儿童闭塞性细支气管炎的中医辨证规律的研究

发布时间：2018-05-01 12:41

本文选题：闭塞性细支气管炎 + 儿童　；参考：《山东中医药大学》2016年硕士论文

【摘要】：目的:探讨儿童闭塞性细支气管炎的中医辨证规律,为临床辨证论治提供依据。方法:在复习相关文献的基础上,结合儿童闭塞性细支气管炎的临床特点,制定中医症候调查表,对65例闭塞性细支气管炎患儿的中医四诊资料进行收集,建立数据库,采用SPSS22.0统计软件对结果进行统计分析,得出中医证型。结果:(1)一般情况:临床共搜集65例BO患儿病历;男孩发病明显高于女孩,男女比例为4:1;婴儿发病率53.85%,1-2岁幼儿发病率41.54%,两岁以后则发病较少;BO患儿病程较长,最长病程已达十年之久,有67.6%的患儿病程在3个月到2年之间;肺炎是BO的主要原发疾病;致病病原体以病毒感染者占33.85%,其次为支原体感染占21.54%,细菌、真菌和衣原体分别占4.62%、3.08%、3.08%。(2)儿童闭塞性细支气管炎常见中医证型为:肺虚寒证、表寒肺热证、肺脾气虚证、痰热蕴肺证、阴虚痰热证。结论:BO多见于男性婴幼儿,主要由病毒感染引起;是肺炎的重要并发症;中医证型依次为肺虚寒证、表寒肺热证、肺脾气虚证、痰热蕴肺证、阴虚痰热证,以肺虚寒证最多。
[Abstract]:Objective: To explore the TCM syndrome differentiation of children with bronchiolitis obliterans, and to provide basis for clinical syndrome differentiation. Methods: on the basis of reviewing the relevant literature and combining the clinical characteristics of children with obliterans bronchitis, a questionnaire of TCM syndrome was formulated, and the data of 65 cases of children with bronchiolitis obliterans were collected and established. SPSS22.0 statistical software was used to analyze the results with statistical analysis. Results: (1) general situation: 65 cases of BO children were collected clinically; the incidence of boys was obviously higher than that of girls, and the proportion of men and women was 4:1; the incidence of infants was 53.85%, 1-2 years old was 41.54%, and the incidence was less after two years of age; the duration of the disease was longer and the longest disease in BO children. The course has lasted for ten years, and 67.6% of the course of the disease is between 3 months and 2 years. Pneumonia is the main primary disease of BO; the pathogenic pathogen is 33.85% of the virus infection, the second is the mycoplasma infection 21.54%, the bacteria, fungi and Chlamydia are 4.62%, 3.08%, and 3.08%. (2) children with obliterans bronchiolitis common TCM Syndrome Type: lung deficiency cold syndrome, Table cold lung heat syndrome, lung spleen qi deficiency syndrome, phlegm heat accumulation syndrome, yin deficiency phlegm heat syndrome. Conclusion: BO is mostly found in male infants and infants, mainly caused by virus infection; it is an important complication of pneumonia; TCM syndrome type is in turn of lung deficiency cold syndrome, table cold and lung heat syndrome, lung spleen qi deficiency syndrome, phlegm heat accumulation syndrome, yin deficiency phlegm heat syndrome, and lung deficiency cold syndrome at most.

【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】：2016
【分类号】：R272

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