Relationship Between Clinical Features In Children With Mycoplasma Pneumoniae Pneumonia And Constitutions Of Traditional Chinese Medicine

Objective:Trough the investigation of TCM constitution of children with Mycoplasma pneumonia(MPP),the types and distribution characteristics of common TCM children in MPP children were analyzed,and the relationship between different TCM constitut io n types and clinical characteristics was discussed.It was the prevention,diagnosis and treatment of Pneumoniae pneumonia.Nursing care provides a theoretical reference.Methods:Epidemiological cross-sectional survey and clinical case-control method were used to select 236 children who met the inclusion criteria in the respiratory ward of Dalian Children’s Hospital from July 2017 to December 2018 were selected and collected at the outpatient clinic of our hospital for physical examination.100 healthy children of the same age,conducted a questionnaire on TCM constitution,excluding severe tracheal malformations,bronchial asthma and primary immunodeficiency diseases,poor compliance,cognitive or mental disorders,or parents refused to participate in the questionnaire.Through the on-site questionnaire or telephone survey method,according to the health level of the first year,fill in the Students of questionnaire of TCM constitution for 7-14 aged children and determine the type of TCM constitution,receive clinical data,and conduct statistical analysis on the collected data.Result:1.Among 100 balanced quality-based children,77 were Normal,accounting for 77%,and 23 were Partial,accounting for 23%.Among the 236 children with MPP,89 were normal,accounting for 37.71%,and 147 were partial,accounting for 62.3%.Among the 8 biased physiques,the top 3 were: Qi-depression(26.3%),Yin-deficiency(9.7%),qi-deficiency(8.9%).2.MPP group and healthy group were compared with different TCM constitut io n types.Among them,Pinghe,Yin-deficiency,Phlegm-wetness and Qi-depression were different from healthy children,and the results were statistically significant.There was no statistically significant difference in Qi-deficiency and Special constitution.3.The fever time,cough time and hospitalization time of different TCM constitut io n types of 227 children with MPP were compared,and the difference was statistica l ly significant.4.Among the 227 children with MPP,the intrapulmonary complications accounted for up to 32.6% of pleural effusions.The positive rate of pleural effusion in differe nt TCM constitution types was compared,P<0.05,the difference was statistically significa nt.Extrapulmonary comorbidities accounted for up to 18.5% of skin involvement,and the incidence of extrapulmonary comorbidities of different TCM constitution types was compared,P>0.05,the difference was not statistically significant.5.Among the 227 children with MPP,65 cases of refractory Mycoplasma pneumoniae pneumonia accounted for 28.6%.The incidence of refractory Mycoplasma pneumoniae pneumonia in different TCM constitution types was compared,P<0.05,the difference was statistically significant.Cconclusion:1.Healthy children are mostly Pinghe.Children with MPP are mostly biased.Among the 8 kinds of biased constitutions,Qi-depression,Yin-deficiency and Qideficiency are more common.2.Clinical characteristics of different TCM constitution types in children with MPP:(1)The fever duration,cough duration and hospitalization time of children with Pinghe are the shortest,and the incidence of RMPP is the lowest,indicating that the quality of the disease is relatively light and the recovery is fast.(2)Children with Phlegm-wet ness have the longest cough time and hospital stay.(3)Qi-depression fever time is the longest,easy to merge with pleural effusion.(4)Yin-deficiency is not easy to merge with pleural effusion.(5)Q i-deficiency is easy to develop into refractory pneumonia mycoplas ma pneumonia.