小儿营养性缺铁性贫血发病因素与中医证型研究

发布时间：2018-05-23 12:38

  本文选题：小儿营养性缺铁性贫血 + 发病因素　； 参考：《山东中医药大学》2013年硕士论文

【摘要】：目的：了解和探讨小儿营养性缺铁性贫血的发病因素及与中医证型的相关性。为中医辨证治疗小儿营养性缺铁性贫血提供依据和借鉴。方法：制定临床调查问卷，对符合小儿营养性缺铁性贫血中西医诊断标准患儿的病历资料进行采集，建立相关数据库，运用SPSS19.0统计软件对所采集的数据进行统计学处理，分析各发病因素及与中医证型的相关性。结果：所调查的200例小儿营养性缺铁性贫血患儿中，属脾胃虚弱型者124例，属心脾两虚型者53例，属肝肾阴虚型者21例，属脾肾阳虚型者2例；小儿营养性缺铁性贫血发病年龄以6个月～2岁居多，早产、低出生体重、非母乳喂养、过早添加辅食、慢性腹泻病史、孕母铁缺乏等是小儿营养性缺铁性贫血的常见发病因素；小儿营养性缺铁性贫血中医证型与病程、喂养方式、辅食添加时间、贫血程度有一定的相关性。 结论：通过临床病例调查，可以明确小儿营养性缺铁性贫血发病因素与中医证型及分布规律，能够为临床合理辨证提供客观依据。
[Abstract]:Objective: to investigate the pathogenesis of nutritional iron deficiency anemia in children and its correlation with TCM syndromes. To provide evidence and reference for the treatment of nutritional iron deficiency anemia in children with TCM syndrome differentiation. Methods: a clinical questionnaire was made to collect the medical records of children who met the diagnostic criteria of traditional Chinese and western medicine for nutritional iron deficiency anemia in children. The relevant database was established and the collected data were statistically processed by SPSS19.0 software. To analyze the correlation between the pathogenesis factors and TCM syndromes. Results: there were 124 cases of deficiency of spleen and stomach, 53 cases of deficiency of heart and spleen, 21 cases of deficiency of liver and kidney yin, 2 cases of deficiency of spleen and kidney yang. The most common causes of nutritional iron deficiency anemia in children were the age of 6 months or 2 years old, preterm birth, low birth weight, non-breast-feeding, early supplementation of supplementary food, history of chronic diarrhea, maternal iron deficiency and so on. There is a certain correlation between TCM syndrome type of nutritional iron deficiency anemia in children and course of disease, feeding mode, supplementary food addition time, anemia degree. Conclusion: through the investigation of clinical cases, it is possible to clarify the pathogenesis of nutritional iron deficiency anemia in children and the pattern and distribution of TCM syndromes, which can provide an objective basis for clinical rational syndrome differentiation.
【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】：2013
【分类号】：R272

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