200例青春期启动提前女童中医证候的临床调查

作者	单位
孙艳艳	复旦大学附属儿科医院中医科
黄蓉	厦门市妇幼保健院儿童保健科
俞建	复旦大学附属儿科医院中医科
汪永红	复旦大学附属儿科医院中医科
孙雯	复旦大学附属儿科医院中医科

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中文摘要:

目的分析青春期启动提前女童的中医辨证分型特点。方法采集2008年3月—2011年3月在复旦大学附属儿科医院中医科就诊的青春期启动提前女童患儿200例的中医证候,进行统计分析,总结患儿的中医辨证分型特点。结果 200例患儿主证诊断为阴虚火旺证的比例最高(174例,占87.0%),其次是肝郁化火证(25例,占12.5%)及湿热内蕴证(1例,占0.5%);3种证型诊断的平均秩次由高到低依次为阴虚火旺证(462.87)、肝郁化火证(287.22)、湿热内蕴证(146.91);149(74.5%)例患儿同时具有阴虚火旺证和肝郁化火证的诊断,阴虚火旺证为主合并肝郁化火证最多见(88例占44.0%),肝郁化火证为主合并阴虚火旺证次之(46例占23.0%)。结论阴虚火旺证和肝郁火旺证型是性早熟和青春期发育提前女童主要的中医辨证分型,二者同时存在的合并证型在临床辨证用药中不容忽视。

英文摘要:

Objective To analyze the Chinese medicine(CM) syndrome typing features for girls with advanced puberty.Methods The CM symptoms of girls with advanced puberty in the Department of CM,Children’s Hospital of Fudan University from March 2008 to March 2011 were recruited and statistically analyzed.The CM syndrome typing features were summed up.Results Yin deficiency induced fire hyperactivity syndrome(174 cases,accounting for 87.0%) occupied the highest ratio in the main syndrome diagnosis,followed by Gan depression transforming into fire syndrome(25 cases,accounting for 12.5%) and the endoretention of damp heat syndrome(1 case,accounting for 0.5%).The mean rank of the 3 syndrome types was sequenced from yin deficiency induced fire hyperactivity syndrome(462.87),Gan depression transforming into fire syndrome(287.22),and the endoretention of damp heat syndrome(146.91).Of them 149(accounting for 74.5%) girls were diagnosed with both yin deficiency induced fire hyperactivity syndrome and Gan depression transforming into fire syndrome.Yin deficiency induced fire hyperactivity syndrome accompanied with Gan depression transforming into fire syndrome was the most often seen(88 cases,accounting for 44.0%),followed by Gan depression transforming into fire syndrome accompanied with yin deficiency induced fire hyperactivity syndrome(46 cases,accounting for 23.0%).Conclusions Yin deficiency induced fire hyperactivity syndrome and Gan depression transforming into fire syndrome were the leading patterns of CM syndrome typing for girls with advanced puberty.It must not neglect their combinations in clinical syndrome typing.

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