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目的探讨儿童过敏性紫癜发病特点及中医证型分布情况。方法收集100例过敏性紫癜患儿临床资料,包括性别、年龄、临床体征、病程、诱因、既往史、过敏史、发病季节等,并进行中医辨证分型,分为风热伤络型、血热妄行型、脾胃湿热型、阴虚火旺型和气不摄血型。分析不同年龄、季节、肾外症状、病程及诱因情况下各证型分布情况。结果 100例患儿中风热伤络型17例、血热妄行型49例、脾胃湿热型8例、阴虚火旺型10例、气不摄血型16例。患病高峰期为>6~9岁,发病季节主要是秋、冬季,100例患儿均有皮肤症状,并且以单纯的皮肤症状、皮肤+胃肠道+关节最为多见,共93例;不同年龄段、季节、病程各证型分布差异均有统计学意义(P<0.05)。结论儿童过敏性紫癜常见证型为血热妄行证,其中医证型分布与发病年龄、季节、病程有一定关系。
Objective To investigate the incidence of Henoch-Schonlein purpura in children and the distribution of TCM syndromes. Methods The clinical data of 100 children with Henoch-Schonlein purpura were collected, including gender, age, clinical signs, course of disease, inducement, past history, history of allergy and season of onset. Hot line type, spleen and stomach damp-heat type, Yin-type fire-type and gas does not take blood type. Analysis of different age, season, extra-renal symptoms, duration and causes of the various syndromes distribution. Results 100 cases of children with stroke hot injury network in 17 cases, 49 cases of blood heat abstinence, spleen and stomach damp-heat in 8 cases, yin deficiency Huo-wang in 10 cases, 16 cases of gas non-blood-type. The prevalence peak was> 6 to 9 years. The onset season was mainly autumn and winter. All the 100 cases had skin symptoms, and the most common skin and gastrointestinal + joint occurred in 93 cases. There were significant differences in the distribution of syndromes in different age groups, seasons and duration of disease (P <0.05). Conclusion The common syndrome of Henoch - Schonlein purpura in children is the syndrome of sudden withdrawal of blood and heat, and the distribution of TCM syndromes has a certain relation with the age, season and course of disease.