复感儿中医体质分型及中医药干预方案研究

发布时间：2018-04-21 07:54

本文选题：反复呼吸道感染 + 体质类型　；参考：《南京中医药大学》2012年硕士论文

【摘要】：研究目的：1.通过临床调查复感儿的日常特征,并进行体质分型,了解其体质分布情况,用来指导儿科的临床工作；2.观察部分接受中医药或日常保育方案干预治疗的复感儿治疗前后体质变化情况,明确中医药或保育方案对小儿体质的改善作用。研究方法：运用临床调查方式对147例反复呼吸道感染患儿进行体质分型,所有数据均采用SPSS16.0统计软件进行处理,计量资料进行t检验,计数资料进行秩和检验。研究结果：147例复感儿中,男性87例(59.18%),女性60例(40.82%),男：女为1.45：1。患儿多在2岁以后容易发病,6岁以后逐渐减少,首次发病年龄多在3岁以内；发病季节以冬季为主,且冬春季出生的孩子容易发病；过敏反应与呼吸道感染之间存在一定关系,以过敏性鼻炎为主；患儿多有挑食、偏食、厌食等不良的饮食习惯。体质分型以肺禀不足偏气虚质、偏阴虚质、气阴两虚质,脾禀不足偏气虚质,肺脾不足偏气虚质、偏阴虚质、气阴两虚质为主,其中肺脾不足偏气虚质者最多,其中有27例患儿夹有痰湿,22例央有痰热。通过对部分接受中医药干预患儿治疗前后体质特征的调查,患儿的体质类型未见明显改变,但部分体质特征得到改善,证实了体质的可调性,中医药可改善体质表征,为防治反复呼吸道感染寻找新思路,新方法。结论：小儿体质特点具遗传性和多样性,可通过临床调查予以分型,同时体质具有可调性,可通过日常保育及中医药干预而改善。
[Abstract]:Objective: 1. In order to guide the clinical work of pediatrics, we investigated the daily characteristics of children with resuscitation, and classified their physique to understand the distribution of their physique. To observe the changes of physique before and after the intervention of traditional Chinese medicine (TCM) or routine nursing program, and to clarify the effect of TCM or nursing program on the improvement of children's physique. Methods: the physique classification of 147 children with recurrent respiratory tract infection was carried out by clinical investigation. All the data were processed by SPSS16.0 statistical software, the data were measured by t test, and the count data were tested by rank sum test. Results of the 147 cases of resuscitation, 87 were male (59.18) and 60 were female (40.822), 1.45: 1 (male: female). Most of the children were prone to the disease after 2 years of age and gradually decreased after the age of 6, and the first onset age was more than 3 years old; the season of onset was mainly in winter, and the children born in winter and spring were prone to the disease. There was a certain relationship between allergic reaction and respiratory tract infection. Allergic rhinitis mainly; children with picky food, partial eating, anorexia and other unhealthy eating habits. The main types of constitution are deficiency of qi, deficiency of yin, deficiency of qi and yin, deficiency of qi and deficiency of spleen, deficiency of qi and deficiency of lung and spleen, deficiency of qi and deficiency of yin and deficiency of qi and yin, among which the deficiency of lung and spleen is the most. Among them, 27 cases had phlegm dampness and 22 cases had phlegm heat. Through the investigation of the physical characteristics of some children who received Chinese medicine intervention before and after treatment, it was found that the physical types of the children did not change obviously, but some of the physique characteristics were improved, which proved that the physique could be adjusted and Chinese medicine could improve the physique representation. To find new ideas and methods for prevention and treatment of recurrent respiratory tract infection. Conclusion: the physical characteristics of children are hereditary and diverse, which can be classified by clinical investigation, and can be improved by daily care and traditional Chinese medicine intervention.
【学位授予单位】：南京中医药大学
【学位级别】：硕士
【学位授予年份】：2012
【分类号】：R272

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