):502-507.
[3]González LM, Janniger CK, Schwartz RA. Pediatric henoch - sch nlein Purpura[ J] . International Journal of Dermatology,2009,48( 11) :1157 -1165.
[4]Marzano AV, Vezzoli P, Berti E. Skin involvement in cutaneous and systemic vasculitis[ J] . Autoimmunity Reviews,2013,12( 4) :467 -476.
[5]Li YY, Li CR, Wang GB, et al. Investigation of the change in CD4^ + T cell subset in children with Henoch - Schonlein Purpura [ J] . Rheumatology International, 2012, 32(12) :3785 -3792.
[6]Novak J,Moldoveanu Z, Renfrow MB, et al. IgA nephropathy and henoch - schoenlein Purpura nephritis: aberrant glycosylation of IgA1,formation of IgA1 -containing immune complexes,and activation of mesangial cells[M]//Contributions to Nephrology. Basel:KARGER,2007:134 -138.
[7]杨华彬,易著文.过敏性紫癜肾炎病因及发病机制[J].中国实用儿科杂志,2009,24(2):102-105.
[8] Mohammad ZI. Henoch - Schoenlein PurPura associated with major comPli - cations[ J] . J Medicine,2010,11( 1) :99 -101.
[9]周建华,黄爱霞,刘铜林,等.儿童过敏性紫癜性肾炎与IgA肾病的临床和病理的对比研究[J].中华儿科杂志,2003,41(11):808-812.
[10]杨霁云.小儿过敏性紫癜性肾炎诊治中的几个问题[J].肾脏病与透析肾移植杂志,2004,13(2):147-149.
[11]陈海廷.体质因素与儿童过敏性紫癜发病相关性的临床研究[D].济南:山东中医药大学,2012:17.
[12]康芳.儿童过敏性紫癜尿mA1b?尿β2-MA与体质相关性的研究[D].沈阳:辽宁中医药大学,2013:12-13.
[13]马融.中医儿科学[M].4版.北京:中国中医药出版社,2016:238.
[14]丁樱,孙晓旭,毕玲莉,等.过敏性紫癜中医诊疗指南[J].中医儿科杂志,2011,7(6):1-4.
[15]王琦.中医体质学[M].北京:人民卫生出版社,2005:1-5.
[16]中华中医药学会.中医体质分类与判定[M].北京:中国中医药出版社,2009.

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备注/Memo

备注/Memo:
基金项目:云南省科技计划项目(2017NS152)
通讯作者:何平,主任医师?E-mail:hepingx8@sina.com
更新日期/Last Update: 2020-11-26