儿童咳嗽变异性哮喘中医体质研究

发布时间：2018-08-22 09:11

【摘要】：目的:探索昆明地区儿童咳嗽变异性哮喘的中医体质。方法:运用王琦教授的《中医体质分类与判定标准》9分法的体质标准,对2016年1月1日至2017年1月1日在云南省中医医院咳嗽变异性哮喘的患儿进行调查并同期收集正常儿童。采用问卷调查方式进行体质调查,统计学软件SPSS22.0版本分析,探讨昆明地区儿童咳嗽变异性哮喘的体质类型。1.结果:(1)CVA患儿130例,单纯平和质人数为41例(31.5%)、特禀质28例(21.5%),偏颇体质中的痰湿质,为17例(13.1%),气虚质2例(1.5%)、阳虚质5例(3.8%)、阴虚质4例(3.1%)、湿热质2例(1.5%)、瘀血质1例(0.75%)、气郁质3例(2.3%)、特禀质兼痰湿5例(3.8%);正常儿童中,单纯平和质人数为56例(50.9),特禀质24例(21.8),痰湿质为9例(8.2),阳虚质2例(1.8%)、阴虚质1例(0.9%)、湿热质1例(0.9%)、特禀质兼痰湿4例(3.6%)。以上CVA患儿和正常儿童的平和、特禀、痰湿质人数分别位列前三;(2)CVA患儿中,单纯平和质人数为41例(31.5%),平和质兼倾向特禀质为13例(10.0%),平和质兼痰湿质9例(6.9%),偏颇质为67例(51.5%),而正常儿童单纯平和质为56例(50.9%),平和质兼倾向特禀质为8例(7.3%),平和质兼痰湿质5例(4.6%),偏颇质为41例(37.3%),两组在单纯平和质的患儿人数差异具有统计学意义,p=0.0020.05,其余各项p0.05,无统计学意义。(3)CVA患儿中,单纯平和质、平和质兼特禀质、平和质兼痰湿质共63例,我们对以上63例患儿进行了平和质打分,其得分中位数位65.625,25th62.500,75th为65.625。而正常儿童69例的得分中位数位78.125,25th为78.125,75th为90.625。从以上部分看出,中位数、25th、75th的各项数值正常儿童得分均高于CVA患儿。并且通过两独立样本秩和检验P0.01,差异具有统计学意义。结论:1昆明地区CVA患儿与正常儿童体质类型有相似性,前三位分别为单纯平和质、特禀质和痰湿质。2.CVA患儿组单纯平和质人数低于正常儿童组,差异具有统计学意义。3.CVA患儿的平和质与正常儿童平和质分数差异,具有具有显著统计学意义。
[Abstract]:Objective: to explore the TCM constitution of cough variant asthma in children in Kunming area. Methods: according to the constitution standard of 9 points method of traditional Chinese Medicine (TCM) classification and judgement of Professor Wang Qi, we investigated the children with cough variant asthma from January 1, 2016 to January 1, 2017 in Yunnan traditional Chinese Medicine Hospital and collected the normal children at the same time. The physique of children with cough variant asthma in Kunming area was investigated by questionnaire and the SPSS22.0 version of statistical software was used to study the physical types of children with cough variant asthma. Results: (1) in 130 cases of CVA, 41 cases (31.5%) were simple calmness, 28 cases (21.5%) were idiosyncratic. 17 cases (13.1%), 2 cases (1.5%), 5 cases (3.8%), 4 cases (3.1%), 2 cases (1.5%), 1 case (0.75%), 3 cases (2.3%), 5 cases (3.8%). There were 56 cases (50.9) with simple calmness, 24 cases (21.8%) with idiosynthesis, 9 cases (8.2) with phlegm dampness, 2 cases (1.8%) with yang deficiency, 1 case (0.9%) with yin deficiency, 1 case (0.9%) with dampness and heat, 4 cases (3.6%) with hyperthermia and phlegm dampness. The number of phlegm dampness in children with CVA and normal children were among the top three respectively. (2) among the children with CVA, There were 41 cases (31.5%) of simple calmness, 13 cases (10.0%) of special quality of pacification and tendency, 9 cases (6.9%) of mild and phlegm wet, 67 cases (51.5%) of bias, 56 cases (50.9%) of normal children, 8 cases (7.3%) of mild and prone. There were 5 cases (4.6%) with phlegm dampness and 41 cases (37.3%) with partial phlegm and dampness. The difference between the two groups was statistically significant (P < 0.05). (3) there was no significant difference between the two groups in the number of children with simple and mild quality (P < 0.05) and the rest (p 0.05). (3) there was no significant difference in the number of children with CVA. There were 63 cases of simple mild, mild and idiopathic, mild and phlegm dampness. We scored the above 63 children with mild quality. The median score was 65.625 / 25th62.500 / 75th, which was 65.625'/ 25th62.500 / 75th, and the median score was 65.625 / 25th62.500 / 75th. The median score of 69 normal children at 78.125 and 25th was 78.125 and 75th was 90.625. From the above part, the scores of normal children with median value of 25 th / 75 ~ 5th were higher than those of children with CVA. The difference was statistically significant through the rank sum test of two independent samples (P0.01). Conclusion the constitution types of children with CVA in Kunming area were similar to those of normal children, the first three were simple placidity, and the number of children with idiopathic substance and phlegm dampness was lower than that of normal children. The difference was statistically significant. 3. There was significant difference in pacification score between children with CVA and normal children.
【学位授予单位】：云南中医学院
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R272

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