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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 investigate the relationship between TCM constitution and pulmonary function in children with asthma bronchitis and lay the foundation for the prevention and treatment of wheezing diseases in infants and young children by using TCM constitution theory. Methods 120 children with asthmatic bronchitis were divided into normal quality, phlegm-dampness quality, qi deficiency quality, endogenous heat quality, qi-yin and qi deficiency according to Zhu’s classification method. Quality, lung spleen quality, spleen and kidney quality, spleen and kidney quality. The pulmonary function of children with different constitutions was analyzed. The TPTEF / Te and VPTEF / Ve were also analyzed. Results Among 120 cases, 37 cases accounted for 30.8%, 33 cases accounted for 27.5%, and 60 cases accounted for 50.0%. Phlegm-dampness, qi deficiency, endogenous heat, qi-yin and asthenia TPTEF / Te and VPTEF / Ve of lung function were significantly lower than those of normal group (P <0.01). Compared with normal control group, TPTEF / Te and VPTEF / (P <0.01). The lung function TPTEF / Te and VPTEF / Ve of lung spleen type, lung spleen type, spleen and kidney type, The lung function of TPTEF / Te and VPTEF / Ve was lower than that of lung spleen, spleen and kidney and spleen and kidney (P <0.05). Conclusions Children with asthmatic bronchitis tend to have qi deficiency, phlegm-dampness and lung-spleen type. There are decreased pulmonary function TPTEF / Te, VPTEF / Ve, phlegm-dampness, qi deficiency in all constitutional types And pulmonary splenic children than other children with severe physical blockage of small airways, pulmonary function there is a certain degree of damage.