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 ›› 2025, Vol. 17 ›› Issue (1): 54-58.doi: 10.20274/j.cnki.issn.1674-3865.2025.01.011

• 中医应用研究 • 上一篇    下一篇

注意缺陷多动障碍心肝火旺证患儿的中医体质分析

周敏，王敏华，李亚群   

  1. 214200 江苏 宜兴，宜兴市中医医院儿科（周敏，王敏华）；225399 江苏 泰州，泰州市中医院儿科（李亚群）
  • 收稿日期:2024-06-05 修回日期:2024-09-01 出版日期:2025-02-25 上线日期:2025-02-25
  • 通讯作者: 王敏华，E-mail：2716877190@qq.com
  • 基金资助:
    江苏省中医药科技发展计划项目（YB201978）；无锡市中医药管理局科技项目（ZYYB32）

Traditional Chinese medicine constitution analysis of children with attention deficit hyperactivity disorder (syndrome of heart and liver fire hyperactivity)

ZHOU Min1，WANG Minhua1，LI Yaqun2   

  1. 1Yixing Traditional Chinese Medicine Hospital，Yixing 214200，China；2Taizhou Traditional Chinese Medicine Hospital，Taizhou 225399，China
  • Received:2024-06-05 Revised:2024-09-01 Published:2025-02-25 Online:2025-02-25
  • Contact: WANG Minhua，E-mail:2716877190@qq.com
  • Supported by:
    Jiangsu Province Traditional Chinese Medicine Science and Technology Development Plan Project（No.YB201978）

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摘要： 目的 探讨注意缺陷多动障碍(ADHD)心肝火旺证患儿中医体质分布，及其与患儿症状、社会功能的关系。方法 本研究选择2023年1月至2024年5月宜兴市中医医院收治的7～14岁ADHD心肝火旺证患儿70例。采用中医证候评分、斯诺佩评估量表Ⅳ版（SNAP-Ⅳ)和儿童总体功能评定量表（CGAS）评估患儿症状轻重程度及对社会功能的影响，采用中医体质量表划分中医体质分布。结果 ADHD（心肝火旺证）患儿中医证候积分为（18.54±2.84）分。SNAP-Ⅳ评分中男童为（41.02±8.56）分，女童为（41.19±8.46）分；CGAS评分男童为（63.12±6.83）分，女童为（63.75±6.65）分，明显影响患儿的社会功能及正常生活活动，病情严重程度与性别无关（P>0.05）。中医体质分型以偏颇质为主，共计42例（60%），平和质28例（40%）。偏颇质中气郁质、阴虚质、气虚质3种中医体质患儿发病人数最多（≥10%）；阴虚质患儿病程最长（4.25±0.41）年，平和质患儿病程最短（1.74±0.33）年。结论 此次纳入研究的宜兴地区70例心肝火旺证ADHD患儿的中医证候积分高，对患儿社会功能有明显影响，但无性别差异，其体质分布以偏颇质为主，不同体质ADHD（心肝火旺证）患儿的病程长短不同。

关键词: 注意缺陷多动障碍, 心肝火旺证, 中医体质, 儿童

Abstract: Objective To explore the distribution of traditional Chinese medicine(TCM) constitution in children with attention deficit hyperactivity disorder(ADHD) (syndrome of heart and liver fire hyperactivity),and its relationship with symptoms and social function of the children.Methods A total of 70 children aged 7 to 14 years with ADHD (syndrome of heart and liver fire hyperactivity) were included in the study,who were treated in Yixing Traditional Chinese Medicine Hospital from January 2023 to May 2024.The TCM syndrome scoring,SNAP-Ⅳ and CGAS were used to evaluate the severity of the symptoms and the impact on social function of the children,and the TCM constitution distribution was divided according to the TCM constitution scale.Results TCM syndrome score was (18.54 ± 2.84) in ADHD children (syndrome of heart and liver fire hyperactivity).The average SNAP-Ⅳ score of the boys was (41.02±8.56),the average SNAP-Ⅳ score of the girls was (41.19±8.46),the average CGAS score of the boys was (63.12±6.83),and the average CGAS score of the girls was (63.75±6.65),which significantly affected the children′s social function and normal life activities; the severity of the disease was not related to gender(P>0.05).Unbalanced constitution was the main type of TCM constitution,totaling 42 cases (60%),and 28 cases (40%) were with balanced constitution.Among the children with unbalanced constitutions,the number of children with qi-stagnation constitution,yin-deficiency constitution and qi-deficiency constitution was the highest (≥10%); the children with yin-deficiency constitution had the longest course of disease ［(4.25±0.41) years］,and the children with balanced constitution had the shortest course of disease ［(1.74±0.33) years］.Conclusion The TCM syndrome score of the 70 children with ADHD(syndrome of heart and liver fire hyperactivity) in Yixing area included in this study is high,which has a significant impact on the social function of the children,but there is no gender difference.Unbalanced constitution is the main type in the distribution of constitution,and the disease course of ADHD (syndrome of heart and liver fire hyperactivity) is different in children with different constitutions.

Key words: Attention deficit hyperactivity disorder, Syndrome of heart and liver fire hyperactivity, Traditional Chinese medicine constitution, Child