150例济南地区小儿流感病毒A型肺炎临床特点与中医证型相关性研究

发布时间：2018-05-08 13:18

本文选题：流感病毒A + 儿童　；参考：《山东中医药大学》2017年硕士论文

【摘要】：目的:分析小儿流感病毒A型肺炎的临床特征,观察流感病毒A型肺炎感染与中医辨证分型之间的关系,以期为小儿流感病毒A型肺炎的临床诊疗分型提供辨证依据。方法:搜集150例2015年12月1日~2016年12月1日山东中医药大学附属医院儿科流感病毒A型肺炎住院患儿的病例资料,用SPSS20软件统计并分析小儿流感病毒A型肺炎临床特点及其与中医证型、体质分布之间的关系。结果:小儿流感病毒A型肺炎有明显的年龄相关性,幼儿及学龄前儿童较易发病;发病一般以秋、冬季节为主;且发热较高,病程较长;一般患流感病毒A型肺炎患儿均伴有高热;流感病毒A容易与其他病原体混合致病;血象以白细胞数值正常为主;各中医证型在发病年龄、病程、季节上有显著差异(P0.01),在体质方面存在差异(P0.05)。结论:小儿流感病毒A型肺炎具有其独特的发病特点,其发病与年龄、季节、体质密切相关;小儿流感病毒A型肺炎亦有其独特的中医证候学特征,以湿热闭肺证、风热闭肺证、痰热闭肺证多见,流感病毒A型肺炎患儿体质以肺脾质II型多见,掌握其发病的临床特点与中医辨证规律有助于提高临床诊疗效果,具有临床应用价值。
[Abstract]:Objective: to analyze the clinical characteristics of infantile influenza virus A pneumonia and to observe the relationship between influenza virus A pneumonia infection and TCM syndrome differentiation in order to provide evidence for clinical diagnosis and treatment of influenza A pneumonia in children. Methods: 150 hospitalized children with influenza virus A pneumonia were collected from the affiliated Hospital of Shandong University of traditional Chinese Medicine from December 1, 2015 to December 1, 2016. The clinical characteristics of infantile influenza virus type A pneumonia and its relationship with TCM syndromes and physical distribution were analyzed by SPSS20 software. Results: there was a significant age correlation between children with influenza virus A pneumonia, and children and preschool children were more susceptible to the disease, the disease was mainly in autumn and winter, and the fever was higher and the course of disease was longer. In general, children with influenza virus type A pneumonia are accompanied with high fever; influenza virus A is easily mixed with other pathogens to cause disease; the hematology is dominated by normal leukocyte count; each TCM syndrome type is at the onset age and course of disease. There were significant differences in the season (P 0.01) and in physique (P 0.05). Conclusion: infantile influenza virus A pneumonia has its unique characteristics, and its incidence is closely related to age, season and physique, and infantile influenza virus A pneumonia also has its unique TCM syndromes, which is damp-heat blocking lung syndrome. Wind-heat blocking lung syndrome, phlegm heat blocking lung syndrome are more common, influenza virus type A pneumonia children physique in type II of lung and spleen, mastering the clinical characteristics of the disease and the law of TCM syndrome differentiation are helpful to improve the clinical diagnosis and treatment effect and have clinical application value.
【学位授予单位】：山东中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R272

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