| Objective: To identify 120 children with Henoch-Schonlein purpura and explore their constitution distribution,also find their susceptibility,then we can provide new ideas with traditional chinese medicine(TCM)constitution methods for the characteristic prevention and treatment of children with Henoch-Schonlein purpura by TCM.Methods: By means of questionnaire,120 children with Henoch-Schonlein purpura that treated in Pediatric Outpatient and Hospitalization,Affiliated Hospital of Changchun University of TCM from 12,2019 to 12,2020 who meet the inclusion criteria were assisted by doctors with knowledge of TCM background to fill out the TCM physique assessment scale and case observation form,and collected the physical data,general situation,syndrome type and other data.The contents of the scale were recorded by using the system of children’s physique assessment to get results of physical identification.Use SPSS23.0 to analyse and investigate the distribution of TCM constitution in children with Henoch-Schonlein purpura.Results: 1.General data of children :(1)Gende:64 males,53.33%,56 females,46.67%,Gender ratio 1.14:1;(2)Age:39 cases of pre-school age(3≤Y<7 years old),32.50 %,63 cases of school age(7≤Y<13 years old),52.50%,18 cases of puberty(13≤Y<17 years old),15.00%;(3)Allergic history: 66 cases with allergic history,55.00%,54 cases without allergic history,45.00%,children with allergic history accounted for a large proportion.(4)35 cases in spring,29.17%;19 cases in summer,15.83%;25 cases in autumn,20.83%;41 cases in winter,34.17%,high incidence in winter and spring.(5)43 were viral,35.83%,Next up were 35 bacterial infections,29.16%,Mycoplasma infection in 9cases,7.50 per cent;In 11 cases,9.16%,22 others,18.33%;(6)The distribution of TCM syndromes in children was as follows: wind heat injury collaterals syndrome 44 cases(36.67%)> blood heat false syndrome 42 cases(35.00%)> Yin deficiency fire flourishing syndrome 18 cases(15.00%)> Qi non-blood syndrome 16 cases(13.33%).2.The physical distribution of children with Henoch-Schonlein purpura was as follows :16 cases(13.33%),In 104 cases(86.67%),From high to low,the constitution types were: Yin deficiency in 34cases(28.33%),sensitive deficiency in 27 cases(22.50%),lung deficiency in 17 cases(14.16%),mild in 16 cases(13.33%),Yang heat in 11 cases(9.17%),spleen deficiency in 8cases(6.70%),liver hyperactivity in 4 cases(3.33%),kidney deficiency in 2 cases(1.67%),weak in 1 case(0.80%).3.The constitution types with HSP that in pediatrics has no significant correlation with sex and infection factors,but it has meaningful correlation with age,season,allergy history and TCM syndrome.The deficiency of partial yin is related to the age group of school years,the deficiency of partial spleen is related to the age group of puberty,The incidence of Yin deficiency is higher in winter than in spring,The incidence of hypersensitivity in spring is higher than in winter,The incidence of heat in summer is higher than that in winter.the special sensitive substance is related to the history of allergy,the deficiency of partial yin is related to the syndrome of blood heat,and the deficiency of partial lung is related to the syndrome of qi and blood.Conclusion:1.HSP children have a high incidence of school years of age,high incidence in winter and spring,a large proportion of allergic history,the infection factors are virus infection,and the traditional Chinese medicine syndrome is wind-heat injury syndrome and blood-heat syndrome.2.The constitution types of children with HSP were mainly yin deficiency,special sensitive substance and lung deficiency.The distribution of constitution type in children with Henoch-Schonlein purpura had no significant correlation with sex,infection factors,age,season,allergy history and TCM syndrome. |
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