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 ›› 2016, Vol. 8 ›› Issue (5): 472-475.doi: 10.3969/j.issn.167-43865.2016.05.004

• 临床论著 • 上一篇    下一篇

儿童哮喘发作期中医证型分布及用药规律的探讨

张岩，宋桂华，李靖，郭彦荣，管志伟，于素平，吕伟刚，姚红阳，史纪   

  1. 450000 郑州，河南中医药大学第一附属医院儿科(张岩，宋桂华，郭彦荣，管志伟，于素平，吕伟刚，史纪)；郑州市儿童医院中医儿科(李靖)；河南中医药大学(姚红阳)
  • 出版日期:2016-10-25 发布日期:2017-12-08
  • 通讯作者: 宋桂华，E-mail：songgh123@126.com
  • 作者简介:张岩(1981-)，男，医学硕士，主治医师。研究方向：小儿呼吸系统疾病的中西医结合治疗
  • 基金资助:
    2013年度河南省中医药科学研究专项课题(2013ZY04006)；全国名老中医药专家传承工作室建设项目(国中医药人教发2014)

An exploration on the TCM syndrome distribution and laws of herbs application in children with asthma in acute stage

ZHANG Yan,SONG Guihua,LI Jing,GUO Yanrong,GUAN Zhiwei,YU Suping,LYU Weigang,YAO Hongyang,SHI Ji.   

  1. The First Affiliated Hospital of Henan University of TCM, Zhengzhou 450000,China.
  • Online:2016-10-25 Published:2017-12-08

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摘要：
目的：探讨儿童哮喘发作期临床证型分布特点与用药规律。
方法：纳入符合条件的儿童哮喘发作期患儿161例，以其证型及中药处方为研究点，使用SPSS 19.0统计学软件，探讨儿童哮喘发作期证型分布特点及中医用药规律。
结果：儿童哮喘急性期证型分布居于首位的是热性哮喘证，与其他证型相比有显著差异(P<0.01)，用药方面紫菀、款冬花、蝉蜕、僵蚕、桑白皮、化橘红、橘络、葶苈子、川贝母、炙枇杷叶、鱼腥草、大青叶为常用药物，类别方面以化痰止咳平喘药、清热药、理气药、平肝熄风药为主。
结论：儿童哮喘发作期中医证型以热性哮喘证为主，在临床用药过程中应以清热化痰、止咳平喘为主，同时兼用理气、平肝息风之药。

关键词: 哮喘证型分布, 用药规律, 儿童

Abstract:


Objective：To study the features the distribution of TCM syndrome and laws of herbs application in children with asthma in acute stage.
Methods： A total of 161 cases of childhood asthma during attack that met the inclusive criteria were collected;taking its TCM syndromes and herbal prescription as researching points,the features of symdrome distribution of childhood asthma in acute episode and principles of herbs application were explored with SPSS 19.0 statistical software.
Results：The top TCM type of childhood asthma in the acute period was febrile asthma,which had a marked difference compared with other tyoes(P＜0.01). When it came to the choice of herbs,Ziwan,Kuandonghua,Chantui,Jiangcan,Sangbaipi,Huajuhong,Juluo,Tinglizi,Chuanbeimu,Zhipipaye,Yuxingcao and Daqingye were the most frequently used ones;concerning categories,the herbs, which could relieve cough or reduce sputum and asthma,clear heat,regulate qi,and calm liver to stop endogenous wind, were most widely used.
Conclusion：TCM type of onset-stage childhood asthma is mainly the febrile one; during medication process,the method of clearing heat,transforming phlegm,reducing cough and wheeze should be paid due attention; in addition,herbs which can regulate qi or calm liver to stop endogenous wind should also be used.

Key words: Asthma, Syndrome distribution, Laws of herbs application, Children