小儿积滞的证型分布规律及相关因素研究

发布时间：2018-01-25 09:35

本文关键词： 小儿积滞证型分布规律相关因素　出处：《浙江中医药大学》2014年硕士论文　论文类型：学位论文

【摘要】：研究目的：研究小儿积滞病的证型分类及分布情况,探讨其发病的相关因素,为小儿积滞病的预防与治疗提供依据。研究方法：选择2012年10月—2013年8月就诊于浙江省中医院儿科门诊或住院部中符合积滞诊断标准的300例患儿及100例非积滞患儿,采用自行设计调查问卷的形式,分别记录姓名、性别、年龄、相关因素、发病症状等。采用频数、χ2、秩和检验、聚类分析和Logistic回归分析等统计学方法对所采集的资料进行分析,从而总结出小儿积滞病的中医证型分类、分布情况及其发病的相关因素。研究结果：1.小儿积滞主要发病年龄段在3～6岁,各年龄段中性别分布无差异(P0.05)；2.积滞患儿男女比例为1.5：1；3小儿积滞的证型分类及分布情况：单纯的积滞型88例(29.3%)、积滞化热型99例(33.0%)、积滞伤脾型108例(36.0%)；4.小儿积滞发病的相关因素：与该发病有密切关系是强迫喂养平时易感喜零食；研究结论：小儿积滞病的中医证型分为积滞型、积滞化热型、积滞伤脾型。其中积滞伤脾型在临床较多见。小儿积滞发病相关因素主要为强迫喂养、平时易感、喜零食,其中强迫喂养因素最为多见。
[Abstract]:Objective: to study the classification and distribution of syndrome types in children with syndrome stagnation, and to explore the related factors to provide evidence for the prevention and treatment of children with syndrome stagnation. Methods: from October 2012 to August 2013, 300 cases of children who met the criteria of diagnosis of accumulative lag and 100 cases of non-accumulative hysteresis were selected from pediatric outpatient or inpatient department of Zhejiang traditional Chinese Medicine Hospital. A self-designed questionnaire was used to record names, sex, age, related factors, symptoms and so on. Frequency, 蠂 2, rank sum test were used. The data collected were analyzed by cluster analysis and Logistic regression analysis, and the classification, distribution and related factors of TCM syndromes were summarized. Results: 1. The main age of onset of childhood stagnation was 3 to 6 years old, and there was no difference in gender distribution among different age groups (P0.05). 2.The ratio of male to female was 1.5: 1; (3) the classification and distribution of syndrome types of accumulation and stagnation in children: 88 cases of simple type of accumulation and stagnation, 99 cases of type of heat accumulation, 99 cases of type of heat accumulation and 33. 0% of syndrome, 108 cases of type of spleen stagnation and 36. 0%. 4. The related factors of infantile accumulation: there is a close relationship between the disease and the disease: forced feeding is easy to enjoy snacks at ordinary times; Conclusion: the TCM syndromes of children with accumulation stagnation can be divided into accumulation stagnation type, accumulation stagnation heat type and accumulation stagnation injury type. Among them, accumulation and stagnation of spleen type is more common in clinic. Compulsive feeding is the main factor related to the pathogenesis of children's stagnation. Usually easy to feel, like snacks, among them, forced feeding factors are most common.
【学位授予单位】：浙江中医药大学
【学位级别】：硕士
【学位授予年份】：2014
【分类号】：R272

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