儿童肺炎中医证候规范及主症特点的文献分析
发布时间：2018-10-08 15:43
【摘要】：目的：分析儿童肺炎文献中医证候相关信息，初步规范儿童肺炎症状名称，并探讨常见中医证候主症描述的特点，比较风热闭肺证和痰热闭肺证主症描述的差异性，为儿童肺炎中医辨证规范提供依据。 方法：检索(1994年—2010年)儿童肺炎中医证候的临床疗效研究类文献共108篇，针对所纳入的文献进行中医症状规范研究。本研究主要从以下几个方面进行研究，首先，对所纳入文献的症状进行初步规范；对临床常见的6种证候进行其主症描述特点分析；分析比较文献中风热闭肺证和痰热闭肺证的主症描述的差异性。 结果： 1本次研究对所纳入文献进行症状规范，共规范症状72种，其中主症规范为29种，兼症规范为43种。 2本次研究得出文献中常见中医证候中主要症状的描述特点为： （1）风寒闭肺证：恶寒发热，咳嗽，痰稀，痰白，气急 （2）风热闭肺证：咳嗽，气急，发热，痰粘稠 （3）痰热闭肺证：喉间痰鸣，鼻翼煽动，壮热，咳嗽，喘憋，痰多 （4）毒热闭肺证：壮热，喘憋，咳嗽，喉中痰鸣 （5）肺脾气虚证：低热，咳嗽无力 （6）阴虚肺热证：干咳，，低热，无痰，痰少 3.风热闭肺证和痰热闭肺证主症描述的比较：在发热方面，经卡方检验，X~2=40.269，P=0.0000.05，两种证候的发热描述情况分布有显著差异；在咳嗽方面，经卡方检验，X~2=2.918，P=0.0880.05，两种证候的咳嗽描述情况无显著差异性；在咯痰方面，经Fisher精确检验，P=0.0000.05，两种证候的痰量描述情况差异有统计学意义；喉间痰鸣描述情况比较，经卡方检验，X~2=31.448，P=0.000，两者具有明显差异性；在气促方面，经卡方检验，卡方X~2=39.155，P=0.0000.05，两种证候的气促的描述情况差异有统计学意义。 结论 1.本次研究规范肺炎症状72种，其中主症29种，兼症43种。 2.分析得出6种常见中医证候的主症描述特点。 3.分析风热闭肺证和痰热闭肺证主症描述特点可以看出两者在发热，咯痰，气促的描述情况具有明显差异性。
[Abstract]:Objective: to analyze the relevant information of TCM syndromes in the literature of children's pneumonia, to preliminarily standardize the names of symptoms of children's pneumonia, and to explore the characteristics of common symptoms of TCM syndrome, and to compare the difference between the description of main symptoms of wind-heat blocking lung syndrome and phlegm-heat blocking lung syndrome. To provide evidence for TCM syndrome differentiation of children pneumonia. Methods: a total of 108 literatures on the clinical efficacy of TCM syndrome of pneumonia in children were searched (1994-2010), and the criteria of TCM symptoms were studied. This research mainly carries on the research from the following several aspects: first, carries on the preliminary standard to the included literature symptom, carries on its main symptom description characteristic analysis to the clinical common 6 kinds of syndromes; To analyze and compare the difference of main symptom description between wind heat blocking lung syndrome and phlegm heat closing lung syndrome in literature. Results: 1 in this study, 72 kinds of symptoms were standardized, 29 of which were major symptoms, and 43 of which were symptoms. 2 the main symptoms of common TCM syndromes in the literature are as follows: (1) wind-cold closed lung syndrome: cold fever, cough, thin phlegm, white phlegm, acute qi (2) wind-heat blocking lung syndrome: cough, acute qi, fever, (3) phlegm heat blocking lung syndrome: phlegm between larynx, nasal wing incitement, strong heat, cough, asthma, phlegm many (4) toxic heat to block lung syndrome: strong heat, asthma, cough, phlegm in larynx (5) lung and spleen qi deficiency syndrome: low fever, Cough weakness (6) Yin deficiency lung heat syndrome: dry cough, low fever, no phlegm, phlegm less 3. Comparison of the description of the main symptoms of wind-heat blocking lung syndrome and phlegm-heat blocking lung syndrome: in the aspect of fever, the distribution of fever description of the two syndromes was significantly different in terms of cough, After chi-square test, there was no significant difference in cough description between the two syndromes, and there was statistical significance in the description of sputum volume between the two syndromes by accurate Fisher test. There was a significant difference in the description of phlegm volume between the two syndromes, and there was no significant difference in the description of phlegm between larynx and larynx, and there was no significant difference in the description of phlegm volume between the two syndromes by chi-square test. After chi-square test, there was a significant difference between the two groups, and by chi-square test, there was a significant difference in the description of the two syndromes between the two syndromes in terms of shortness of breath, and by chi-square test, the description of the two syndromes was 0.0000.05.There was a significant difference between the two syndromes in the description of the dyspnea of the two syndromes. Conclusion 1. In this study, 72 kinds of pneumonia symptoms were standardized, including 29 main symptoms and 43 concurrent symptoms. 2. The main symptoms of 6 common TCM syndromes were analyzed. 3. By analyzing the description characteristics of the main symptoms of wind-heat blocking lung syndrome and phlegm-heat blocking lung syndrome, we can see that the description of fever, sputum and shortness of breath between them has obvious difference.
