Study On The Correlation Between TCM Syndromes And Clinical Features Of Children’s Asthmatic Bronchitis

Objective:Through retrospective analysis and research on the medical records of hospitalized children with asthmatic bronchitis,to explore the correlation between the TCM syndrome types and clinical features of the disease,and to further analyze and summarize the changing rules,and promote the objectification of TCM syndrome differentiation of the disease,Micro and precise.Methods:In this study,a retrospective investigation method was used to select 224 children who were hospitalized with asthmatic bronchitis in the Pediatrics Department of the First Affiliated Hospital of Guangxi University of Traditional Chinese Medicine between 2012 and 2019.According to the developed children’s asthmatic bronchitis medical history questionnaire,the research data of the children’s gender,ethnicity,age,feeding method,onset season and main symptoms and signs are collected and sorted,and the data is entered into Excel to establish a data database,and the SPSS statistical software is used Statistical Analysis.Results:1.General conditions:(1)Gender: The male to female ratio is2.61:1,and there are more male children than females.(2)Ethnicity: The ethnic composition is more than Han> Zhuang> Yao> Miao> Li = Dong.(3)Age of onset: the youngest is 2 months,the oldest is 47 months,and the average age is 16.23±11.08 months.In terms of age,the number of cases younger than 1 year old is the largest,accounting for 44.2%.(4)Season of incidence and solar terms: The number of cases in winter and spring is the largest,with 67 cases(29.9%)and 64 cases(28.6%)respectively.The top 3solar terms in the number of cases were Bailu 19 cases(8.5%)> Lidong 18cases(8.0%)> Rainwater 15 cases(6.7%).(5)Past and family history: 87cases(39%)had a clear history of past diseases,the main disease was wheezing in 51 cases(58.6%)>16 cases of neonatal jaundice(18.3%)>G-6-PD deficiency 15 cases(17.2%)> 12 cases(13.8%)of eczema;in family history,13 cases(5.8%)had a history of allergic rhinitis,skin allergy or asthma in first-degree relatives,and 9 cases(4.0%)had children Second-degree relatives have a history of asthma or allergic rhinitis.2.The relationship between the distribution of TCM syndrome types and clinical characteristics: Among 224 children,the number of cases of febrile asthma is the largest,160 cases,accounting for 71.4%;38 cases of cold asthma,accounting for 17.0%;15 cases of external cold and internal heat syndrome,Accounting for 6.7%;11 cases of false and actual syndromes,accounting for4.9%.The gender distribution of each syndrome type is statistically significant(P<0.05).The gender composition ratio of cold asthma and hot asthma is more male than female.The distribution of each syndrome type was statistically significant(P<0.05).Both febrile asthma and cold asthma were more common in children aged 0 to 1 year.The difference in the course of each syndrome was statistically significant(P<0.05),and the course of the disease was more common in 0-14 days,with cold asthma and febrile asthma.The various syndrome types had statistically significant differences in the symptoms of wheezing,coughing,nasal congestion,mucus color,sputum quality and stool quality(P<0.05).The top two physical signs in 224 children were pharyngeal red(73.7%)and wet rales(43.7%).The comparison of tongue quality,tongue coating and fingerprints,red pharyngeal and three concave signs among the various syndrome types P < 0.05,The difference was statistically significant.Comparing syndrome types with chest radiographs,202 cases(88.0%)had abnormal chest radiographs.There was no statistically significant difference in chest radiographs of TCM syndrome types(P>0.05).The CRP of each syndrome type is mainly ≤10mg/L,and the difference in CRP between each syndrome type is statistically significant(P<0.05).There was no statistically significant difference in white blood cell count,percentage of neutrophils,percentage of lymphocytes,absolute value of eosinophils,procalcitonin and Mycoplasma pneumoniae antibody positive rates among the various syndrome types.Conclusion(s):1.In this sample,wheezing bronchitis TCM syndrome is mostly febrile asthma.The number of male children is significantly more than that of females.The age of onset is mainly around 1 year old.The course of this disease is mostly within 2 weeks,in winter and spring.This disease is prone to season.TCM syndrome types are related to gender,disease course,and age of onset.2.The degree of wheezing,the degree of coughing,nasal congestion,mucus color,sputum quality,stool quality,three-concave sign,and pharynx color are the main points of TCM syndrome differentiation of asthmatic bronchitis.3.There is a certain correlation between the TCM syndromes of wheezing bronchitis and the infection index,and elevated CRP is more common in febrile asthma and external cold and internal heat syndromes.