ISSN 1674-3865  CN 21-1569/R
主管：国家卫生健康委员会
主办：中国医师协会
　　　辽宁省基础医学研究所
　　　辽宁中医药大学附属医院
中国中西医结合儿科学

中国中西医结合儿科学 ›› 2017, Vol. 9 ›› Issue (4): 336-339.doi: 10.3969/j.issn.1674-3865.2017.04.020

• 调查研究 • 上一篇    下一篇

武汉市0～6岁健康儿童中医体质调查研究

刘晓鹰，兰克，王元元，王亦宸，王珺，胡成华，张红艺，万文越，陈杏梅   

  1. 430061 武汉，湖北省中医院儿科（刘晓鹰，王元元，王亦宸）；430060 武汉，武汉市第三医院公共卫生科（兰克）；430079 武汉，华中师范大学医院公共卫生科（王珺）；430014 武汉，武汉市江汉区前进街社区卫生服务中心（胡成华）；430051 武汉，武汉市汉阳区二桥社区卫生服务中心（张红艺）；430080 武汉，武汉市青山区红钢城社区卫生服务中心（万文越）；431400 武汉，武汉市新州区仓埠街卫生院（陈杏梅）
  • 出版日期:2017-08-25 发布日期:2017-12-08
  • 通讯作者: 刘晓鹰，E-mail:lxylzj11@163.com
  • 作者简介:刘晓鹰（1961-），女，教授、主任医师。研究方向：儿童肾脏疾病、儿童中医体质调理
  • 基金资助:
    湖北省科技厅软科学研究专项(2012GDA03401)

Investigation and study of TCM constitution of healthy children aged 0 to 6 in Wuhan

LIU Xiaoying, LAN Ke, WANG Yuanyuan, WANG Yichen, WANG Jun, HU Chenghua, ZHANG Hongyi, WAN Wenyue, CHEN Xingmei   

  1. Department of Pediatrics, Hubei Hospital of TCM, Wuhan 430061,China
  • Online:2017-08-25 Published:2017-12-08

PDF (PC)

154

摘要：
目的
通过对武汉市0～6岁不同年龄段儿童进行中医体质调查，初步得出各年龄段的中医体质分类，为健康儿童中医保健提供指导。
方法
采用横断面现场调查法，将0～6岁健康儿童分为4个不同年龄组进行中医体质问卷调查。
结果
共收集350份有效问卷，其中平和质总体分布为65%（228/350），偏颇质为35%（122/350）。随年龄增长不同年龄组平和质占比逐渐减小（84%～52%），偏颇质比例逐渐增加（16%～48%），其中兼夹体质由0%增至30%；各年龄组体质分布各有其不同特点，肺不足体质中，兼夹特禀质差异有统计意义（P<0.05）。即肺不足质易兼特禀质。初中及以下学历的父母其子女出现偏颇质的概率差异有统计学意义（P<0.05）。
结论
武汉市0～6岁儿童中医偏颇体质分布随年龄增长比例逐渐增大且复杂；各年龄组偏颇体质分布各有特点，说明划分成4个年龄段有其现实意义，并提示在体质干预中对不同年龄组应有所侧重，在疾病治疗中也需注意不同年龄段的体质特点，进行“辨体施治”，以提高中医疗效。

关键词: 体质, 中医, 调查, 辨体施治, 儿童

Abstract:
Objective
To work out a classification of TCM constitution at different ages by investigating the children aged 0 to 6 in Wuhan, in order to provide guidance for TCM health care in healthy children.
Methods
By cross-sectional survey, the healthy children aged 0 to 6 were divided into 4 age groups, and the questionnaire survey on TCM constitution was performed in them.
Results
A total of 350 valid questionnaires were collected, which showed that the distribution of mild constitution was 65%(228/350), biased constitution 35%(122/350).When the children grew older, the percentage of mild constitution was decreasing(84% to 52%), while that of biased constitution was increasing(16% to 48%), in which the percentage of combined constitution was increasing(0% to 30%). The constitution distribution of different age groups had their own features. In lung-deficiency constitution, the difference on Tebing constitution was of statistical significance(P<0.05),which meant that the lung-deficiency constitution was often combined with Tebing constitution. There was statistical difference on the probability of being biased constitution in the children whose parents only had middle school education or lower(P<0.05).
Conclusion
The distribution percentage of TCM biased constitution in children aged 0 to 6 in Wuhan increases with the increase of age and also becomes complex, and different age group has different features, which indicates that it is of practical significance to divide the children into 4 age groups. It also shows that attention should be paid to different points in different groups during the constitution intervention. In the treatment it's necessary to pay attention to different features and perform treatment based on constitutions differentiation in order to improve the effect.

Key words: Constitution, TCM, Survey, Treatment based on constitution differentiation, Children