嬰幼兒肺炎的辨證分型與血液檢驗值相關性之探討

The Relationship between Pattern and Clinical Laboratory Data of Children Pneumonia

本研究於民國入十年十月至十二月，以中國醫藥學院附設醫院兒科病房患者為研究對家。在患兒住院十二小時內，分析其中醫所屬證型，共51 例。男30 例，女21 例；以風溫閉肺型證最多，其次為風寒問肺型與肺熱陰傷型。研究方法是搜集患者剛住院時血液相檢查與血清化值，應用統計方法探討小兒肺炎「證型」與「槍驗值」之間的相關性。「風溫閉肺型」、「風寒閉肺型」、「肺熱陰傷型」三組比較中：風溫閉肺型的嗜中性白血球比值(P<0.001)、血清葡萄糖、血清氣等(P< 0.05)明績較其他二組高；風寒閉肺型的淋巴球比值較其他二組偏高(P<0.001)；而三組中紅血球、白血球、紅血球沉降遠率、鍋、針、鈣等無明顯差異(P>0.05)。本研究進一步分析「證型」與「體重的成長發育」、「年齡」等的關係，發現肺熱陰傷型的平均年齡最低(7.62月齡)，風寒型次之(9.93月齡)，風溫型最高(11.25月齡)；體重的成長發育百分位數(Percentile)情況以風溫型最佳，陰傷型最差。

This study ran from October 1991 to December 1991, during a pneumonia epidemic among children. The patients were admitted to Pediatric Department of China Medical College Hospital. We analyze the Chinese medical pattern (證) of all patients within 12 hours after admission to the hospital. Then we collected their CBC & DC, serum chemistry data, to study the relationship between the patterns and clinical data with statistic method. There were 51 cases (30 male cases and 21 female cases). The majority were diagnosed as wind warmth blocking the lung (風溫閉肺) pattern, the second group was diagnosed as wind-cold blocing the lung (風寒閉肺) pattern, and the third was diagnosed as lung heat with damage to yin (肺熱陰傷) pattern. After comparing the three groups, we discoverd that: Neutrophil, serum glucose, and serum chloride of wind warmth blocking the lung group was predominently higher than the others (P＜0.05); lymphocyte of wind-cold blocking the lung group was predominant (P＜0.05). Their RBC, WBC, ESR, Na, K, Ca etc. had non-specific difference among the three groups This study further analyze the relationship between pattern and body weight development percentile， and the relationship between the pattern and age; we discovered that (1) The youngest average age group was lung heat with damage to yin; and the oldest average age group was wind warmth blocking the lung. (2) The best body weight developing percentile group was wind warmth blocking the lung. The second was wind-cold blocking the lung group; and the worst was lung heat with damage to yin group.