以祛湿热、调体质之法防治小儿反复呼吸道感染的临床研究

发布时间：2018-03-07 17:09

本文选题：生活方式　切入点：祛湿热　出处：《黑龙江中医药大学》2012年硕士论文　论文类型：学位论文

【摘要】：目的：大量流行病学调查和临床研究均表明,现代小儿不良生活方式与喂养方式——小儿湿热体质——小儿反复呼吸道感染(RRTI)各环节之间存在着因果关系。因此,我们开展以“祛湿热、调体质”法治疗RRTI的临床试验研究。藉此不但可以在理论上反证湿热体质与RRTI的相关性,引导人们从不良生活方式角度审视RRTI高发的问题；并可在临床上为开发符合临床实际的,经济有效的防治RRTI中药提供可靠的临床数据支持。方法：通过传统文献梳理与中医理论推导相结合的方式探讨小儿不良生活方式及喂养方式、中医湿热体质与RRTI的相关性；对40例湿热体质RRTI患儿进行“祛湿热、调体质”治疗,观察治疗前后患儿的体质量表得分,湿热体质相关症状,RRTI病情相关体征的变化情况,验证“祛湿热、调体质”法是否适应于对现代RRTI的治疗。结果：40例湿热质RRTI患儿经“祛湿热、调体质”治疗后,总有效率高达85%；湿热体质判定量表总得分和单项得分全部降低,说明患儿湿热状态解除；随访发现,治疗后一年内患儿再发呼吸道感染次数减少、病程缩短、且病位变浅,说明RRTI病情明显减轻；治疗后患儿舌苔脉象好转,面色明润,食欲增强,说明小儿一般生活状态改善。结论：1“祛湿热、调体质”法具有改善湿热质RRTI患儿体质偏颇倾向的作用； 2“祛湿热、调体质”法具有缓解湿热质RRTI患儿病情的作用； 3湿热质RRTI患儿经“祛湿热、调体质”法治疗后,呼吸道感染的年发病次数有所减少,每次发病时间有所缩短,发病时病情减轻。 4湿热质RRTI患儿经“祛湿热、调体质”法治疗后,面色,食欲,舌苔,脉象等一般体征较治疗前明显改善。
[Abstract]:Objective: a large number of epidemiological and clinical studies have shown that there is a causal relationship between the unhealthy life style of modern children and the feeding style-children's dampness and heat constitution-children with recurrent respiratory tract infection (RRTI). We carried out the clinical trial study of treating RRTI with the method of "dispelling dampness and heat and regulating physical constitution", which can not only prove the correlation between dampness and heat constitution and RRTI in theory, but also guide people to examine the problem of high incidence of RRTI from the point of view of bad life style. And it can provide reliable clinical data support for the development of Chinese medicine for the prevention and treatment of RRTI. Methods: through the combination of traditional literature combing and theoretical derivation of traditional Chinese medicine, the relationship between traditional Chinese medicine dampness and heat constitution and RRTI was discussed, and 40 cases of RRTI with damp-heat constitution were treated with "dispelling dampness and heat." Before and after treatment, the scores of physique scale and the changes of symptoms related to dampness and heat were observed to verify whether the method of "dispelling dampness and heat, regulating constitution" was suitable for the treatment of modern RRTI. Results after the treatment of "dispelling dampness and heat, regulating constitution", the total effective rate of 40 cases of RRTI with moisture and heat was up to 85, and the total score and single score of the judgement scale of damp and heat constitution were all decreased, which indicated that the damp and heat state of the children was relieved. Within one year after treatment, the frequency of recurrent respiratory tract infection was decreased, the course of disease was shortened, and the disease position was shallower, which indicated that the condition of RRTI was obviously alleviated, the tongue coating pulse was improved after treatment, the complexion was bright, and the appetite was enhanced, which indicated that the general living state of children was improved. Conclusion the method of "dispelling dampness and heat and regulating physical constitution" can improve the biased tendency of children with dampness and heat RRTI. (2) the method of "dispelling dampness and heat and regulating physical constitution" has the effect of relieving the condition of children with damp-heat RRTI; 3After the treatment of "dispelling dampness and heat, regulating physical constitution", the annual incidence of respiratory tract infection was decreased, the time of onset was shortened, and the condition of disease was alleviated. (4) the general signs such as facial color, appetite, tongue coating, pulse and so on were obviously improved after the treatment of "dispelling dampness and heat, regulating physical constitution" in children with damp-heat RRTI.
【学位授予单位】：黑龙江中医药大学
【学位级别】：硕士
【学位授予年份】：2012
【分类号】：R272

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