儿童腺样体肥大内镜下局部特征与中医证型关联性OA

Objective To explore the correlation between local features and Chinese medicine(CM)syndrome differentiation in pediatric adenoid hypertrophy via flexible nasopharyngoscopy.Methods A total of 299 children with adenoid hypertrophy who visited the Otolaryngology Outpatient Department of Xiyuan Hospital,China Academy of Chinese Medical Sciences,were enrolled in this study.And patients were classified into five types based on CM syndrome differentiation:wind-heat invasion type(124 cases),intermingled phlegm and blood stasis type(52 cases),Pi deficiency and phlegm obstruction type(43 cases),Fei-Pi qi deficiency type(70 cases),and Fei-Shen yin deficiency type(10 cases).The local morphological structure of adenoids was observed by flexible nasopharyngoscopy,while the association between dissimilar syndrome types and local adenoid characteristics was analyzed statistically.Results There were statistically significant differences in adenoid size,color,and the property of surface secretions among different CM syndrome types(P＜0.01),and exhibited a certain degree of correlation(rsize=0.233,rnature of surface secretions=0.357,rcolor=0.451).In the wind-heat invasion type,the adenoids were mostly congested in color,with visible yellow purulent secretions on the surface.For the Fei-Pi qi deficiency type,the adenoids were usually pale red with observable congested spots.In the Pi deficiency and phlegm obstruction type,white viscous secretions were commonly found on the adenoid surface.For the Fei-Shen yin deficiency type,the adenoids were mostly Grade Ⅳ in size,significantly congested in color,and often accompanied by yellow purulent secretions.The intermingled phlegm and blood stasis type was also characterized by Grade Ⅳ adenoid size.Conclusion The local characteristics(including size,color,and surface secretions of the adenoids)show a certain correlation with the CM syndrome patterns,which can serve as an adjunct reference for clinical CM syndrome differentiation.