| 摘要: |
| 目的：观察寒冷季节症状加重的单症状性夜遗尿（MNE）的中医证型与尿比重特点，探寻其中西医病机。方法：将223 例我院门诊初诊的MNE患儿纳入观察，就诊当日以证候量表采集证候信息并留取随机尿，记录入组患儿的证型和尿比重。依照寒冷季节遗尿是否加重分为加重组（125 例）和非加重组（98 例），对2组证型及尿比重差异进行统计学分析。结果：2组的年龄、性别分布比较，差异无统计学意义（P>0.05），但男性的患病率更高。2组间脾肾两虚证、心肾不交证的分布比较，差异有统计学意义（P＜0.05)，加重组以脾肾两虚证为主要证型，非加重组以下元虚寒证为主要证型；寒冷季节加重组与非加重组尿比重比较，差异无统计学意义（P>0.05）。结论：寒冷季节加重的MNE以脾肾两虚证为主要证型，其病位在脾、肾二脏，阳虚为主要病机。各组间及证型间MNE患儿日间随机尿的尿比重比较，差异无统计学意义（P＞0.05），不能作为证型的量化指标。 |
| 关键词: 单症状性夜遗尿 儿童 寒冷季节 中医证型 尿比重 |
| DOI： |
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| Traditional Chinese medicine syndrome types and urine specific gravity of monosymptomatic nocturnal enuresis with aggravation in cold seasons |
| PENG Huiyi,LUO Xuan,HAO Xingyu |
| (The First Affiliated Hospital of Hunan University of Chinese Medicine，Changsha 410007，Hunan，China) |
| Abstract: |
| Objective：To investigate the traditional Chinese medicine (TCM) syndrome types and urine specific gravity of monosymptomatic nocturnal enuresis (MNE) with aggravation in cold seasons，as well as the pathogenesis of this disease in TCM and Western medicine.Methods：A total of 223 children with MNE who attended the outpatient service of our hospital for the first time were enrolled for observation.A syndrome scale was used to collect the information on TCM syndrome，and random urine samples were collected.TCM syndrome types and urine specific gravity were recorded for the children enrolled.According to the presence or absence of enuresis aggravation in cold seasons，the children were divided into aggravation group with 125 children and non-aggravation group with 98 children，and a statistical analysis was performed for the differences in TCM syndrome types and urine specific gravity between the two groups.Results：There were no significant differences in the distribution of age and sex between the two groups (P>0.05)，but there was a higher prevalence rate among boys.There were significant differences between the two groups in the distribution of deficiency of spleen and kidney and disharmony between heart and kidney (P＜0.05)；deficiency of spleen and kidney was the main syndrome type in the aggravation group，while deficiency-cold in kidney was the main syndrome type in the non-aggravation group.There was no significant difference in urine specific gravity between the aggravation group and the non-aggravation group (P>0.05).Conclusion：Deficiency of spleen and kidney is the main syndrome type of MNE with aggravation in cold seasons，with the disease location of the spleen and the kidney，and Yang deficiency is the main pathogenesis.There is no significant difference in urine specific gravity of random urine samples between groups and between children with different syndrome types，and thus urine specific gravity cannot be used as a quantitative index for TCM syndrome type. |
| Key words: monosymptomatic nocturnal enuresis Child cold seasons traditional chinese medicine syndrome type urine specific gravity |
