中医体质类型与小儿热性惊厥复发的相关性研究

目的 研究中医体质类型与小儿热性惊厥（FC）复发的相关性，进而从中医体质角度为热性惊厥复发的防治提供依据。方法 采用1：2病例对照研究设计，病例组32例，对照组64例，填写小儿中医体质类型调查表，分析体质因素在两组中的差异，再进行多因素条件Logistic回归分析。结果 病例组平和质、阳盛质、性别因素较对照组分布差异有统计学意义（P<0.05）；平和质、阳盛质在不同惊厥类型FC复发患儿中分布差异无统计学意义（P>0.05）；多因素条件Logistic回归分析显示平和质、性别与FC复发无关（P>0.05），阳盛质与FC复发相关（P<0.05），OR为4.256，95% CI为3.262~44.787。结论 阳盛质是热性惊厥复发的危险因素。

Correlation Study of TCM Constitution and Recurrent Febrile Convulsions

Objective To study the correlation between the type of traditional Chinese medicine and the recurrence of febrile convulsion in children, and to provide a basis for the prevention and treatment of recurrent febrile convulsion from the perspective of TCM constitution.Methods A case-control study was designed in 1:2, 32 cases in the case group and 64 cases in the control group. The questionnaire of physical constitution types of children were filled out, and the differences of physical factors in the two groups were analyzed. Then the Logistic regression analysis of multiple factors was performed.Results The gentleness constitution, Yang excess constitution and gender factors in case group were statistically significant, compared with the control group (P<0.05). The distribution of gentleness constitution and Yang excess constitution in different types of seizure recurrence in children with FC was not statistically significant (P>0.05). Multivariate logistic regression analysis showed that gentleness constitution and gender had no correlation with FC recurrence (P>0.05), and Yang excess constitution was correlated with FC recurrence (P<0.05), OR 4.256, 95% CI 3.262-44.787.Conclusion Yang excess is a risk factor for the recurrence of febrile convulsion.