体质辨识与儿童过敏性疾病相关性研究

发布时间：2018-03-21 18:51

  本文选题：儿童　切入点：体质　出处：《广州中医药大学》2017年硕士论文　论文类型：学位论文

【摘要】：目的:通过对过敏性疾病患儿进行体质辨识,探讨儿童过敏性疾病体质分布特点以及相关影响因素,为治疗儿童过敏性疾病的科研及临床诊治工作提供思路及参考,并为运用中医体质早期预防儿童过敏性疾病的提供理论基础。方法:采用横断面调查研究方法,于2016年5月-2017年2月对广州中医药大学第二附属医院(广东省中医院)门诊就诊的过敏性疾病小儿进行体质问卷调查,建立数据库,采用SPSS17.0统计包创建数据库及数据分析,计量资料用均数土标准差表示,计数资料计算构成比及率,组间比较采用卡方检验或精确概率法。结果:1.本研究共调查过敏性疾病患儿140人,其中鼻炎49例(35.0%),湿疹41例(29.3%),哮喘32例(22.9%),同患过敏性鼻炎和湿疹者11例(7.9%),同患过敏性鼻炎和支气管哮喘者5例(3.6%),同患湿疹和支气管哮喘者2例(1.4%)。2.中医体质类型分布情况:平和质10例(7.1%),偏颇体质130例(92.9%)。偏颇体质中,按频数高低,依次是气虚质(39例)、痰湿质(31例)、湿热质(20例)、阳虚质(19例)、阴虚质(17例)、气郁质(4例)。3.中医体质类型在过敏性鼻炎、湿疹、支气管哮喘中的分布差异具有统计学意义(P0.05)。过敏性鼻炎中气虚质19例(29.2%),阴虚质占15例(23.1%);湿疹中痰湿质16例(29.6%),湿热质15例(27.8%);支气管哮喘中气虚质占14例(35.9%),痰湿质 11 例(28.2%)。4.中医体质类型在性别、过敏性家族史、饮食习惯、性格特点的分布差异具有统计学意义(P0.05),在各年龄段中分布差异无统计学意义。男性患儿气虚质29例(34.5%),女性患儿痰湿质19例(33.9%)。有过敏性家族史者气虚质(26.2%)、阳虚质(21.4)多见,无过敏性家族史者气虚质(28.6)、痰湿质(25.5)多见。痰湿质的患儿性格内向安静比例相对较高;湿热质、阴虚质患儿性格开朗好动者比例相对高;素食清淡者气虚质较多见,饮食肥甘厚腻者痰湿质较多见。结论:1.过敏性疾病患儿具有明显体质倾向性,体质分型以偏颇质为主,主要体质类型为气虚质、痰湿质、湿热质、阳虚质、阴虚质。2.不同的过敏性疾病具有不同体质倾向。过敏性鼻炎患儿气虚质、阴虚质较多见;湿疹患儿痰湿质、湿热质较多见;支气管哮喘患儿气虚质、痰湿质较多见。3.过敏性疾病患儿中医体质类型在性别、年龄、过敏性家族史、饮食习惯、性格特点的分布存在差异,说明体质一方面受先天因素的影响具有相对稳定性,同时受后天因素的影响具有可调性。4.中医体质学在儿童过敏性疾病中的应用:一方面为未病先防,纠正偏颇体质,减少过敏性疾病的发生;一方面既病防变,将辨病与辨体相结合,先安未受邪之地,谨守"脾虚为本"这一核心病机,以运脾为要,不妄用苦寒、攻伐之品也。
[Abstract]:Objective: to identify the physical constitution of children with allergic diseases, to explore the distribution characteristics of children's allergic diseases and the related influencing factors, to provide ideas and references for the scientific research, clinical diagnosis and treatment of allergic diseases in children. And to provide a theoretical basis for the early prevention of allergic diseases in children by using traditional Chinese medicine constitution. Methods: a cross-sectional investigation method was used to study the effect of TCM constitution on the prevention of allergic diseases in children. From May 2016 to February 2017, a questionnaire survey was conducted on the children with allergic diseases in the outpatient clinic of the second affiliated Hospital of Guangzhou University of traditional Chinese Medicine (Guangdong traditional Chinese Medicine Hospital). The database was established, and the database and data analysis were established by using the SPSS17.0 statistical package. The measurement data were expressed by the standard deviation of mean soil, the constitution ratio and rate were calculated by counting data, and the chi-square test or accurate probability method were used to compare the data among groups. Results: 1.The study investigated 140 children with allergic diseases. There were 49 cases of rhinitis, 41 cases of eczema, 32 cases of asthma, 11 cases of allergic rhinitis and eczema, 5 cases of allergic rhinitis and bronchial asthma, 2 cases of eczema and bronchial asthma, 2 cases of eczema and bronchial asthma. Situation: 10 cases of calmness and quality, 7.1 cases, 130 cases of biased constitution, 92.9%, partial constitution, According to the frequency, 39 cases of Qi deficiency, 31 cases of phlegm and dampness, 20 cases of dampness and heat, 19 cases of Yang deficiency, 17 cases of Yin deficiency, 4 cases of Qi stagnation, 3. The physical types of traditional Chinese medicine in allergic rhinitis, eczema. The distribution difference in bronchial asthma was statistically significant (P 0.05). In allergic rhinitis, there were 19 cases of qi deficiency and 29. 22D, 15 of which were yin deficiency. 16 cases of eczema included phlegm dampness and dampness, and 15 cases of dampness and heat were 27. 8%. In bronchial asthma, qi deficiency accounted for 35. 9%, phlegm dampness was found in 14 cases, and phlegm dampness was found in 14 cases. 11 cases 28. 2 / 4. The type of constitution of traditional Chinese medicine is in sex, A family history of allergies, eating habits, The distribution of personality traits was statistically significant (P 0.05). There was no significant difference in distribution among different age groups. There were 29 cases of qi deficiency in male children, 19 cases of phlegm wet substance in female children and 33. 9% of them. In those with allergic family history, there were 26. 2% of qi deficiency and 21. 4 cases of yang deficiency. The proportion of introverted and quiet children with phlegm dampness was relatively high; the proportion of cheerful and active children with dampness and heat was higher than that of children with yin deficiency; the proportion of children with light vegetarianism was more than that with deficiency of qi. Conclusion 1. Children with allergic diseases have obvious tendency of physique, the main types of constitution are biased, the main types of constitution are deficiency of qi, phlegm and dampness, dampness and heat, Yang deficiency, and so on, the main types of constitution are deficiency of qi, phlegm and dampness, and deficiency of yang, and the main types are deficiency of qi, phlegm and dampness. Different allergic diseases have different constitution tendency. Qi deficiency and yin deficiency are more common in allergic rhinitis children; phlegm and heat are more common in eczema children; asthenia in bronchial asthma children. Phlegm and dampness are more common in children with allergic diseases. There are differences in the distribution of TCM constitution types in gender, age, allergic family history, dietary habits and personality characteristics, indicating that physique is relatively stable under the influence of congenital factors on the one hand. At the same time, influenced by acquired factors, TCM physique can be adjusted. 4. The application of TCM physique in children's allergic diseases: on the one hand, it is to prevent the disease first, to correct the biased constitution, to reduce the occurrence of allergic diseases; on the other hand, to prevent the disease from changing. Will distinguish the disease and the differentiation body to combine, the first peace has not received evil land, defends "spleen deficiency as this" this core pathogenesis, to transport the spleen is important, does not use the bitter cold, attacks the felling goods also.
【学位授予单位】：广州中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R272
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本文编号：1645109