小儿“脱被征”与内环境温度相关性研究
发布时间：2019-02-12 07:49
【摘要】：目的:通过对内环境温度(皮肤以外,衣被以内的空间温度)与小儿脱被发生关系的研究,明确内环境温度对小儿“脱被征”发生有无影响,为小儿“脱被征”防治提供理论依据和实验数据支持。方法:1.理论回顾:归纳文献和现代医学研究,对体温调节机制进行归纳分析,对小儿体温调控发育特点进行总结,为研究内环境温度对小儿“脱被征”的影响提供理论依据。2.临床研究:(1)按照年龄、体重、性别相近原则进行随机配对设计。从某幼儿园随机选取“脱被征”阳性儿童和“脱被征”阴性儿童,按照年龄、体重、性别相近原则随机配对,以一名“脱被征”阳性儿童和一名“脱被征”阴性儿童组成一组对照观测,共随机选取40组。(2)用温度记录仪记录两组儿童在相同条件(相同室内温度、覆盖相同厚度被褥、穿着相同厚度衣服)下内环境最高温度、平均温度、脱被瞬间温度,并统计两组脱被次数。(3)以问卷形式,统计40名“脱被征”阳性儿童和40名“脱被征”阴性儿相关症状等指标。结果:1.在相同条件下,两组脱被次数差异有非常显著性意义(p0.01);2.在相同条件下,“脱被征”阳性组和“脱被征”阴性组内环境最高温度、平均温度、脱被瞬间温度比较无显著性差异(p0.05);3.两组组内内环境最高温度、脱被瞬间温度与内环境平均温度比较均有显著性差异(p0.05);4.“脱被征”阳性组与口臭、打鼾、磨牙、大便干结、烦躁易怒、睡眠不安稳等有显著性相关(p0.05);与夜啼、讲梦话、食欲差、大便稀溏、自汗、盗汗等无明显相关性(p0.05)。结论:1.在同样室温17℃、覆盖2.5kg棉被条件下,两组脱被发生率差异非常显著,但两组内环境最高温度、平均温度、脱被瞬间温度比较无显著性差异,提示在室温17℃、覆盖2.5kg棉被情况下,内环境温度的变化不是两组脱被发生率差别的原因,推测可能与复杂的深层的内在因素(如温度感受器敏感性上调,大脑皮层和皮层下中枢功能失调,内在的干扰和刺激因素等)相关,仍需进一步深入研究。2.两组组内脱被瞬间温度均高于平均温度,说明睡眠时过多覆盖衣被也是导致脱被的原因之一3.小儿“脱被征”与口臭、打鼾、磨牙、大便干结、烦躁易怒、睡眠不安稳等这组症状有明显相关性,这组症状是小儿胃肠功能紊乱和积滞的主要临床表现,揭示积食和胃肠道功能紊乱与“脱被征”的发生存在密切相关,与中医“胃不和,则卧不安”的认识是吻合的。
[Abstract]:Objective: to study the relationship between the internal ambient temperature (outside the skin, the space temperature inside the coat) and the occurrence of children's delamination, and to determine whether the temperature of the inner environment has an effect on the occurrence of the children's "detachable sign". To provide theoretical basis and experimental data for the prevention and treatment of children. Methods: 1. Review of theory: summarize the literature and modern medical research, summarize the mechanism of thermoregulation, summarize the developmental characteristics of children's body temperature regulation and provide a theoretical basis for the study of the effect of internal ambient temperature on children's "deducible". 2. Clinical study: (1) A randomized pairing design was conducted according to age, weight and sex. Children with positive and negative symptoms were randomly selected from a kindergarten, and matched randomly according to age, weight and sex. A group of 40 groups were randomly selected by a positive child and a negative child. (2) the temperature recorder was used to record the two groups of children in the same condition (the same indoor temperature). Covering the same thickness of bedding, wearing the same thickness of clothing) under the highest temperature, average temperature, instantaneous temperature, and statistics of the two groups of de-quilt times. (3) in the form of a questionnaire, The symptoms of 40 positive children and 40 negative children were analyzed. Results: 1. Under the same conditions, there was a significant difference between the two groups (p0.01); 2. Under the same conditions, there was no significant difference in the highest ambient temperature, mean temperature and instantaneous temperature between the positive group and the negative group (p0.05). There were significant differences between the two groups in the highest temperature in the internal environment, the instantaneous temperature in the desquamation and the average temperature in the internal environment (p0.05); 4. The positive group was significantly associated with halitosis, snoring, molars, stool dry knots, irritability and restlessness (p0.05). There was no significant correlation with night cry, sleep talk, poor appetite, loose stools, spontaneous sweating, night sweating and so on (p0.05). Conclusion: 1. At the same room temperature of 17 鈩，
本文编号：2420225
[Abstract]:Objective: to study the relationship between the internal ambient temperature (outside the skin, the space temperature inside the coat) and the occurrence of children's delamination, and to determine whether the temperature of the inner environment has an effect on the occurrence of the children's "detachable sign". To provide theoretical basis and experimental data for the prevention and treatment of children. Methods: 1. Review of theory: summarize the literature and modern medical research, summarize the mechanism of thermoregulation, summarize the developmental characteristics of children's body temperature regulation and provide a theoretical basis for the study of the effect of internal ambient temperature on children's "deducible". 2. Clinical study: (1) A randomized pairing design was conducted according to age, weight and sex. Children with positive and negative symptoms were randomly selected from a kindergarten, and matched randomly according to age, weight and sex. A group of 40 groups were randomly selected by a positive child and a negative child. (2) the temperature recorder was used to record the two groups of children in the same condition (the same indoor temperature). Covering the same thickness of bedding, wearing the same thickness of clothing) under the highest temperature, average temperature, instantaneous temperature, and statistics of the two groups of de-quilt times. (3) in the form of a questionnaire, The symptoms of 40 positive children and 40 negative children were analyzed. Results: 1. Under the same conditions, there was a significant difference between the two groups (p0.01); 2. Under the same conditions, there was no significant difference in the highest ambient temperature, mean temperature and instantaneous temperature between the positive group and the negative group (p0.05). There were significant differences between the two groups in the highest temperature in the internal environment, the instantaneous temperature in the desquamation and the average temperature in the internal environment (p0.05); 4. The positive group was significantly associated with halitosis, snoring, molars, stool dry knots, irritability and restlessness (p0.05). There was no significant correlation with night cry, sleep talk, poor appetite, loose stools, spontaneous sweating, night sweating and so on (p0.05). Conclusion: 1. At the same room temperature of 17 鈩，
本文编号：2420225
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