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 (1): 94-96.doi: 10.3969/j.issn.1674-3865.2016.01.034

• 临床研究 • 上一篇    下一篇

小儿肺炎支原体感染后咳嗽发作时间与证候相关性初探

荀春铮，王孟清   

  1. 410007 长沙，湖南中医药大学第一附属医院儿科
  • 出版日期:2016-02-25 发布日期:2018-11-19
  • 通讯作者: 王孟清，Email：wmqwmq2009@sina.com
  • 作者简介:荀春铮(1988-)，男，医学硕士，医师。研究方向：小儿肺系疾病的诊治

Study on the relationship between syndrome characteristics and cough attack time in infants with pneumonia mycoplasma infection

XUN Chunzheng，WANG Mengqing   

  1. The First Affiliated Hospital of Hunan University of Traditional Chinese Medicine，Changsha 410007，China.
  • Online:2016-02-25 Published:2018-11-19

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摘要： 目的：探讨小儿肺炎支原体感染后咳嗽发作时间与证候的相关性，为临床辨治本病提供参考依据。
方法：湖南中医药大学第一附属医院儿科2013年2月至2014年2月收治151例肺炎支原体感染后咳嗽患儿，对其临床资料进行整理，统计各证候的分布情况，分析证候与咳嗽发作季节、发作时辰的相关性。
结果：肺炎支原体感染后咳嗽以风热犯肺证、风寒袭肺证、肺气亏虚证多见；各证候发生无明显季节差异；咳嗽发作与时辰存在一定相关性；风寒袭肺证咳嗽发作有向戌时集中的趋势，但差异无统计学意义(P＞0.05)，风热犯肺证咳嗽发作以清晨卯时、夜间戌时多见，肺气亏虚证咳嗽没有明显时辰规律。
结论：小儿肺炎支原体感染后咳嗽的发作具有一定的时间规律性，临床证候与发作时间具有一定相关性。

关键词: 肺炎支原体感染, 咳嗽, 证候, 时间规律, 儿童

Abstract: Objective：To study the relationship between syndrome characteristics and attack time of cough in infantile pneumonia mycoplasma infectious，then to provide guidance for the clinical diagnosis and treatment.
Methods：A total of 115 cases of infantile pneumonia mycoplasma postinfectious cough were admitted to the First Affiliated Hospital of Hunan University of TCM from Feb. 2013 to Feb. 2014.We collected the clinical data and counted the distribution of syndromes，then analyzed the correlation between syndromes and attack seasons and attack time of cough.
Results：The most common syndromes of infantile pneumonia mycoplasma postinfectious cough were syndrome of windheat invading lung，syndrome of windcold attacking lung and syndrome of deficiency of Lung Qi.The attack time of cough caused by windcold attacking lung had a tendency to focus on Xu Shi，but there was no statistical difference (P＞0.05).The attack time of cough caused by windheat invading lung focused on Mao Shi and Xu shi，while the attack time of cough caused by deficiency of Lung Qi had no rules to follow.
Conclusion：The attack time of infantile pneumonia mycoplasma postinfectious cough has a certain rule，and there exists certain correlation between clinical syndromes and attack time.

Key words: Pneumonia mycoplasma infection, Cough, Syndrome, Time pattern, Children