【摘要】：目的:1.研究新加坡小兒體質(zhì)的分布情況,分析不同種族、不同宗教以及不同患病傾向小兒之間的體質(zhì)差異,為中醫(yī)中藥介入調(diào)理及日常保育方案提供臨床參考;2.調(diào)查過程中對部分愿意接受中醫(yī)中藥治療及體質(zhì)調(diào)理的小兒進(jìn)行疾病轉(zhuǎn)歸和體質(zhì)變化等比較,明確中醫(yī)中藥對小兒體質(zhì)的改善情況。方法:運(yùn)用臨床證型分類法,一對一收集和整理361例來自16個不同國家和地區(qū)、隸屬不同種族、不同宗教信仰且長期居住在不同地區(qū)的新加坡小兒的體質(zhì)特征與臨床資料,對其體質(zhì)進(jìn)行分型分類統(tǒng)計,所有收集的調(diào)查資料均輸入excel表格,數(shù)據(jù)均采用SPSS 16.0統(tǒng)計軟件進(jìn)行處理,計量資料進(jìn)行t檢驗或非參數(shù)檢驗。結(jié)果:361例接受調(diào)查的小兒中有男性196例(54.3%),女性165例(45.7%),年齡均在1周歲以上12周歲以下,分別來自16個不同國家及地區(qū),均長期居住在新加坡各地的不同區(qū)域,有不同的宗教信仰,其中佛教35.2%,回教3.6%,伊斯蘭教及基督教分別是1.9%、1.7%,其余為無宗教信仰小兒。接受調(diào)查的小兒中,曾經(jīng)看過中醫(yī)的有59例(16%),沒有看過中醫(yī)的有302例(84%)。易患疾病方面:123例(34%)感染過手足口病,142例(39%)小兒有皮膚濕疹或者過敏性疾病�；疾A向方面:肺系患病傾向的有282例(78.1%),脾系患病傾向的154例(42.7%),腎系患病傾向的3例(0.8%),體質(zhì)類型包括肺稟不足質(zhì)、脾稟不足質(zhì)、腎稟不足質(zhì),分別是51.5%、44.3%、4.2%,其他的調(diào)查還有臟腑、氣血陰陽偏虛的體質(zhì)分布情況等等,相關(guān)性分析顯示小兒患病傾向與體質(zhì)之間存在一定的相關(guān)性。討論:新加坡獨(dú)特的濕熱氣候特點直接影響小兒體質(zhì),多種族、多宗教信仰存在通過飲食習(xí)慣及風(fēng)俗文化等多方面影響小兒體質(zhì),導(dǎo)致新加坡小兒以熱性體質(zhì)、肺虛質(zhì)及脾虛質(zhì)為多見,手足口病及過敏性疾病多發(fā)。小兒偏頗體質(zhì)影響小兒患病概率,與小兒的患病傾向等關(guān)系密切,有針對性地對小兒偏頗體質(zhì)進(jìn)行調(diào)理,辨質(zhì)論治指導(dǎo)臨床藥物及飲食調(diào)理,通過改善偏頗體質(zhì)起到未病先防,事半功半的疾病治療作用。通過對部分有明顯或傾向于臨床病變且愿意接受中醫(yī)中藥干預(yù)的小兒給予中藥介入治療和調(diào)理,并觀察其疾病的康復(fù)及體質(zhì)的變化情況,進(jìn)一步證實了中醫(yī)中藥對小兒體質(zhì)調(diào)理的療效,為"體質(zhì)可調(diào)性"提供了臨床參考依據(jù)。然而中醫(yī)中藥在新加坡的發(fā)展仍較緩慢,進(jìn)一步為中醫(yī)藥在新加坡的發(fā)展開辟廣闊道路,是我們新加坡從事中醫(yī)工作者需要不斷努力的方向和責(zé)任。
[Abstract]:Objective: 1. To study the distribution of children's physique in Singapore and analyze the difference of constitution among children of different race, religion and different tendency of disease, to provide the clinical reference for the intervention of TCM and the routine nursing program. 2. In the course of investigation, some children who are willing to be treated with traditional Chinese medicine (TCM) and their physique are compared with each other in order to clarify the improvement of TCM on children's physique. Methods: the physique and clinical data of 361 Singaporean children from 16 different countries and regions, belonging to different races, religious beliefs and living in different regions for a long time, were collected and sorted by clinical syndrome classification. All the collected investigation data were input into excel form, the data were processed by SPSS 16.0 statistical software, and the measured data were tested by t test or non-parameter test. Results: there were 196 males (54.3%) and 165 females (45.7%) in 361 children who were over 12 years of age. They were from 16 different countries and regions. They all live in different regions of Singapore for a long time and have different religious beliefs, among which Buddhism 35.22, Islam 3.6, Islam and Christianity 1.9 and 1.7 respectively, the rest are children without religious beliefs. Among the children surveyed, 59 (16%) had seen Chinese medicine and 302 (84%) had not. 123 cases (34%) were infected with hand, foot and mouth disease, 142 cases (39%) had skin eczema or allergic disease. There were 282 cases (78.1%) in the lung system, 154 (42.7%) in the spleen and 3 (0.8%) in the kidney. The deficiency of kidney was 51.5% and 44.3% and 4.2% respectively. Other investigations included viscera, physical distribution of deficiency of qi and blood yin and yang, and so on. Correlation analysis showed that there was a certain correlation between illness tendency and constitution in children. Discussion: Singapore's unique humid and hot climate has a direct impact on children's physique, multi-racial and multi-religious beliefs have many aspects of influence on children's physique through eating habits and customs and culture, which leads to the thermal constitution of Singaporean children. Lung deficiency and spleen deficiency were more common, hand, foot and mouth diseases and allergic diseases were more common. Children's physical bias affects the probability of infantile disease, and is closely related to the tendency of infantile illness. It can be used to regulate children's biased physique, to differentiate and treat quality, to guide clinical medicine and diet conditioning, and to prevent the disease before illness by improving the biased constitution. The effect of treating diseases is half the work. Some children who have obvious or tendency to clinical pathological changes and are willing to accept the intervention of traditional Chinese medicine are given interventional therapy and conditioning of traditional Chinese medicine, and the rehabilitation of their diseases and the changes of their physique are observed. Further confirmed the curative effect of traditional Chinese medicine on children's physique conditioning, and provided the clinical reference basis for "physique adjustable". However, the development of Chinese medicine in Singapore is still relatively slow. It is the direction and responsibility for us to continue to work hard for the development of Chinese medicine in Singapore.
【學(xué)位授予單位】：南京中醫(yī)藥大學(xué)
【學(xué)位級別】：博士
【學(xué)位授予年份】：2017
【分類號】：R72

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