小儿肺炎舌象特点与相关因素的相关性研究

发布时间：2018-10-29 14:54

【摘要】：目的：通过小儿肺炎舌象与中医证型、病情轻重、病程、实验室检查的相关性研究，为小儿肺炎临床辨证提供客观化依据。方法：采用DS01-B中医舌象仪在排除饮食、刮苔等干扰因素的情况下采集并分析符合纳入标准的肺炎患儿和健康儿童的舌象。采集自观察日起第1、3、5、7、10天的舌象图像，并记录患儿的临床症状、体征、中医证型、肺炎支原体抗体及血常规结果。结果：共收集到肺炎患儿134例作为肺炎组，健康儿童30例作为对照组。两组舌形分布无显著性差异，均以正常为主。两组舌色、苔色、苔质分布有显著性差异。健康儿童舌色以淡红为主，苔色以白为主，苔质以薄为主。肺炎患儿舌色以红为主，舌色与中医证型、病情轻重、病程关系密切，与是否感染肺炎支原体及血常规无关；肺炎患儿苔色以黄为主，苔色与中医证型、病情轻重、病程关系密切，与是否感染肺炎支原体及血常规无关；肺炎患儿苔质以厚、厚腻为主，苔质与中医证型、病情轻重、病程、是否感染肺炎支原体关系密切，与血常规无关。结论：本研究采用DS01-B中医舌象仪采集处理小儿肺炎舌象，使舌象结果更加客观，为小儿肺炎临床辨证提供了客观化依据。
[Abstract]:Objective: to provide objective basis for clinical differentiation of pneumonia in children through the study of correlation between tongue picture of pneumonia and TCM syndromes, severity of disease, course of disease and laboratory examination. Methods: the tongue images of children with pneumonia and healthy children were collected and analyzed by using DS01-B Chinese medicine tongue imager without interference factors such as diet, scratching coating and so on. The tongue images were collected from the first day of observation, and the clinical symptoms, signs, TCM syndromes, mycoplasma pneumoniae antibody and blood routine results were recorded. Results: 134 children with pneumonia were collected as pneumonia group and 30 healthy children as control group. There was no significant difference in tongue shape distribution between the two groups. There were significant differences in tongue color and coating quality between the two groups. The tongue color of healthy children is light red, the fur color is white, and the fur quality is thin. The tongue color was mainly red in children with pneumonia. Tongue color was closely related to TCM syndromes, severity of disease, course of disease, and had no relation with infection of mycoplasma pneumoniae and blood routine. The moss color of children with pneumonia was mainly yellow. The color of fur was closely related to the type of TCM syndrome, the severity of disease, the course of disease, and had nothing to do with infection of mycoplasma pneumoniae and blood routine. The moss of children with pneumonia is mainly thick and greasy. The quality of moss is closely related to the type of TCM syndrome, the severity of disease, the course of disease, whether or not infected with Mycoplasma pneumoniae, and has no relation with blood routine. Conclusion: in this study, DS01-B tongue image instrument was used to collect and deal with pneumonia tongue in children, which made the results more objective and provided an objective basis for clinical syndrome differentiation of pneumonia in children.
【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

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