CAJ | 학술논문

目的：探讨小儿特禀质咳嗽的证候分布规律，为制定该病的辨证标准及指导治疗提供理论依据。方法对729例特禀质咳嗽患儿进行观察，以中医辨证理论方法为基础，按照事先设计的调查表调查获取患儿发病特点、病史特点及四诊资料等，应用统计软件SPSS 19.0对收集资料进行频数分析，总结出该病的发病特点、病史特点及证候特点及中医证候分布规律。结果1～5岁年龄段特禀体质患儿检出概率较其他年龄段大；首次就诊中医证型主证以风热犯肺为常见，复合证中以肺脾气虚为常见；主证中发生肺脾气虚、气阴两虚证患者病程均较长，其次为痰湿内蕴，风热犯肺证病程相对较短，复合证中以痰湿内蕴、肺脾气虚证病程较长；风热犯肺证中以1～5岁年龄段患儿最为多见，肺脾气虚证以3～7岁年龄段患儿最为多见，痰湿内蕴以1～5岁年龄段患儿为多见，7岁以后患儿就诊人数明显少于其他年龄段患儿（P<0.05）；既往病史中患湿疹病史的患儿占有较大比例。特禀体质小儿咳嗽诱因多无规律，在能明确的诱因中以遇寒后咳为主，其次为活动后咳；咳嗽频率以阵咳及偶咳为主；病程小于3周的患儿以昼夜均咳、晨起咳或夜晚咳较常见，单纯以白天咳多较为少见，而午后咳的情况很少发生；病程大于3周的患儿，以晨起或夜晚咳为多见；特禀体质患儿咳嗽咳声多重浊，大部分患儿咳嗽有痰难咯。结论特禀体质小儿咳嗽具有其相关的发病特点和临床规律。
목적：탐토소인특품질해수적증후분포규률，위제정해병적변증표준급지도치료제공이론의거。방법대729례특품질해수환인진행관찰，이중의변증이론방법위기출，안조사선설계적조사표조사획취환인발병특점、병사특점급사진자료등，응용통계연건SPSS 19.0대수집자료진행빈수분석，총결출해병적발병특점、병사특점급증후특점급중의증후분포규률。결과1～5세년령단특품체질환인검출개솔교기타년령단대；수차취진중의증형주증이풍열범폐위상견，복합증중이폐비기허위상견；주증중발생폐비기허、기음량허증환자병정균교장，기차위담습내온，풍열범폐증병정상대교단，복합증중이담습내온、폐비기허증병정교장；풍열범폐증중이1～5세년령단환인최위다견，폐비기허증이3～7세년령단환인최위다견，담습내온이1～5세년령단환인위다견，7세이후환인취진인수명현소우기타년령단환인（P<0.05）；기왕병사중환습진병사적환인점유교대비례。특품체질소인해수유인다무규률，재능명학적유인중이우한후해위주，기차위활동후해；해수빈솔이진해급우해위주；병정소우3주적환인이주야균해、신기해혹야만해교상견，단순이백천해다교위소견，이오후해적정황흔소발생；병정대우3주적환인，이신기혹야만해위다견；특품체질환인해수해성다중탁，대부분환인해수유담난각。결론특품체질소인해수구유기상관적발병특점화림상규률。
Objective To investigate special intrinsic quality pediatric cough syndrome distribution laws for the development of the disease syndrome standards and provide a theoretical basis to guide treatment. Methods 729 cases of children with special intrinsic quality coughing observations to Base on TCM theory,in accordance with pre-designed questionnaire survey for children with disease characteristics,medical history characteristics and The four diagnostic information,etc. The application of the collected statistical software SPSS 19.0 data frequency analysis, summed incidence of the disease characteristics, medical history characteristics and syndromes and syndrome distribution. Results 1 to 5 years old children ages intrinsic physical detection probability than other ages segment size;TCM Major syndromes to wind heat invading is common in the First visit children,complex syndromes in order to DLS is common;Major syndromes in occurred DLS and Qi Deficiency patients were longer duration,followed by intrinsic phlegm,Wind heat invading permit relatively short duration,complex syndromes in order to intrinsic phlegm,lung deficiency syndrome longer course;Wind heat invading card in 1 to 5 age group is most prevalent in children,Lung deficiency syndrome 3 to 7 age group is most prevalent in children,phlegm intrinsic 1 to 5 years of age in children more common in children after the age of seven the number of visits was significantly less than other age groups of children (P<0.05);A large proportion of children with Eczema in Past history. Intrinsic physical cough incentives and more erratic,in a clear incentive in order to be able to post Catch cold,followed by the activity cough;Cough frequency of cough and even cough array-based;Disease in children less than three weeks to circadian are cough,morning cough or cough at night is more common and more simple to more rare daytime cough,cough and afternoon rarely happens;Course of more than three weeks in children,with early morning or night cough is more common;Intrinsic physical children with cough Kesheng more muddy,most children cough slightly difficult. Conclusion Intrinsic physical cough with its associated morbidity and clinical characteristics of the law.