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反复呼吸道感染患儿维生素A、D、K水平与中医证型相关性分析
赵良琛,牟春笋,夏瑞雪
0
(山东中医药大学,山东 济南,250014;山东中医药大学第二附属医院,山东 济南,250001;重庆市巴南区人民医院,重庆,401320)
摘要:
目的:分析反复呼吸道感染(RRTI)患儿维生素A、D、K水平特点,并探讨其与中医证型的相关性,为RRTI的防治提供新的思路。方法:选取228例3~7岁RRTI患儿为研究对象,收集其临床资料并进行中医辨证分型,并纳入74 例同年龄段的正常儿童作为对照组。比较2组儿童的维生素A、D、K水平;并采用Logistic回归分析探讨RRTI组儿童维生素A、D、K水平与中医证型的关系。结果:RRTI患儿的维生素A、D水平低于正常组儿童(P<0.01);维生素A水平与肺脾气虚型RRTI、维生素D水平与脾肾两虚型RRTI、维生素K水平与胃肠积热型RRTI的发病率呈负相关。结论:RRTI患儿的维生素A、D水平偏低;且维生素A、D、K水平与RRTI中的某些中医证型存在相关性。
关键词:  反复呼吸道感染  中医证型  维生素A、D、K  相关性
DOI:
Correlation of the levels of vitamins A,D,and K with TCM syndrome types in children with recurrent respiratory tract infection
ZHAO Liangchen,MU Chunsun,XIA Ruixue
(Shandong University of Traditional Chinese Medicine,Jinan 250014,Shandong,China;The Second Affiliated Hospital of Shandong University of Traditional Chinese Medicine,Jinan 250001,Shandong,China;People’s Hospital of Chongqing Banan District,Chongqing 401320,China)
Abstract:
Objective: To investigate the characteristics of the levels of vitamins A,D,and K in children with recurrent respiratory tract infection (RRTI) and their correlation with TCM syndrome types,and to provide new ideas for the prevention and treatment of RRTI.Methods: A total of 228 children with RRTI,aged 3-7 years,were enrolled as subjects,and their clinical data were collected for TCM syndrome differentiation;74 normal children of the same age group were enrolled as control group.The levels of vitamins A,D,and K were compared between the two groups,and the logistic regression analysis was used to investigate the association between the levels of vitamins A,D,and K and TCM syndrome types.Results: The RRTI group had significantly lower levels of vitamins A and D than the control group (P<0.01).Vitamin A level was negatively correlated with the incidence rate of RRTI with Qi deficiency of lung and spleen,vitamin D level was negatively correlated with the incidence rate of RRTI with deficiency of spleen and kidney,and vitamin K level was negatively correlated with the incidence rate of RRTI with accumulated heat in stomach and intestine.Conclusion: There are relatively low levels of vitamins A and D in children with RRTI,and the levels of vitamins A,D,and K are correlated with certain TCM syndrome types of RRTI.
Key words:  recurrent respiratory infection  TCM syndrome types  vitamins A,D,and K  correlation

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