反复呼吸道感染患儿中医体质与微量元素关系的探讨

发布时间：2018-11-26 21:44

【摘要】：目的：通过对反复呼吸道感染患儿进行体质分型，测定血中微量元素，探讨反复呼吸道感染患儿中医体质类型与微量元素的关系。材料与方法：选取辽宁中医药大学附属医院2011年3月 2011年9月儿科门诊RRTI患儿共计31例，进行体质分型，以原子吸收分光光度法测定血中微量元素（钙、铁、锌、铜、铅、锰、铬）含量，并与同期纳入的12例正常儿童进行对比。数据资料采用SPSS17.0软件进行统计学分析处理。结果： 1. RRTI组31例复感儿符合单一质者16例（51.61%），其中气虚质8例（25.81%），，阴虚质5例（16.13%），痰湿质2例（6.45%）；复合质15例（48.39%），均为气阴两虚质。 2. RRTI组中钙、铁、锌、铜均值较对照组减低，其中铁、锌两组比较有显著性差异P＜0.01；铅、锰、铬均值较对照组增高，其中铅升高有显著性差异P＜0.01，铬升高有统计学意义P＜0.05。 3.单一质和复合质中锌、铁、铅含量分别与对照组有显著性差异，复合质中锰元素与对照组有统计差异P＜0.05，钙元素在单一质与复合质间比较有统计差异P＜0.05，但与对照组无统计差异。 4. RRTI组患儿中，铅含量在80μg/L以上，单一质与复合质铅超标（＞100μg/L）分别为4例、9例，占自身25%、60%。两种体质铅超标比为1：2.4。结论： 1.RRTI患儿中医体质类型分布不均匀，气阴两虚质最多（48.39%），其次为气虚质（25.81%），但单一体质与复合体质分布未见明显差异。 2.RRTI患儿血中微量元素含量存在紊乱，铁、锌减低及铅、铬升高与对照组相比均有统计意义。 3.单一质与复合质对比，除钙元素外均无统计学差异，复合质中锰元素比对照组升高有统计意义。 4.RRTI患儿铅含量偏高，超标（＞100μg/L）严重，31例患儿中有13例（41.94%）超标，复合质明显多于单一质（2.4：1）。
[Abstract]:Objective: to study the relationship between TCM constitution type and trace elements in children with recurrent respiratory tract infection by determining trace elements in blood. Materials and methods: 31 pediatric outpatients with RRTI were selected from the affiliated Hospital of Liaoning University of traditional Chinese Medicine from March 2011 to September 2011 to type their constitution. The trace elements (Ca, Fe, Zn, Cu, Pb, mn) in blood were determined by atomic absorption spectrophotometry (AAS). Chromium content was compared with 12 normal children in the same period. The data were analyzed by SPSS17.0 software. Results: 1. In RRTI group, 16 cases (51.61%) were conformed to single substance, including 8 cases (25.81%) of deficiency of qi, 5 cases (16.13%) of yin deficiency, 2 cases (6.45%) of phlegm dampness. 15 cases (48.39%) of compound substance were both deficiency of Qi and Yin. 2. The mean values of calcium, iron, zinc and copper in RRTI group were significantly lower than those in control group (P < 0.01). The levels of lead, manganese and chromium were significantly higher than those of the control group (P < 0.01), and the increase of chromium was statistically significant (P < 0.05). 3. The contents of Zn, Fe and Pb in single and compound materials were significantly different from those in control group, but there were statistical differences in mn and Ca between the two groups (P < 0.05). But there was no statistical difference between the control group and the control group. 4. In the RRTI group, the lead content was over 80 渭 g / L, and there were 4 cases (> 100 渭 g / L) of single and compound lead (> 100 渭 g / L), 9 cases (25 渭 g / L). The lead ratio of two kinds of constitution is 1: 2.4. Conclusion: the distribution of TCM constitution in 1.RRTI children is not uniform, the deficiency of Qi and Yin is the most (48.39%), the second is deficiency of Qi (25.81%), but there is no significant difference between single constitution and compound constitution. The levels of trace elements in blood of children with 2.RRTI were disturbed. The decrease of iron and zinc and the increase of lead and chromium had statistical significance compared with the control group. 3. There was no statistical difference between the single substance and the compound substance except calcium. Manganese in the compound was significantly higher than that in the control group. The lead content of 4.RRTI patients was higher than 100 渭 g / L (> 100 渭 g / L). 13 out of 31 cases (41.94%) were in excess of the standard, and the compound substance was obviously more than the single one (2.4: 1).
【学位授予单位】：辽宁中医药大学
【学位级别】：硕士
【学位授予年份】：2012
【分类号】：R272

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