小儿多发性抽动症的证候及脉象研究

发布时间：2018-01-31 07:58

本文关键词： 小儿多发性抽动症证候特点脉象中医研究　出处：《山东中医药大学》2012年硕士论文　论文类型：学位论文

【摘要】：目的：在中医理论指导下，探讨多发性抽动症的证候与脉象特点。方法：对符合纳入标准的120例患儿，填写耶鲁综合抽动严重程度量表及中医证候调查表，采集相关资料建立数据库，采用频数聚类与证素分析，得出结论。结果：（1）抽动证候发生频率较高的依次为眨眼、挤眼（68.3%）、清嗓/咽中吭吭声（48.3%）、耸肩（27.5%）、发声（25.8%）。前十位高频非抽动中医证候中前五位为精神症状，，其中胆小（41.7%）、善惊（31.7％）、急躁易怒（31.7%）频次较高；后五位为躯体症状或体征：盗汗（15.8%）、纳差（15.0%）、咽红（12.5%）、腹痛（12.5%）、大便干（12.5%）。（2）多发性抽动症脉象频次较高的为细脉62次、弦脉52次、涩脉34次。（3）病位证素肝的频数最高，为32次（26.7%）；虚性病性证素阴虚52次（43.3%）、血虚27次（22.5%）；实性病性证素频次较多的为热29次（24.2%）、外风及湿各16次（13.3%）。结论：（1）多发性抽动症的抽动症状发生于多部位，且精神症状较突出。（2）多发性抽动症脉象多表现为脉位较沉，脉形较细，搏动有力但不流畅。以左手尺部为显。（3）多发性抽动症的证型及相宜辨证方法有待丰富和拓展。
[Abstract]:Objective: under the guidance of traditional Chinese medicine theory, to explore the syndrome and pulse characteristics of multiple tic syndrome. Methods: 120 children who met the inclusion criteria were filled out Yale comprehensive tic severity scale and TCM syndrome questionnaire. The data were collected to establish the database and the frequency clustering and syndromes analysis were used to get the conclusion. Results the higher frequency of twitching syndrome occurred in the order of blinking and squeezing 68.3). In the first ten high frequency non-twitching TCM syndromes, the first five were mental symptoms, among which 41.7 were timid). The frequency of good alarm is 31. 7 and irritable and irritable is 31. 7. The last five were somatic symptoms or signs: night sweating 15.8m, anorexia 15.0, pharynx 12.5m, abdominal pain 12.5. The frequency of pulse appearance of multiple tic syndrome was 62 times of veinlet, 52 times of chord vein and 34 times of astringent vein. 32 times. Deficiency of venereal disease syndrome of yin deficiency 52 times with 43.3%, blood deficiency of 27 times with 22. 5 points; The frequency of syndromes of sexual syndromes of venereal diseases were 29 times of heat and 24. 2 times of heat, 16 times of external wind and 16 times of dampness, and 13. 3%. Conclusion the tic symptoms of multiple tic disorder occurred in many parts. And the mental symptom is more prominent. 2) the pulse appearance of multiple tic syndrome is that the pulse position is more heavy and the pulse shape is smaller. Pulsatility but not fluency. With left ulnar as a demonstration. 3) the syndrome types and appropriate syndrome differentiation methods of multiple tic syndrome need to be enriched and expanded.
【学位授予单位】：山东中医药大学
【学位级别】：硕士
【学位授予年份】：2012
【分类号】：R749.94

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