特禀体质小儿慢性咳嗽发病特点及中医证型分布规律

发布时间：2018-04-09 08:20

本文选题：慢性咳嗽　切入点：辩证分型　出处：《辽宁中医药大学》2015年硕士论文

【摘要】：目的:通过整理王雪峰教授门诊570例慢性咳嗽患儿的病例,探讨中医特禀体质与小儿慢性咳嗽发病规律及中医证型分布的相关性,揭示特禀体质小儿慢性咳嗽的发病特点,为指导临床辨证及防治提供依据。方法:收集2013年12月到2014年12月王雪峰教授于门诊接诊的慢性咳嗽患儿570例,根据临床表现自拟小儿慢性咳嗽特禀体质观察表,通过对其一般资料、既往史、家族史、主要症状及体征等记载,观察其发病特点及其中医证型分布。结果:1、特禀体质慢性咳嗽患儿308例,男孩186例,女孩122例;非特禀体质慢性咳嗽患儿262例,男孩150例,女孩112例,两组性别比例比较P0.05,无意义。2、特禀体质慢性咳嗽患儿既往史中湿疹占有很大比例,达到74.68%,其次是肺炎(20.13%),荨麻疹(11.04%);家族史中以父母一方或双方患有过敏性鼻炎最多,其次分别为荨麻疹、湿疹、食物或药物过敏史和哮喘;在可检测到的过敏原中,以尘螨、粉螨过敏为主,另榆树、柳树、杨树,猪肉、牛肉、羊肉,矮豚草蒿,花粉等也占有较高比例。3、通过对特禀体质慢性咳嗽患儿与非特禀体质慢性咳嗽患儿在发病特点、诱发因素、咳嗽加重时间、其他症状和体征、舌象特点及中医证型分布进行比较,P0.05,有统计学意义。结论:1、患儿特禀体质禀承于父母,并且受后天环境因素刺激影响。2、特禀体质患儿发病有其独特的发病特点及中医证型分布。3、特禀体质患儿慢性咳嗽病情表现复杂,临床需结合各方面信息进行诊断与治疗。
[Abstract]:Objective: to analyze 570 cases of chronic cough in outpatient department of Professor Wang Xuefeng, and to explore the relationship between the characteristic constitution of traditional Chinese medicine (TCM) and the pathogenesis of chronic cough in children and the distribution of TCM syndromes, so as to reveal the characteristics of chronic cough in children with special physique.To guide clinical syndrome differentiation and prevention and treatment to provide the basis.Methods: 570 children with chronic cough received by Professor Wang Xuefeng from December 2013 to December 2014 were collected. According to their clinical manifestations, a special physical observation table for children with chronic cough was drawn up, and their general information, past history and family history were analyzed.The main symptoms and signs were recorded, the characteristics of the disease and the distribution of TCM syndromes were observed.Results there were 308 cases of chronic cough, 186 cases of boys, 122 cases of girls, 262 cases of children with chronic cough, 150 cases of boys and 112 cases of girls.The sex ratio of the two groups was higher than that of the control group (P 0.05, no significance. 2). In the history of chronic cough, eczema accounted for 74.68%, followed by pneumonia 20.1313 and urticaria 11.04%. In the family history, one or both parents had allergic rhinitis.The next were urticaria, eczema, food or drug allergy and asthma. Among the allergens detected were dust mite, acaroid mite, elm, willow, poplar, pork, beef, mutton, ragweed, artemisia artemisia.Pollen and so on also account for a high proportion. Through the special constitution chronic cough children and the non-special constitution chronic cough children in the attack characteristic, the inducing factor, the cough aggravation time, other symptoms and signs,The characteristics of tongue and the distribution of TCM syndromes were compared with P0.05, which had statistical significance.Conclusion: the specific physical properties of the children are inherited from their parents and influenced by acquired environmental factors. The children with special constitution have their unique characteristics of the disease and the distribution of TCM syndromes. The children with special physique have complicated chronic cough condition.Clinical diagnosis and treatment should be combined with all kinds of information.
【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】：2015
【分类号】：R272

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