366例儿童过敏性紫癜中医病因分析

发布时间：2018-07-05 17:01

本文选题：儿童 + 过敏性紫癜　；参考：《山东中医药大学》2012年硕士论文

【摘要】：目的：通过研究366例儿童过敏性紫癜的临床资料，，总结并分析其中医病因特点，为临床防治本病提供参考依据。方法：根据临床表现设计调查表，收集临床资料，建立数据库，采用SPSS19.0进行统计学处理，得出结论。结果：1．外感病因是儿童过敏性紫癜最常见的致病因素，以六淫之邪为主，占92.6%：（1）六淫之邪单独致病以风邪为主，占7.4%，相兼致病以风热之邪为主，约占49.9%；（2）感六淫之邪首次发病者占73.7%，病情反复者23.3%；风热之邪是其最主要的病因，分别占48.8%、52.8%；（3）六淫致病发病季节秋季居首位，占34.2%；临床表现以皮肤型紫癜为主，占40.7%；辨证分型以风热伤络型最多见,占69.9%；发病年龄以6～10岁居多，占56.3%。2．内伤病因占4.6%，其中以饮食因素为主。3．外伤、手术、免疫注射、环境等致病因素占2.8%，虽然少见，但亦可诱发本病。结论：1．六淫之邪是儿童过敏性紫癜最常见的致病因素，既可单独致病亦可相兼致病，以相兼致病为主。六淫致病与发病季节、西医分型、中医证型、发病年龄等有一定相关性。2．饮食因素为主要的内伤病因，劳累次之。3．外伤、手术、免疫注射、环境等致病因素或可诱发本病。
[Abstract]:Objective: to study the clinical data of 366 children with Henoch-Schonlein purpura, summarize and analyze the etiological characteristics of TCM, and provide reference for clinical prevention and treatment of Henoch-Schonlein purpura. Methods: according to the clinical manifestation design questionnaire, collect the clinical data, set up the database, use SPSS 19.0 to carry on the statistics processing, draw the conclusion. Results 1. Exogenous etiology was the most common pathogenic factor in children with Henoch-Schonlein purpura, accounting for 92.60.The main pathogenic factors were as follows: (1) the main pathogenic factors were wind pathogen alone, accounting for 7.4%, and the main pathogenic factor was wind and heat evil, accounting for 49.9%; (2) the first onset of the disease was 73.7, and the recurrence of the disease was 23.3.The pathogen of wind and heat was the main cause of the disease, accounting for 48.8% and 52.8%, respectively; (3) the first disease occurred in autumn (34.2%), and the clinical manifestation was mainly cutaneous purpura (40.7%). The most common types of syndrome differentiation were wind-heat injury collateral type (69.9%), the onset age of which was 610 years old (56.3.2.) the etiology of internal injury was 4.60.The causes of internal injury were mainly diet factors, trauma, surgery, immunologic injection, environment and so on, accounting for 2.8% of the total, although rare. But it can also induce the disease. Conclusion\ There is certain correlation between six pathogenic factors and disease season, western medicine type, TCM syndrome type, onset age, etc. Dietary factors are the main cause of internal injury, followed by tiredness. Third, trauma, surgery, immunologic injection, environment and other pathogenic factors may induce this disease.
【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】：2012
【分类号】：R272

【参考文献】