| Objective:To explore the distribution characteristics of TCM constitutional types in children patient with bronchial asthma and study the influence of related factors on growth and incidence,to provide basis for guiding the growth of children and family nursing.Clinical observations of related factors among children with bronchial asthma were used to figure out nutritional and environmental risks influencing the height of children patient,to provide basis for effective clinical prevention program.Our study explored the distribution characteristics of TCM constitutional types by clinical observations among children with bronchial asthma to provide basis for preventing and treating.Provide a way to prevent and cur the children’s health in constitution of TCM.Methods:In this study,we conducted a field questionnaire survey on children with asthma.Collection of informations about related medical history and constitution.Descriptive study,chi-square test,Logistic regression analysis,analysis of variance,correlation analysis and Wilcoxon rank sum test were applied in this study.Results:(1)The research brought into total 87 cases of asthmatic children at the age of 3 to 8 years old,among which there were 49 cases of boys accounting for 56%(with shorter height 17 cases),38 cases of girls accounting for 44%(with shorter height 13 cases),the ratio of boys to girls was 1.29:1,the average ages were 61.82 months and 61.16 months,and average heights were 111.6cm and 110.7cm,the average growth speed in half a year was 2.01 cm and 2.02 cm.(2)The two factors of whether restricted protein diet and whether treated with aerosol inhalation of glucocorticoid were tested with χ2 between whether the height was shorter for asthmatic children,the results showed that whether restricted protein diet P=0.5,whether treated with aerosol inhalation of glucocorticoid P=0.005.(3)The frequency of asthma attacks was tested by Wilcoxon rank sum and got the result: P=0.000,indicating that between the ranks of frequency,whether there was difference in short height had statistical significance.(4)The atomization treatment and the height standard deviation of asthmatic children was correlation analyzed and got the correlation coefficient of Pearson:-0.24,P=0.023,indicating that atomization treatment had a certain linear correlation with the height standard deviation of asthmatic children.(5)The asthmatic treatment and the height standard deviation of asthmatic children was correlation analyzed and got the correlation coefficient of Pearson:0.029,P=0.791,indicating that asthmatic treatment almost had no linear correlation with the height standard deviation of asthmatic children.(6)With the logistic regression analysis on whether treating with aerosol inhalation of glucocorticoid,the results showed that whether treating with aerosol inhalation of glucocorticoid was the dangerous factor for the short height of asthmatic children at the age of 3 to 8 years old,P=0.000.(7)The mean value analysis was conducted between the growth speed in half a year with whether treating with aerosol inhalation of glucocorticoid,whether restricteding protein diet,the results showed that the average growth speed of atomization treatment group and non-atomization treatment group was respectively 1.75 cm,2.29 cm,and the average growth speed of regularly supplement protein group and non-supplement protein group was respectively 2.10 cm and 1.94 cm.(8)The multi-factor analysis of variance on the two factors of mean value analysis was conducted and the results showed that the growth speed difference of two groups whether with aerosol inhalation had statistical significance,whether treating with aerosol inhalation of glucocorticoid P=0.000.(9)The correlation analysis was conducted between the growth speed in half a year with the asthma course and got the correlation coefficient of Pearson:-0.171,P=0.1135.(10)The correlation analysis was conducted between the growth speed in half a year with the atomization treatment and got the correlation coefficient of Pearson:0.002,P=0.987.(11)The correlation analysis was conducted between the growth speed in half a year with the height standard deviation and got the correlation coefficient of Pearson:0.488,P=0.000.(12)The correlation analysis was conducted between the growth speed in half a year with the whether treating with inhalation of glucocorticoid and obtained the correlation coefficient of Pearson:-0.463,P=0.000.(13)The correlation analysis was conducted between the growth speed in half a year with the whether the height is shorter and obtained the correlation coefficient of Pearson:-0.423,P=0.000.(14)The physique constitution ratio of asthmatic children at 3-8 years old: the type of lung and spleen deficiency(26.4%),the type of spleen and stomach with excessive internal heat(18.4%),the type of damp abundance due to spleen deficiency(6.9%),the type of hyperactivity of heart-liver fire(6.9%),the type of deficiency of liver and kidney(9.2%),the type of specific endowment constitution(9.2%),the type of specific endowment constitution and spleen and stomach with excessive internal heat(8.0%),the type of specific endowment constitution and hyperactivity of heart-liver fire(14.9%).(15)Among which the asthmatic children group with shorter height was 30 cases and the physique constitution rations were: the type of lung and spleen deficiency(40%),the type of spleen and stomach with excessive internal heat(23.3%),the type of damp abundance due to spleen deficiency(3.3%),the type of hyperactivity of heart-liver fire(3.3%),the type of specific endowment constitution(3.3%),the type of specific endowment constitution and spleen and stomach with excessive internal heat(13.3%),the type of specific endowment constitution and hyperactivity of heart-liver fire(13.3%);the asthmatic children group without shorter height was 57 cases,and the physique constitution rations were: the type of lung and spleen deficiency(19.3%),the type of spleen and stomach with excessive internal heat(15.8%),the type of damp abundance due to spleen deficiency(8.8%),the type of hyperactivity of heart-liver fire(8.8%),the type of deficiency of liver and kidney(14.0%),the type of specific endowment constitution(12.2%),the type of specific endowment constitution and spleen and stomach with excessive internal heat(5.3%),the type of specific endowment constitution and hyperactivity of heart-liver fire(15.8%).(16)The physique distribution between the group with shorter height and the group with non-shorter height was tested by rank sum and got P=0.000;(17)The frequency and growth speed between individuals was analyzed with one-way analysis of variance and got all of the P value 0.069 and 0.161,the difference had no statistic significance.Conclusions:(1)The growth development situation had nothing to do with the gender differences for asthmatic children at 3-8 years old;(2)Whether treating with aerosol inhalation of glucocorticoid,atomization treatment,and the frequency of asthma attack were the dangerous factors for the growth and development of asthmatic children at 3-8 years old;(3)It had nothing to do with restricted protein diet or the asthma course;(4)The type of lung and spleen deficiency was the high incidence physique of asthmatic children with shorter height at 3-8 years old;(5)The difference of the growth speed and frequency of asthma attacks between the TCM constitution types had no statistic significance but the frequency of asthma attacks on the three types of deficiency of liver and kidney,hyperactivity of heart-liver fire,and specific endowment constitution were obviously higher than other groups,and it’s considered to be related with the small quantity of cases. |
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