摘要

【摘要】
目的 探讨反复呼吸道感染（recurrent respiratory tract infections，RRTI）患儿的体质类型与心理因素的相关性。

方法 选取2023年3月至 2025年3月就诊的106例RRTI患儿作为研究对象，评估体质类型、心理状态，分析患儿体质类型与心理因素的相关性。

结果 106例患儿中脱落8例，最终完成研究98例，脱落率7.55%；98例RRTI患儿中，体质以气虚质（30.61%）、阴虚质（20.41%）为主，平和质占比最低（2.04%）。心理评估显示，36.73%患儿焦虑阳性，29.59%抑郁阳性，38.78%存在情绪波动；不同体质心理评分差异显著（P<0.05），气虚质分离焦虑、情绪波动发生率最高，气郁质情绪低落发生率最高；相关性分析显示，气虚质与分离焦虑等正相关，气郁质与情绪低落等正相关，湿热质与睡眠质量差等正相关（P均< 0.05）。

结论 RRTI患儿体质以气郁质、气虚质、阴虚质、湿热质为主，与广泛性焦虑、湿热质与躯体化/惊恐心理密切相关。

关键词：体质类型；反复呼吸道感染；心理因素；气虚质

ABSTRACT

[Abstract]
Objective: Exploring the correlation between physical type and psychological factors in children with recurrent respiratory tract infections (RRTI).

Methods: Selecting 106 children with RRTI who received medical treatment from March 2023 to March 2025 as the research subjects, evaluating their physical type and psychological status, and analyzing the correlation between their physical type and psychological factors.

Results：Out of 106 pediatric patients, 8 cases fell out, and the final study was completed with 98 cases, resulting in a dropout rate of 7.55%; Among the 98 children with RRTI, the constitution was mainly characterized by qi deficiency (30.61%) and yin deficiency (20.41%), with the lowest proportion of calm constitution (2.04%). Psychological assessment showed that 36.73% of the children were positive for anxiety, 29.59% were positive for depression, and 38.78% had emotional fluctuations; There were significant differences in psychological scores among different physical constitutions (P<0.05), with the highest incidence of anxiety and emotional fluctuations due to the separation of qi deficiency and qi stagnation, and the highest incidence of low mood due to qi depression; Correlation analysis shows that Qi deficiency is positively correlated with separation anxiety, Qi depression is positively correlated with low mood, and damp heat is positively correlated with poor sleep quality (all P<0.05).

Conclusion  : The constitution of children with RRTI is mainly characterized by qi stagnation, qi deficiency, yin deficiency, and damp heat, which are closely related to generalized anxiety, damp heat, and somatization/panic psychology.

Key words: Physical fitness type; Recurrent respiratory infections; psychological factor; Qi deficiency quality