反复肺炎后慢性咳嗽患儿发病特点及中医证型的临床分析
发布时间：2019-01-04 11:01
【摘要】：目的:通过整理王雪峰教授门诊510例次慢性咳嗽患儿的病例,探究反复肺炎与慢性咳嗽发病特点及中医证型的相关性,为指导临床辨证及防治提供依据。方法:收集2015年3月到2015年12月王雪峰教授于门诊接诊的慢性咳嗽患儿214例,共计510例次,自拟小儿慢性咳嗽临床症状观察表(附),通过对其一般情况、既往史、特禀质、主要症状、体征以及理化检查等资料的记录,观察其发病特点及中医证型分布。结果:1.学龄前期儿童发生频率高达66.02%,特禀质儿童发生频率达到58.25%,显示学龄前期儿童和特禀质儿童在反复肺炎后更易罹患慢性咳嗽。2.反复肺炎后慢性咳嗽患儿出现盗汗、夜卧不安、大便干燥、自汗、食少、偏食、小便黄这七个症状的频率高于非反复肺炎后慢性咳嗽患儿,差异有统计学意义(P0.05)。3.是否为反复肺炎后慢性咳嗽患儿两组比较中,反复肺炎后慢性咳嗽患儿多见阴虚肺热、痰热蕴肺和肺脾气虚此三种证型,差异具有统计学意义(P0.05)。结论:1.学龄前期儿童与特禀质儿童更易在反复肺炎后罹患慢性咳嗽。2.反复肺炎后慢性咳嗽患儿更为多见盗汗、夜卧不安、大便干燥、自汗、食少、偏食、小便黄这七个症状。3.反复肺炎后的慢性咳嗽中医证型以阴虚肺热证为主。
[Abstract]:Objective: to investigate the correlation between recurrent pneumonia, chronic cough and TCM syndrome type by sorting out 510 cases of chronic cough in outpatient department of Professor Wang Xuefeng, so as to provide basis for clinical syndrome differentiation and prevention and treatment. Methods: 214 children with chronic cough received by Professor Wang Xuefeng from March 2015 to December 2015 were collected. The clinical symptoms of chronic cough in children (attached) were investigated by self-made clinical symptom list (attached). The main symptoms, signs and physical and chemical examination data were recorded, the characteristics of the disease and the distribution of TCM syndromes were observed. Results: 1. The frequency of occurrence of pre-school children was as high as 66.02 and that of children with special nature reached 58.25, indicating that preschool children and special children were more likely to suffer from chronic cough after repeated pneumonia. 2. The frequency of the seven symptoms of chronic cough after recurrent pneumonia was higher in children with chronic cough after repeated pneumonia than in children with chronic cough after recurrent pneumonia (P0.05) (P0.05), and the frequency of these seven symptoms was significantly higher than that of children with chronic cough after recurrent pneumonia (P0.05). Whether it is chronic cough after repeated pneumonia in the two groups, chronic cough after repeated pneumonia, Yin deficiency of lung heat, phlegm heat accumulation of lung and deficiency of lung and spleen Qi deficiency, the difference was statistically significant (P0.05). Conclusion: 1. Preschool and idiopathic children are more likely to suffer from chronic cough after recurrent pneumonia. 2. 2. Chronic cough after repeated pneumonia is more common in children with night sweats, restlessness, dry stool, self-sweating, eating less, eating partial, urinate yellow these seven symptoms. 3. Chronic cough syndrome type after repeated pneumonia is Yin deficiency and lung heat syndrome.
【学位授予单位】：辽宁中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R272
，
本文编号：2400196
[Abstract]:Objective: to investigate the correlation between recurrent pneumonia, chronic cough and TCM syndrome type by sorting out 510 cases of chronic cough in outpatient department of Professor Wang Xuefeng, so as to provide basis for clinical syndrome differentiation and prevention and treatment. Methods: 214 children with chronic cough received by Professor Wang Xuefeng from March 2015 to December 2015 were collected. The clinical symptoms of chronic cough in children (attached) were investigated by self-made clinical symptom list (attached). The main symptoms, signs and physical and chemical examination data were recorded, the characteristics of the disease and the distribution of TCM syndromes were observed. Results: 1. The frequency of occurrence of pre-school children was as high as 66.02 and that of children with special nature reached 58.25, indicating that preschool children and special children were more likely to suffer from chronic cough after repeated pneumonia. 2. The frequency of the seven symptoms of chronic cough after recurrent pneumonia was higher in children with chronic cough after repeated pneumonia than in children with chronic cough after recurrent pneumonia (P0.05) (P0.05), and the frequency of these seven symptoms was significantly higher than that of children with chronic cough after recurrent pneumonia (P0.05). Whether it is chronic cough after repeated pneumonia in the two groups, chronic cough after repeated pneumonia, Yin deficiency of lung heat, phlegm heat accumulation of lung and deficiency of lung and spleen Qi deficiency, the difference was statistically significant (P0.05). Conclusion: 1. Preschool and idiopathic children are more likely to suffer from chronic cough after recurrent pneumonia. 2. 2. Chronic cough after repeated pneumonia is more common in children with night sweats, restlessness, dry stool, self-sweating, eating less, eating partial, urinate yellow these seven symptoms. 3. Chronic cough syndrome type after repeated pneumonia is Yin deficiency and lung heat syndrome.
【学位授予单位】：辽宁中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R272
，
本文编号：2400196
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