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目的:探讨不同发病年龄小儿肺炎的中医证型分布及其转归规律。方法:观察300例小儿肺炎治疗前及治疗过程中的中医证型,分析不同发病年龄小儿肺炎的中医证型分布及转归规律。结果:2～3岁急性期小儿肺炎以痰热闭肺证为主(P<0.01),4～7岁、8～12岁患儿急性期肺炎以风热闭肺证多见(P<0.01)。2～3岁患儿急性期肺炎风热闭肺证易向脾虚痰蕴证及气阴两虚证转变(P<0.01),4～7岁患儿急性期肺炎风热闭肺证易向脾虚痰蕴证转变,痰热闭肺证易向痰瘀互阻证及脾虚痰蕴证转变(P<0.01)。结论:不同发病年龄小儿肺炎的中医证型分布及其转归有一定的规律性。
Objective: To investigate the distribution of TCM syndromes of pneumonia in children with different ages and its prognosis. Methods: 300 cases of pediatric pneumonia before and during the treatment of TCM syndromes, analysis of different age of onset of pneumonia in the distribution of TCM syndromes and prognosis. Results: Acute pneumonia in children aged 2 to 3 years was mainly caused by phlegm-heat and lung-closure syndrome (P <0.01). Acute pneumonia in children aged 4-7 years and 8-12 years was more common in patients with pneumoconiosis and pneumoconiosis (P <0.01) ). Children with acute pneumonia in 2 ~ 3 years of age had pneumoconiosis with pneumoconiosis being susceptible to phlegm accumulation of phlegm and deficiency of both qi and yin (P <0.01). In children aged 4 to 7 years, Phlegm card change, phlegm-heat lungs and intestines to phlegm and blood stasis syndrome and splenic phlegm accumulation card change (P <0.01). Conclusion: The distribution of TCM syndromes in children with different age of onset of pneumonia and its outcome have certain regularity.