Investigation And Research On Identification And Related Influencing Factors Of Children With Yang Deficiency Constitution

Objective:Discussion on the identification characteristics of children with yang deficiency constitution,and preliminarily set the clinical standards for it.Through the physical identification of children from 2 to 6 years of age in a kindergarten in Zhengzhou,to study the distribution and clinical manifestation of children with yang deficiency constitution,and some related influencing factors were also analyzed.Methods:On the basis of similar research on children’s constitution by previous generations,searched the literature related to children’s yang deficiency constitution,combined with tutor Hou jianghong’s 30 years of clinical experience in treating children’s sub-health constitution,discussed the identification characteristics of children with yang deficiency constitution,preliminarily set the clinical standards and formulate the questionnaire of physique identification for it.Use the questionnaire to identify the constitution of children aged 2 to 6 years in a kindergarten in Zhengzhou,put the survey data into Epi Data 3.1 to establish a database,use the SPSS 21.0statistical software for statistical analysis.Analyze the distribution and clinical manifestation of children with yang deficiency constitution,and some related influencing factors were also analyzed.Results:(1)By filling in the children’s physique identification questionnaire,a total of1,632 valid questionnaires were completed,of which 101 were judged as yang deficiency constitution,accounting for 6.2% of the total;5.93% of them were boys(53),6.50% of them were girls(48),no gender difference(p>0.05);The constitutional state of yang deficiency was mainly distributed in children aged from 2to 6 years of age,and there was no difference in age(p>0.05).(2)Among 101 children with yang deficiency constitution,there are 18 clinical manifestations with a frequency of more than 50%.The first 9 manifestations with a frequency of more than 80% are: susceptibility to colds,fear of cold,tend to nasal congestion,dark pouches,long-term use of antibiotics,abdominal discomfort,excessive nocturnal urination,poor hair quality and don’t like to talk.(3)Analysis the correlation of clinical manifestations of children with yang deficiency constitution,the first 9 clinical manifestations with greater correlation are frequent micturition,excessive nocturnal urination,rumbling of intestines,easy to chilblain and stool with indigestible food,enuresis,green stool,abdominal discomfort,loose stool.(4)Multivariate unconditional logistic stepwise regression analysis showed that the main risk factors of yang deficiency constitution in children included: dietary habits(preference for food,refusal to eat,eat more meat and milk,PICA),personality characteristics(don’t like to talk,more quiet than move,Impatience,timid character,beating tendency),common pediatric diseases(bronchiolitis,febrile convulsions,cold,cough,rhinitis,otitis media,amygdalitis,aphtha)and skin conditions(easy to chilblain,dryness of skin,hypersensitivity of skin).Conclusion:(1)The constitution of yang deficiency in children can occur in children of all ages from 2 to 6 years old.The occurrence of yang deficiency constitution in children is not related to gender and age.(2)It is concluded that the main manifestations of Yang-deficiency constitution in children are as follows:frequent micturition,excessive nocturnal urination,rumbling of intestines,easy to chilblain,stool with indigestible food,enuresis,green stool,abdominal discomfort,loose stool.The secondary manifestations are: more quiet than move,dryness of skin,don’t like to talk,tend to nasal congestion,fear of cold,susceptibility to colds,Long-term use of antibiotics,too much stool,parents are susceptible to colds,cold hands and feet,frequent defecation,more clothes,poor hair quality,pale tongue color.(3)Poor dietary habits such as preference for food,refusal to eat,eat more meat and milk,PICA may be related to the occurrence of yang deficiency constitution;children with yang deficiency constitution tend to be silent,quiet and less active,timid,impatient and beating;children with yang deficiency constitution tend to sufferfrom bronchiolitis,febrile convulsions,cold,cough,rhinitis,otitis media,amygdalitis,aphtha;children with yang deficiency constitution are prone to skin conditions like easy to chilblain,dryness of skin,hypersensitivity of skin.