婴儿功能性便秘证候特点及其相关影响因素分析

发布时间：2018-04-21 01:30

本文选题：婴儿 + 功能性便秘　；参考：《广西中医药大学》2017年硕士论文

【摘要】：目的:通过调查婴儿功能性便秘患儿的临床特点及多个相关影响因素并进行分析,得出婴儿功能性便秘证候特点及常见相关影响因素,为婴儿功能性便秘的临床诊疗及防治提供更充分的临床理论依据。方法:通过对2016年3月-2017年2月间就诊于广西中医药大学第一附属医院儿科门诊1个月≤年龄≤1岁的婴儿功能性便秘患儿124例病例进行现场问卷调查。采集患儿年龄、性别等一般情况及其中医四诊的相关资料,运用EXCEL表格进行数据统计处理,建立数据库,使用SPSS19.0软件进行频数分析、多元逐步回归分析等分析判别和分析统计,总结并研究本病的中医证候特点及其相关影响因素。结果:从数量上观察婴儿功能性便秘以脾虚气弱证最常见,肠道气滞证次之,乳食积滞证,肠道实热证,脾肾阳虚证,阴虚血燥证逐渐递减。婴儿功能性便秘证候以大便次数减少为主要临床表现,而证型的区分主要以大便的性状及舌质、舌苔来辨别。脾虚气弱证及肠道气滞证与服用凉茶及开口茶习惯及发病前有无外感疾病密切相关;母亲哺乳期饮食偏好肉食及发病前有无外感疾病对肠道实热证、乳食积滞证、肠道气滞证的发生影响较大。患儿的性别差异,胎产的不同及有无家族史、有无排便训练等与婴儿功能性便秘证型的分布无明显相关性。结论:1.婴儿功能性便秘的证型分布以脾虚气弱证最为多见,依次是肠道气滞证,乳食积滞证,肠道实热证,脾肾阳虚证,阴虚血燥证。2.婴儿功能性便秘的症候特点表现除大便次数减少,大便偏干外,其余临床症状不典型,舌淡苔薄白或白厚多见,无明显热象。3、喝凉茶及开口茶习惯及外感疾病均可促发婴儿脾虚气弱证便秘的发生;母亲偏好肉食及外感疾病是导致肠道气滞证及乳食积滞证便秘发生的主要影响因素;而母亲偏好肉食也是诱发婴儿肠道实热证便秘的主要影响因素。
[Abstract]:Objective: to investigate the clinical characteristics and related factors of infantile functional constipation, and to obtain the characteristics of infantile functional constipation syndrome and related factors. To provide a more complete clinical theoretical basis for the clinical diagnosis and treatment of infant functional constipation. Methods: from March 2016 to February 2017, 124 cases of infantile functional constipation were investigated in pediatrics outpatient of the first affiliated Hospital of Guangxi University of traditional Chinese Medicine. To collect the age, sex and related data of the four diagnoses of TCM, to use the EXCEL table to process the data, to establish the database, to use the SPSS19.0 software to analyze the frequency, to analyze and analyze the statistics by multiple stepwise regression analysis, etc. To summarize and study the characteristics of TCM syndromes and related influencing factors of this disease. Results: the most common functional constipation in infants was spleen deficiency qi deficiency syndrome, intestinal qi stagnation syndrome, milk and food accumulation stagnation syndrome, intestinal solid heat syndrome, spleen and kidney yang deficiency syndrome, yin deficiency and blood dryness syndrome. The main clinical manifestation of infantile functional constipation syndrome is the decrease of defecation frequency, while the differentiation of syndrome type is mainly based on the character of stool, tongue quality and tongue coating. The deficiency of spleen qi and the stagnation of intestinal qi were closely related to the habit of taking herbal tea and opening tea and whether there were exogenous diseases before the onset of the disease. The occurrence of intestinal qi stagnation syndrome has great influence. There was no significant correlation between the distribution of functional constipation syndrome and sex difference, fetal birth, family history and defecation training. Conclusion 1. The distribution of syndrome types of functional constipation in infants is spleen deficiency qi deficiency syndrome, followed by intestinal qi stagnation syndrome, milk and food accumulation stagnation syndrome, intestinal heat syndrome, spleen and kidney yang deficiency syndrome, yin deficiency and blood dryness syndrome. The symptoms of functional constipation in infants were characterized by atypical clinical symptoms except the decrease of defecation frequency and dry defecation. No obvious heat. 3. The habit of drinking herbal tea and opening tea and exogenous diseases can promote the occurrence of constipation of deficiency of spleen qi in infants, and the mother's preference for meat and external diseases are the main influencing factors for the occurrence of intestinal qi stagnation and milk food accumulation stagnation constipation. The mother's preference for meat is also the main factor that induces the constipation of the infant's intestinal heat syndrome.
【学位授予单位】：广西中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R272

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