Study On TCM Syndromes Of Children Influenza In Xiamen Area

Objective: The association rules of data mining technology were used to analyze the rules of TCM Syndromes of children with influenza in Xiamen,and the TCM syndrome types of children with influenza in Xiamen were summarized by clustering method.By exploring the relationship between TCM symptoms among children with influenza,and analyzing the main syndrome elements,the relationship between syndrome factors was summarized.Finally,the core pathogenesis and syndrome distribution of children with influenza in Xiamen area were summarized.Methods: A cross-sectional study was conducted to select 408 children with influenza in Xiamen Hospital of traditional Chinese medicine from January 2019 to December 2019.The symptoms of the children were evaluated by the scale designed by experts,and the blood routine,CRP and other laboratory auxiliary examinations of the children were recorded.The relevant data were set up through Microsoft Excel,and the data were visualized through R language,SPSS 25 and data association rules analysis and clustering.Under the guidance of TCM theory,the TCM Syndromes of children in Xiamen were discussed..Result:1.General information:(1)Gender factors: among 408 children,233 were male,accounting for 57.1%;There were 175 female children,accounting for 42.9%,and the gender ratio was 1.33:1.After analysis,there was no significant difference in the distribution of TCM Syndrome Types and influenza types(P > 0.05).(2)Age factors: among 408 children,the youngest is 1 year old and the oldest is 14 years old.Children aged 4 to 8 have the most diseases,with an average age of 7.55 years.The age and incidence rate were not statistically significant(P > 0.05).The average age of onset of influenza A virus was 7.34 years old and that of influenza B virus was 8.206 years old.(3)Etiological characteristics: most of them are H1N1,311 children with H1N1,accounting for 76.2%,and 97 children with H1N1,accounting for 23.8%.(4)Fever: the average maximum temperature of children with influenza A is higher than that of children with influenza B,and the average fever time of children with influenza B is longer than that of children with influenza A.(5)Relationship between influenza virus type and clinical observation indexes: there was no significant difference between influenza virus type and heat peak and leukocyte count(all P > 0.05);There were significant differences between influenza type and pre-treatment heat course,percentage of neutrophils,percentage of lymphocytes and CRP(all P < 0.05).The fever course of children with influenza A is shorter than that of children with influenza B;The change of leukocyte count in stream a was higher than that in stream B;The percentage of neutrophils in stream a was higher than that in stream B;The percentage of lymphocytes in stream a was lower than that in stream B.2.Symptom characteristicsA total of 408 children with influenza were included this time.According to the frequency table,the symptoms in the top ten are: fever,red pharynx,fatigue,cough,poor appetite,red tongue,runny nose,thirst,cold aversion and stuffy nose.3.Distribution characteristics of syndrome typesAccording to the clustering of association rules in this study,the syndrome types of the collected cases were divided into three categories: wind heat with dampness syndrome(100cases),wind heat invading health syndrome(198 cases),external cold and internal heat syndrome(70 cases)and external evil invading the stomach syndrome(39 cases).4.Differences in the distribution of symptoms of influenza A and BAmong the symptoms of influenza A,thin yellow fur,floating number of pulse,yellow urine,clear runny nose,poor diet,light fatigue,high fever are closely related to red tongue,among which high fever is most closely related to red tongue;Red tongue,slippery pulse and thin yellow fur are closely related;Red tongue,thin yellow fur,closely related to pulse slip number;High fever,occasional cough and headache are closely related to light red pharynx.Among the symptoms of B-Flow,thin yellow fur,slight aversion to cold,slippery pulse,occasional headache,occasional sneezing,mild fatigue,poor diet,moderate fever,clear runny nose,light red pharynx,high fever,yellow urine,occasional cough and occasional nasal obstruction are closely related to red tongue.Conclusion:1.Laboratory inspection In the actual influenza detection work,the combination of children’s heat stroke,blood routine and CRP detection can have a certain guiding significance for influenza pathogen typing.2.Characteristics of influenza in children In this study,influenza A was the main type of influenza in children.The common clinical manifestations are fever,pharyngeal redness,fatigue,cough,anorexia,red tongue,runny nose,thirsty mouth,cold aversion,stuffy nose,etc.The fever is mainly moderate and high fever.3.Influenza syndrome According to the clustering of association rules in this study,the syndrome types of the collected cases were divided into three categories: wind heat with dampness syndrome(100 cases),wind heat invading health syndrome(198 cases),external cold and internal heat syndrome(70 cases)and external evil invading the stomach syndrome(39 cases)4.Flu symptoms In this study,the main symptoms of influenza A and hepatitis B were similar,but the related symptoms were different.All diseases of a and B stream are closely related to red tongue.The pathogenic characteristics of influenza A are heavy heat image and the evil is in lung Wei.The pathogenic feature of B-Flow is that the heat image is light,and the evil is in the throat.