Study On The Correlation Between Upper Respiratory Tract Virus Infection And TCM Syndromes In Children

Objective:To meet the diagnostic criteria for upper respiratory tract infections in children with throat secretions virus detection and Traditional Chinese Medicine (TCM) symptom classification. The purpose is to understand the Beijing area children with acute respiratory infections and virus-related etiology correlation between symptoms and TCM.Methods:This study included pediatric outpatients from November 2013 to October 2014 in Beijing Dongfang Hospital, diagnostic criteria consistent with respiratory viral infections, flu symptoms TCM diagnostic criteria based on Western medicine in 124 3～14 years old children, using multiple polymerase chain reaction (mPCR) and multiplex reverse transcription polymerase chain reaction (mRT-PCR) method, the 124 swabs influenza virus, Para influenza virus, adenovirus, rhinovirus, respiratory syncytial virus, corona virus, metapneumovirus, Boca virus are detected and classified according to TCM symptoms when children visit the main symptoms.Results:A total of 124 cases of throat swabs, to 58 cases tested positive for the virus, the detection rate was 46.80%, and its virus detection rate with age (X2= 3.426, P> 0.05), gender (X2= 5.428, P> 0.05) there is no significant correlation between the distribution.30 cases in which the influenza virus (51.73%), rhinovirus 11 cases (18.97%), Boca virus 5 (8.62%), Para influenza virus 4 cases (6.90%), respiratory syncytial virus four cases (6.90%), corona virus two cases (3.44%), metapneumo virus two cases (3.44%). Virus detection with early disease, when the course≤24h highest positive rate (X2= 14.262, P<0.01). Spring included 30 cases,10 cases tested positive for the virus (33.33%); summer 30 cases, the virus is detected positive in 5 cases (16.67%); fall 33 cases,21 cases tested positive for the virus (63.64%); winter 31 cases, virus detection positive 22 cases (70.97%). Prone to winter influenza virus, detected 16 cases (X2= 19.662,P<0.001). According to the group of children with the chief complaint of children with TCM syndrome classification:cold 46 cases (37.09%), Fengreganmao 63 cases (50.8%), Shushi Cold cold 5 patients (7.3%), influenza epidemic (4.8%), where Cold cold, Fengreganmao common in preschool children 3 to 6 years old (X2= 70.083 P<0.001), Cold cold syndromes are distributed in the course of ≤24h (X2= 6.436, P<0.05). Cold cold cause fever and more concentrated in 38.0～39.0 ℃ moderate fever (X2= 17.735, P <0.01), Fengreganmao concentrated in 38.0～40.0 ℃ in the height of the fever (X2=8.782, P<0.05), Shushi cold (X2= 38.165, P<0.05), when the epidemic influenza (X2= 15.895, P<0.05) fever caused by high fever, high fever ≥39.0℃ based. Cold cold in winter predilection (X2= 2.8.931, P<0.05), only found in Shushi cold late summer early autumn (X2= 16.361, P<0.01), common cold, flu epidemic all year round disease. Influenza virus and influenza TCM syndrome correlated (X2= 8.096,P<0.05), and more concentrated in Fengreganmao syndromes, among more than a viral infection between TCM no significant correlation. Conclusion:Beijing University of Chinese Medicine Oriental hospital meets children respiratory viral infections in children, the main types of influenza virus infected, mainly for Fengreganmao TCM syndromes. There is a significant correlation between influenza virus infection and Fengreganmao syndromes.