【学位授予单位】：辽宁中医药大学
【学位级别】：硕士
【学位授予年份】：2012
【分类号】：R272
本文编号：2257325
[Abstract]:Objective: to analyze the relevant information of TCM syndromes in the literature of children's pneumonia, to preliminarily standardize the names of symptoms of children's pneumonia, and to explore the characteristics of common symptoms of TCM syndrome, and to compare the difference between the description of main symptoms of wind-heat blocking lung syndrome and phlegm-heat blocking lung syndrome. To provide evidence for TCM syndrome differentiation of children pneumonia. Methods: a total of 108 literatures on the clinical efficacy of TCM syndrome of pneumonia in children were searched (1994-2010), and the criteria of TCM symptoms were studied. This research mainly carries on the research from the following several aspects: first, carries on the preliminary standard to the included literature symptom, carries on its main symptom description characteristic analysis to the clinical common 6 kinds of syndromes; To analyze and compare the difference of main symptom description between wind heat blocking lung syndrome and phlegm heat closing lung syndrome in literature. Results: 1 in this study, 72 kinds of symptoms were standardized, 29 of which were major symptoms, and 43 of which were symptoms. 2 the main symptoms of common TCM syndromes in the literature are as follows: (1) wind-cold closed lung syndrome: cold fever, cough, thin phlegm, white phlegm, acute qi (2) wind-heat blocking lung syndrome: cough, acute qi, fever, (3) phlegm heat blocking lung syndrome: phlegm between larynx, nasal wing incitement, strong heat, cough, asthma, phlegm many (4) toxic heat to block lung syndrome: strong heat, asthma, cough, phlegm in larynx (5) lung and spleen qi deficiency syndrome: low fever, Cough weakness (6) Yin deficiency lung heat syndrome: dry cough, low fever, no phlegm, phlegm less 3. Comparison of the description of the main symptoms of wind-heat blocking lung syndrome and phlegm-heat blocking lung syndrome: in the aspect of fever, the distribution of fever description of the two syndromes was significantly different in terms of cough, After chi-square test, there was no significant difference in cough description between the two syndromes, and there was statistical significance in the description of sputum volume between the two syndromes by accurate Fisher test. There was a significant difference in the description of phlegm volume between the two syndromes, and there was no significant difference in the description of phlegm between larynx and larynx, and there was no significant difference in the description of phlegm volume between the two syndromes by chi-square test. After chi-square test, there was a significant difference between the two groups, and by chi-square test, there was a significant difference in the description of the two syndromes between the two syndromes in terms of shortness of breath, and by chi-square test, the description of the two syndromes was 0.0000.05.There was a significant difference between the two syndromes in the description of the dyspnea of the two syndromes. Conclusion 1. In this study, 72 kinds of pneumonia symptoms were standardized, including 29 main symptoms and 43 concurrent symptoms. 2. The main symptoms of 6 common TCM syndromes were analyzed. 3. By analyzing the description characteristics of the main symptoms of wind-heat blocking lung syndrome and phlegm-heat blocking lung syndrome, we can see that the description of fever, sputum and shortness of breath between them has obvious difference.
【学位授予单位】：辽宁中医药大学
【学位级别】：硕士
【学位授予年份】：2012
【分类号】：R272
【参考文献】
相关期刊论文 前10条
1 尚莉丽,吴雪兰;养阴清肺汤治疗小儿肺炎恢复期喘嗽34例[J];安徽中医学院学报;1997年04期
2 安效先;小儿肺炎从瘀论治[J];中国医药学报;1996年04期
3 葛敏;;健脾益气活血汤治疗小儿支原体肺炎30例观察[J];光明中医;2006年07期
4 王予川,张昌华,阎萍;中医辨证治疗小儿肺炎40例疗效观察[J];贵阳中医学院学报;2001年01期
5 杨明;;益气化痰祛瘀汤治疗正虚邪恋型小儿慢性肺炎46例[J];新中医;2007年11期
6 车满仓;;清肺通腑汤治疗小儿肺炎100例[J];陕西中医学院学报;2006年06期
7 陈玉;解毒宣肺和中汤治疗小儿支原体肺炎44例[J];陕西中医;2005年05期
8 肖利民,刘素文,刘昌玉,罗菲;退热灌肠液保留灌肠治疗小儿肺炎发热50例[J];中国中医药科技;2005年02期
9 刘红菊;杨绍珍;何玲;;中药穴位热敷辅助治疗儿童支气管肺炎810例疗效观察[J];山东医药;2009年47期
10 董莉;党岭;姚翠玲;;中药超声雾化吸入治疗小儿肺炎46例[J];现代中医药;2007年04期
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