小儿慢性咳嗽临床特点与中医证型相关性研究

发布时间：2019-04-26 17:12

【摘要】：目的：在前期研究的基础上，通过临床规范化研究，明确小儿慢性咳嗽的中医证型、证候要素分布规律及其相关性，为临床合理辨证提供客观依据。方法：参考前期研究及诊疗标准，制定小儿慢性咳嗽的中医证候调查表，收集门诊慢性咳嗽患儿的中医四诊资料，建立证候信息数据库，采用SPSS17.0统计软件，进行频数分析、X2检验。结果：所收集206例患儿的发病年龄主要集中在3～7岁，男女之比约为4：3。证型以风邪久恋（35.9%）为主，，其次为痰热咳嗽(27.2%)、痰湿咳嗽(19.9%)。病程与中医证型密切相关：其中4周～2月时间段与2月～6月时间段无明显差异，均以风邪久恋、痰热咳嗽为主，痰湿咳嗽次之，6月～1年时间段以痰湿咳嗽为主，1年以上多见阴虚燥咳。好发季节与中医证型也有显著差异，其中春季以风邪久恋为主，秋季以阴虚燥咳为主，冬季以风邪久恋、痰湿咳嗽为主。咳痰程度与中医证型亦有显著差异，风邪久恋、阴虚燥咳均以咳痰量少或无为主，痰湿咳嗽咳痰量多。另外就咽喉部症状来说，风邪久恋以咽痒为主，痰热咳嗽多有咽痛及异物、滴流感等表现。结论：通过临床病例调查，可以明确小儿慢性咳嗽的中医证型及证候要素分布规律，能够为临床合理辨证提供客观依据。
[Abstract]:Aim: on the basis of the previous study, through the clinical standardization study, to clarify the syndrome types of children with chronic cough, the distribution of syndrome elements and their correlation, so as to provide an objective basis for the clinical reasonable differentiation of symptoms and signs. Methods: referring to the previous research and diagnosis and treatment standards, the questionnaire of Chinese medicine syndrome of children with chronic cough was formulated, the data of four diagnoses of chronic cough in outpatient department were collected, the database of syndrome information was established, and the frequency analysis was carried out by using the statistical software of SPSS17.0. X2 test. Results: the age of onset of 206 children was mainly 3 years old and 7 years old, and the ratio of male to female was about 4 / 3. The syndrome type was wind-evil lasting love (35.9%) followed by phlegm-heat cough (27.2%) and phlegm-damp cough (19.9%). The course of disease was closely related to TCM syndrome type: there was no significant difference between 4 weeks ~ 2 months and 2 months ~ 6 months, all of them were wind-evil lasting love, phlegm-heat cough, phlegm-dampness cough followed by phlegm-dampness cough, and phlegm-dampness cough was the main one in June-1 year period. More than 1 year more seen Yin deficiency and dryness cough. There is also a significant difference between the occurrence season and TCM syndrome types, in which wind evil is the main factor in spring, yin deficiency and dryness cough in autumn, wind evil in winter, phlegm and dampness cough in winter. The degree of expectoration is also significantly different from the TCM syndrome type. Wind evil is in love for a long time, Yin deficiency and dryness cough are small or non-dominant, phlegm-wet cough is more than expectorant quantity. In addition to pharynx and larynx symptoms, wind evil long love to pharynx itching, phlegm and heat cough more pharynx pain and foreign bodies, flu and other manifestations. Conclusion: according to the investigation of clinical cases, the pattern of TCM syndrome and the distribution of syndrome elements in children with chronic cough can be clarified, which can provide objective basis for reasonable differentiation of symptoms and signs in clinical practice.
【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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