儿童肺炎中医证型与其发病相关因素分析研究

发布时间：2018-03-17 00:31

本文选题：儿童肺炎　切入点：中医证型　出处：《辽宁中医药大学》2012年硕士论文　论文类型：学位论文

【摘要】：目的：通过对我国东部地区6家中医院儿童肺炎中医证型及相关因素的整理，探讨儿童肺炎中医证型与患儿年龄、性别、地域、病原及主要初始症状等因素的相关性，为儿童肺炎中医特色辨证施治提供依据，为儿童肺炎中医证型客观化研究提供科学依据。方法：通过对地区、季度和医院比例分层抽样方法，将符合中西医儿童肺炎诊断标准及病例纳入标准的598例肺炎患儿的临床资料进行搜集整理，填写儿童肺炎回顾性研究病例报告表，，并采用Epidate软件进行电子录入。全部数据录入结束，将数据导出整理制表，进行数据统计及后期数据分析。结果： 1.儿童肺炎回顾性研究病例数据经统计结果显示：598例肺炎患儿的年龄区间集中低龄患儿，尤以1-3岁的患儿居多。 2.2.598例中医辨证中，由风寒闭肺证、风热闭肺证、痰热闭肺证、痰湿闭肺证、寒热错杂证、肺脾气虚证、脾虚痰蕴证这七个证型构成，其中以风热闭肺证（47.49%）、痰热闭肺证（49.33%）为主。 3.肺炎发病时，风热闭肺证主要初始症状发生情况依次（多-少）：咳嗽、肺部Up音、发热、有痰咯不出、白痰；痰热闭肺证主要初始症状发生情况（多-少）：咳嗽、肺部Up音、发热、有痰咯不出、气促。风热闭肺证与痰热比肺证在热、咳、痰、喘及肺部Up音等初始症状发生情况上，差异不大，说明肺炎风热闭肺证、痰热闭肺证在疾病的诊断上没有差异。 4.各证型肺炎患儿年龄的分布仍多见于1~3岁这一年龄段，且有统计学意义。各证型肺炎患儿在男女性别比例及地域的分布上是没有差异的。而在病原分布上，虽然除脾肺气虚证外，各证型的细菌感染所占比例是较大的，但痰热闭肺证和肺脾气虚证中，支原体感染还是首要感染因素。结论：儿童肺炎多发于低龄患儿，尤以1-3岁多见。儿童肺炎的中医证型临床以风热闭肺证、痰热闭肺证为主。儿童肺炎的中证型分布规律与肺炎患儿性别因素、地域环境影响是没有相关性的；但在年龄分布、病原方面还有一定相关性的。
[Abstract]:Objective:. By sorting out TCM syndrome types and related factors of children pneumonia in 6 Chinese medicine hospitals in eastern China, the correlation between TCM syndrome types and age, sex, region, pathogen and main initial symptoms of children with pneumonia was discussed. To provide the basis for TCM syndrome differentiation and treatment of children pneumonia, and to provide scientific basis for the objective study of TCM syndromes of children pneumonia. Methods:. By stratified sampling method of district, quarterly and hospital proportions, the clinical data of 598 children with pneumonia, who met the diagnostic criteria of pneumonia in children with traditional Chinese and western medicine and who were included in the standard, were collected and sorted. To fill out the report form of retrospective study of pneumonia in children, and use Epidate software to enter the data electronically. After all the data were entered, the data were exported and tabulated, and the data statistics and later data analysis were carried out. Results:. 1. The statistical results of retrospective study on pneumonia in children showed that the age range of 598 children with pneumonia was concentrated in the low age group, especially those aged 1-3 years. 2.2.598 cases of TCM syndrome differentiation were composed of seven syndromes: wind-cold syndrome, wind-heat syndrome, phlegm-heat syndrome, phlegm-dampness syndrome, phlegm-dampness syndrome, heat syndrome, syndrome of deficiency of lung and spleen qi, syndrome of deficiency of spleen and phlegm accumulation, of which the main syndromes were wind and heat blocking lung syndrome (47.49) and phlegm heat closing lung syndrome (49.3333). 3. At the time of pneumonia onset, the main initial symptoms of wind-heat blocking lung syndrome occurred in order: cough, lung up sound, fever, phlegm, white phlegm, the occurrence of main initial symptoms of phlegm heat blocking lung syndrome (more or less: cough, lung up sound, Fever, phlegm, shortness of breath. Wind heat blocking lung syndrome and phlegm heat ratio lung syndrome in heat, cough, phlegm, asthma, lung up sound and other initial symptoms, the difference is not significant, indicating that pneumonia wind-heat closed lung syndrome, There is no difference in the diagnosis of phlegm heat blocking lung syndrome. 4. The age distribution of children with syndrome type pneumonia is still more common in the age group of 1 to 3 years old, and there is statistical significance. There is no difference in the sex ratio between male and female and the distribution of region in each syndrome type pneumonia, but in the distribution of pathogen, there is no difference in the distribution of male and female in each syndrome type pneumonia. Although the proportion of bacterial infection of each syndrome type is large except spleen and lung qi deficiency syndrome, mycoplasma infection is the primary infection factor in phlegm heat blocking lung syndrome and lung temper deficiency syndrome. Conclusion:. Children's pneumonia is more common in young children, especially in 1-3 years old. The TCM syndromes of children's pneumonia are wind heat blocking lung syndrome, phlegm heat blocking lung syndrome. There is no correlation between geographical environmental impact and age distribution, but there is a certain correlation in age distribution and pathogen.
【学位授予单位】：辽宁中医药大学
【学位级别】：硕士
【学位授予年份】：2012
【分类号】：R272

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