120例小儿咳嗽变异性哮喘的中医证型分析

发布时间：2018-04-27 18:42

本文选题：小儿咳嗽变异性哮喘 + 中医证型　；参考：《中国中医科学院》2012年硕士论文

【摘要】：咳嗽变异性哮喘(Cough Variant Asthma, CVA)又称隐匿型哮喘或咳嗽性哮喘,是哮喘的一种特殊类型,也可认为是典型哮喘的前驱表现。咳嗽变异性哮喘是儿科的常见病,其临床特点为无喘息或呼吸困难症状的持续性、反复性、顽固性的咳嗽。目前,西医对咳嗽变异性哮喘的治疗以肾上腺皮质激素、白三烯受体拮抗剂和β-受体激动剂为主,但存在长期应用有一定副作用且停药后易复发等缺点。中医药在增强咳嗽变异性哮喘患儿体质及免疫力、改善患儿症状及相关预后方面都有其独特的优势。近年来关于小儿咳嗽变异性哮喘辨证分型的文章日益增多,但国家行业标准如《中医病症诊断疗效标准》、《中医临床诊疗术语》均术发布其中医证型标准,即该病目前尚缺乏统一的中医证型及分型方法。故本课题研究试对小儿咳嗽变异性哮喘的临床辨证分型进行科学系统的研究。目的：研究小儿咳嗽变异性哮喘的中医证型分布规律。方法：从2011年4月—2012年4月中国中医科学院西苑医院儿科门诊纳入符合西医诊断小儿咳嗽变异性哮喘患儿共120例。采集纳入患儿的症状、体征、舌苔、脉象等信息。采用SPSS18.0统计软件包对数据进行频数分析。结果：120例患儿中,阴虚痰湿未尽证73例,占60.83%；气阴两虚证33例,占27.50%；痰热闭肺证5例,占4.17%；肺脾蕴热证5例,占4.17%；痰湿蕴肺证4例,占3.33%。结论： 1对120例咳嗽变异性哮喘患儿调查结果的一般资料显示3-6岁学龄前儿童患病率较高。 2对120例咳嗽变异性哮喘患儿进行中医辨证分型,其中以阴虚痰湿未尽证73例(60.83%)、气阴两虚证33例(27.50%)居多。 3对120例咳嗽变异性哮喘患儿进行统计分析发现：有个人过敏史以及家族过敏史者是易患咳嗽变异性哮喘的危险因素,运动、冷空气刺激以及感冒是诱发咳嗽发作及加重的危险因素。
[Abstract]:Cough variant asthma (CVA) is also called occult asthma or cough asthma. It is a special type of asthma and can also be considered as the precursor of typical asthma. Cough variant asthma is a common disease in pediatrics. It is characterized by persistent, recurrent and persistent cough without wheezing or dyspnea. At present, the main treatment of cough variant asthma in western medicine is adrenocortical hormone, leukotriene receptor antagonist and 尾-receptor agonist. Chinese medicine has its unique advantages in enhancing the health and immunity of children with cough variant asthma and improving their symptoms and related prognosis. In recent years, there are more and more articles on syndrome differentiation and classification of cough variant asthma in children. However, the national trade standards, such as "criteria for the diagnosis of TCM symptoms" and "terms of Clinical diagnosis and treatment of TCM", have issued their TCM syndromes. That is, the disease is still lack of unified TCM syndrome type and classification method. Therefore, the clinical syndrome differentiation of cough variant asthma in children was systematically studied. Objective: to study the distribution of TCM syndromes of cough variant asthma in children. Methods: from April 2011 to April 2012, 120 children with cough variant asthma were included in the pediatric outpatient clinic of Xiyuan Hospital, Chinese Academy of traditional Chinese Medicine. Collect information of symptoms, signs, tongue coating, pulse and so on. The frequency of data was analyzed by SPSS18.0 software package. Results among 120 cases, 73 cases (60.833c) were without phlegm dampness due to yin deficiency, 33 cases (27.50%) were Qi and Yin deficiency syndrome, 5 cases (4.17) were phlegm heat blocking lung syndrome, 5 cases were lung heat accumulation syndrome (4.17), 4 cases were phlegm dampness accumulation lung syndrome (3.33%). Conclusion: 1 the general data of 120 children with cough variant asthma showed that the prevalence rate of 3-6 years old preschool children was higher. 2 the syndrome differentiation of 120 children with cough variant asthma was carried out, among which 73 cases with deficiency of yin and phlegm and dampness were 60.83G, 33 cases with deficiency of qi and yin were 27. 50%). (3) A statistical analysis of 120 children with cough variant asthma was carried out. The results showed that individual allergic history and family allergic history were the risk factors of cough variant asthma. Cold air irritation and colds are risk factors for cough attack and aggravation.
【学位授予单位】：中国中医科学院
【学位级别】：硕士
【学位授予年份】：2012
【分类号】：R272

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