12岁以下新加坡小儿体质调查

发布时间：2019-02-17 09:24

【摘要】：目的:1.研究新加坡小儿体质的分布情况,分析不同种族、不同宗教以及不同患病倾向小儿之间的体质差异,为中医中药介入调理及日常保育方案提供临床参考;2.调查过程中对部分愿意接受中医中药治疗及体质调理的小儿进行疾病转归和体质变化等比较,明确中医中药对小儿体质的改善情况。方法:运用临床证型分类法,一对一收集和整理361例来自16个不同国家和地区、隶属不同种族、不同宗教信仰且长期居住在不同地区的新加坡小儿的体质特征与临床资料,对其体质进行分型分类统计,所有收集的调查资料均输入excel表格,数据均采用SPSS 16.0统计软件进行处理,计量资料进行t检验或非参数检验。结果:361例接受调查的小儿中有男性196例(54.3%),女性165例(45.7%),年龄均在1周岁以上12周岁以下,分别来自16个不同国家及地区,均长期居住在新加坡各地的不同区域,有不同的宗教信仰,其中佛教35.2%,回教3.6%,伊斯兰教及基督教分别是1.9%、1.7%,其余为无宗教信仰小儿。接受调查的小儿中,曾经看过中医的有59例(16%),没有看过中医的有302例(84%)。易患疾病方面:123例(34%)感染过手足口病,142例(39%)小儿有皮肤湿疹或者过敏性疾病。患病倾向方面:肺系患病倾向的有282例(78.1%),脾系患病倾向的154例(42.7%),肾系患病倾向的3例(0.8%),体质类型包括肺禀不足质、脾禀不足质、肾禀不足质,分别是51.5%、44.3%、4.2%,其他的调查还有脏腑、气血阴阳偏虚的体质分布情况等等,相关性分析显示小儿患病倾向与体质之间存在一定的相关性。讨论:新加坡独特的湿热气候特点直接影响小儿体质,多种族、多宗教信仰存在通过饮食习惯及风俗文化等多方面影响小儿体质,导致新加坡小儿以热性体质、肺虚质及脾虚质为多见,手足口病及过敏性疾病多发。小儿偏颇体质影响小儿患病概率,与小儿的患病倾向等关系密切,有针对性地对小儿偏颇体质进行调理,辨质论治指导临床药物及饮食调理,通过改善偏颇体质起到未病先防,事半功半的疾病治疗作用。通过对部分有明显或倾向于临床病变且愿意接受中医中药干预的小儿给予中药介入治疗和调理,并观察其疾病的康复及体质的变化情况,进一步证实了中医中药对小儿体质调理的疗效,为"体质可调性"提供了临床参考依据。然而中医中药在新加坡的发展仍较缓慢,进一步为中医药在新加坡的发展开辟广阔道路,是我们新加坡从事中医工作者需要不断努力的方向和责任。
[Abstract]:Objective: 1. To study the distribution of children's physique in Singapore and analyze the difference of constitution among children of different race, religion and different tendency of disease, to provide the clinical reference for the intervention of TCM and the routine nursing program. 2. In the course of investigation, some children who are willing to be treated with traditional Chinese medicine (TCM) and their physique are compared with each other in order to clarify the improvement of TCM on children's physique. Methods: the physique and clinical data of 361 Singaporean children from 16 different countries and regions, belonging to different races, religious beliefs and living in different regions for a long time, were collected and sorted by clinical syndrome classification. All the collected investigation data were input into excel form, the data were processed by SPSS 16.0 statistical software, and the measured data were tested by t test or non-parameter test. Results: there were 196 males (54.3%) and 165 females (45.7%) in 361 children who were over 12 years of age. They were from 16 different countries and regions. They all live in different regions of Singapore for a long time and have different religious beliefs, among which Buddhism 35.22, Islam 3.6, Islam and Christianity 1.9 and 1.7 respectively, the rest are children without religious beliefs. Among the children surveyed, 59 (16%) had seen Chinese medicine and 302 (84%) had not. 123 cases (34%) were infected with hand, foot and mouth disease, 142 cases (39%) had skin eczema or allergic disease. There were 282 cases (78.1%) in the lung system, 154 (42.7%) in the spleen and 3 (0.8%) in the kidney. The deficiency of kidney was 51.5% and 44.3% and 4.2% respectively. Other investigations included viscera, physical distribution of deficiency of qi and blood yin and yang, and so on. Correlation analysis showed that there was a certain correlation between illness tendency and constitution in children. Discussion: Singapore's unique humid and hot climate has a direct impact on children's physique, multi-racial and multi-religious beliefs have many aspects of influence on children's physique through eating habits and customs and culture, which leads to the thermal constitution of Singaporean children. Lung deficiency and spleen deficiency were more common, hand, foot and mouth diseases and allergic diseases were more common. Children's physical bias affects the probability of infantile disease, and is closely related to the tendency of infantile illness. It can be used to regulate children's biased physique, to differentiate and treat quality, to guide clinical medicine and diet conditioning, and to prevent the disease before illness by improving the biased constitution. The effect of treating diseases is half the work. Some children who have obvious or tendency to clinical pathological changes and are willing to accept the intervention of traditional Chinese medicine are given interventional therapy and conditioning of traditional Chinese medicine, and the rehabilitation of their diseases and the changes of their physique are observed. Further confirmed the curative effect of traditional Chinese medicine on children's physique conditioning, and provided the clinical reference basis for "physique adjustable". However, the development of Chinese medicine in Singapore is still relatively slow. It is the direction and responsibility for us to continue to work hard for the development of Chinese medicine in Singapore.
【学位授予单位】：南京中医药大学
【学位级别】：博士
【学位授予年份】：2017
【分类号】：R72

【相似文献】