小儿厌食症中医体质类型与证候相关性研究

发布时间：2018-05-19 14:06

本文选题：小儿厌食症 + 体质类型　；参考：《湖南中医药大学》2012年硕士论文

【摘要】：目的探讨小儿厌食症体质类型与证候的相关性,从体质角度为小儿厌食症的预防提供依据,更为临床提供一条辨质论治与辨证论治相结合的诊疗思路。方法本研究对符合观察条件的103例小儿厌食症患儿进行横断面现场问卷调查,对调查结果中的一般情况、信息资料做描述性统计分析,对经整理的信息条目进行聚类分析,对体质类型及证候相关性进行卡方检验。结果 1.103例患儿男性52例(50.5%),女性51例(49.5%)；发病年龄多为6岁以下,均值为3.29岁。 2.小儿厌食症体质类型有阴亏内热质(31.1%)、正常质(28.2%)、肾气不足质+风痰内蕴质(24.3%)、脾弱湿滞质+肺气不足质(11.7%)、脾弱肝旺质(2.9%)及其他质(1.9%)。正常质、阴亏内热质的构成比差异无统计学意义(P=0.701),与其他体质构成比有统计学意义。 3.小儿厌食症证候有脾胃不和证(39.8%)、脾胃阴虚证(35.9%)、脾胃气虚证(18.4%)及其他证(5.8%)。脾胃不和证与脾胃阴虚证构成比差异无统计学意义(P=0.651),与其他证候构成比有统计学意义。 4.正常质患儿证候分型中,脾胃不和证与其他证候构成比差异有统计学意义(P=0.006)；阴亏内热质患儿证候分型中,脾胃不和证、脾胃阴虚证与其他证候构成比差异有统计学意义(P=0.000)；兼夹质患儿的证候之间构成比差异无统计学意义(P=0.326,P=0.198) 结论 1.小儿厌食症发病无性别差异。发病年龄呈断奶、入托两个高峰期； 2.小儿厌食症体质类型以阴亏内热质、正常质较常见； 3.小儿厌食症的证候以脾胃不和证、脾胃阴虚证较常见； 4.厌食症正常质的患儿脾胃不和证发生的可能性较大,阴亏内热质患儿脾胃不和证、脾胃阴虚证发生的可能性较大,兼夹质患儿发生各个证候的可能性都有。
[Abstract]:Purpose To explore the correlation between physical types and syndromes of children anorexia, to provide the basis for prevention of infantile anorexia from the physique angle, and to provide a diagnosis and treatment train of thought for diagnosis and treatment of children anorexia by differentiation of quality and treatment based on syndrome differentiation. Method In this study, 103 children with anorexia were investigated by cross-sectional questionnaire survey. The general situation, information and data of the survey were analyzed by descriptive statistics, and the information items were analyzed by cluster analysis. The correlation of physique type and syndromes was checked by chi-square. Result There were 52 males (50.5%) and 51 females (49.5%) in 1.103 children, and most of them were under 6 years old (mean 3.29 years old). 2. The physical types of anorexia in children were as follows: Yin deficiency and internal heat and substance 31. 1%, normal substance 28. 2%, kidney qi deficiency, wind and phlegm accumulation (24. 3%), spleen weak dampness stagnation, lung qi deficiency (11. 7%), spleen weak liver hyperlipidemia 2. 9) and other substances (1. 9%). There was no significant difference in the composition ratio of heat and substance between normal quality and yin deficiency (P = 0.701), but had statistical significance with other constitution. 3. The symptoms of anorexia in children included spleen and stomach disharmony syndrome (39.8%), spleen and stomach yin deficiency syndrome (35.9) and spleen and stomach qi deficiency syndrome (18.4) and other syndromes. There was no significant difference between spleen and stomach disharmony syndrome and spleen-stomach yin deficiency syndrome, but there was statistical significance between spleen and stomach disharmony syndrome and other syndromes. 4. In the syndrome classification of normal children, the difference between spleen and stomach disharmony syndrome and other syndromes was statistically significant (P < 0.006). There was a significant difference between spleen and stomach yin deficiency syndrome and other syndromes (P = 0.000), but there was no significant difference in the composition ratio of syndrome between two groups (P _ (0.326N) P _ (0.198). Conclusion 1. There was no gender difference in the incidence of anorexia in children. The age of onset was weaning, and two peak periods were taken into care. 2. Children's anorexia constitution type is Yin deficiency internal heat quality, normal quality is more common; 3. The syndrome of infantile anorexia is spleen and stomach disharmony syndrome, spleen and stomach yin deficiency syndrome is more common; 4. The possibility of spleen and stomach disharmony in children with normal quality of anorexia is greater than that in children with yin deficiency and internal heat.
【学位授予单位】：湖南中医药大学
【学位级别】：硕士
【学位授予年份】：2012
【分类号】：R272.6

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