儿童感觉统合失调程度与中医辨证分型的探讨.doc

儿童感觉统合失调程度与中医辨证分型的探讨 光明中医2008年3月第23卷第3期CJGMTCMMarch2008.Vo123.3?251? 【论着】 儿童感觉统合失调程度与中医辨证分型的探讨* 邓雪梅陈凤媚朱冬生彭淑梅胡华芸广州医学院附属广东省~-A-)L童医院(广州510010) 摘要:目的:探讨儿童感觉统合失调(SID)程度与中医辨证分型及相关原因的关系.方法:临床观察200例不同程度SID儿童的 临床症状,舌质,舌苔,脉象的变化,根据中医的辨证原则进行辨证分型,并调查SID可能发生的先天和后天两大原因.结果:SID轻 度失调以脾虚肝旺型为主,占48.20%,差异有非常显着性意义(Plt;0.01);中,重度失调皆以肝肾阴虚型为主,分别占48.00%和 70.00%,差异有显着性意义(Plt;0.05—0.01).SID轻度失调以后天抚育方式为主要发病原因,占71.82%,差异有非常显着性意义 (Plt;0.01);重度失调以先天孕育问题为主要原因,差异有显着性意义(Plt;0.05—0.01).结论:提示我们除了要加强优生优育,减 少SID的发生,减轻SID的程度,治疗上还可以运用中医药,从改善患者的体质入手,纠正脏腑阴阳失衡,为感觉统合失调儿童的治 疗开辟新途径. 关键词:感觉统合失调;中医辨证分型;儿童;中医诊断学 TraditionalChineseMedicalSyndromeDifferentiationTypingandtheDegreeof theChildrenwithSensoryIntegrationDysfunction DengXuemei,ChenFengmei,ZhuDongsheng,PengShumei,HuHuayun (GuangdongProvinceHospitalofWomanandChildrenAffiliatedHospitalofGuangzhouMedicalCollege,Guangzhou510010,China) Abstract:Objective:Tostudytherelationshipbetweenthede~eeofchildrenwithSensoryIntegrationDysfunction(SID)andtraditionalCl~inese medicalSyndromeDifferentiationtyping(SDT),andexploretheprimaryrea~nsofSID.Methods:Observingtheclinicalsymptom,coatingonthe tongue,pulseconditionof200childrenwithSID,andseparatetheChildreninto5typesaccordingtoSDT,andinvestigatethecongenitaloracquired possiblecause.Results:48.20percentofthechildrenwithlightdegreeSIDbelongtothetypeofspleendeficiencyandliverhyperfunctionsyndrome, thedifferenceisremarkable(Plt;0.01).Andthetypeofliverandkidneyyindeficiencysyndromerelatedcloselytothemiddleanddeepdegree SID.Theratesare48and70percent,andthedifferenceisremarkablealso(Plt;0.O5—0.01).eacquirededucationistheimportantreasonin thelightdegreeSID,andtherateis71.82percent.Thedifferenceisremarkable(Plt;0.01).Thecongenitalfactorismostimportanttothedeep degreeSID,andthedifferenceisremarkablealso(Plt;0.05—0.01).Conclusions:Weshouldnotonlystrengthenapplicationofeugenicsandimprove ontheeducationmethods,butalsotreatthechildrenwithSID.SIDandChineseherbalmedicinecanimprovethechildren’sconstitution,keepthe balancebetweenyinandyang,so