小儿喘息性支气管炎中医证型与影响因素的相关性分析

发布时间：2019-03-17 11:11

【摘要】：目的:探讨小儿喘息性支气管炎中医证型与发病影响因素及临床症状之间的相关性，为治疗小儿喘息性支气管炎提供临床辨证的依据和参考。方法:制定临床调查问卷，对符合喘息性支气管炎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SPSS16.0统计软件对所采集的数据进行统计学处理，分析各影响因素与中医证型的相关性。结果:所调查的247例喘息性支气管炎患儿中，属寒性哮喘证者114例，属热性哮喘证者93例，属寒热错杂证者26例，，属虚实夹杂证者14例。经统计学分析，小儿喘息性支气管炎中医证型与发病年龄段、出生情况、分娩方式、出生体重、家族哮喘/过敏史、既往疾病史、发热程度、嗜酸粒细胞百分比、心肌酶均无明显的相关性（P0.05），而与性别、喂养史、好发季节、好发时间、过敏史、诱发因素、白细胞总数、发作严重度均有一定相关性。结论:小儿喘息性支气管炎中医证型与性别、喂养史、好发季节、好发时间、过敏史、诱发因素、白细胞总数、发作严重度等因素相关，上述因素可作为中医证型的影响因子。为小儿喘息性支气管炎的临床辨证提供参考。
[Abstract]:Objective: to explore the correlation between TCM syndrome type and clinical symptoms in children with wheezing bronchitis, so as to provide the basis and reference for the treatment of asthmatic bronchitis in children. Methods: to establish a clinical questionnaire, collect the medical records of children with asthmatic bronchitis according to the diagnostic criteria of traditional Chinese and western medicine, establish the relevant database, and use SPSS16.0 software to deal with the collected data statistically. To analyze the correlation between each influencing factor and TCM syndrome type. Results: among 247 cases of wheezing bronchitis investigated, 114 cases belonged to cold asthma syndrome, 93 cases belonged to febrile asthma syndrome, 26 cases belonged to cold-heat dislocation syndrome, and 14 cases belonged to deficiency-excess syndrome. According to statistical analysis, the TCM syndrome type and age of onset, birth condition, delivery mode, birth weight, family asthma / allergic history, previous disease history, fever degree, percentage of eosinophils in children with wheezing bronchitis were statistically analyzed. Myocardial enzymes had no significant correlation (P0.05), but had some correlation with sex, feeding history, season, time, history of allergy, inducing factors, leukocyte count and severity of attack. Conclusion: the TCM syndrome type of wheezing bronchitis in children is related to sex, feeding history, season, time, history of allergy, inducing factor, leukocyte count, severity of attack and so on. These factors can be used as influencing factors of TCM syndrome type. It provides reference for clinical differentiation of wheezing bronchitis 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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