本文關(guān)鍵詞： 小兒多發(fā)性抽動(dòng)癥 證候特點(diǎn) 脈象 中醫(yī)研究　出處：《山東中醫(yī)藥大學(xué)》2012年碩士論文　論文類型：學(xué)位論文

【摘要】：目的：在中醫(yī)理論指導(dǎo)下，探討多發(fā)性抽動(dòng)癥的證候與脈象特點(diǎn)。方法：對(duì)符合納入標(biāo)準(zhǔn)的120例患兒，填寫(xiě)耶魯綜合抽動(dòng)嚴(yán)重程度量表及中醫(yī)證候調(diào)查表，采集相關(guān)資料建立數(shù)據(jù)庫(kù)，采用頻數(shù)聚類與證素分析，得出結(jié)論。結(jié)果：（1）抽動(dòng)證候發(fā)生頻率較高的依次為眨眼、擠眼（68.3%）、清嗓/咽中吭吭聲（48.3%）、聳肩（27.5%）、發(fā)聲（25.8%）。前十位高頻非抽動(dòng)中醫(yī)證候中前五位為精神癥狀，，其中膽小（41.7%）、善驚（31.7％）、急躁易怒（31.7%）頻次較高；后五位為軀體癥狀或體征：盜汗（15.8%）、納差（15.0%）、咽紅（12.5%）、腹痛（12.5%）、大便干（12.5%）。（2）多發(fā)性抽動(dòng)癥脈象頻次較高的為細(xì)脈62次、弦脈52次、澀脈34次。（3）病位證素肝的頻數(shù)最高，為32次（26.7%）；虛性病性證素陰虛52次（43.3%）、血虛27次（22.5%）；實(shí)性病性證素頻次較多的為熱29次（24.2%）、外風(fēng)及濕各16次（13.3%）。結(jié)論：（1）多發(fā)性抽動(dòng)癥的抽動(dòng)癥狀發(fā)生于多部位，且精神癥狀較突出。（2）多發(fā)性抽動(dòng)癥脈象多表現(xiàn)為脈位較沉，脈形較細(xì)，搏動(dòng)有力但不流暢。以左手尺部為顯。（3）多發(fā)性抽動(dòng)癥的證型及相宜辨證方法有待豐富和拓展。
[Abstract]:Objective: under the guidance of traditional Chinese medicine theory, to explore the syndrome and pulse characteristics of multiple tic syndrome. Methods: 120 children who met the inclusion criteria were filled out Yale comprehensive tic severity scale and TCM syndrome questionnaire. The data were collected to establish the database and the frequency clustering and syndromes analysis were used to get the conclusion. Results the higher frequency of twitching syndrome occurred in the order of blinking and squeezing 68.3). In the first ten high frequency non-twitching TCM syndromes, the first five were mental symptoms, among which 41.7 were timid). The frequency of good alarm is 31. 7 and irritable and irritable is 31. 7. The last five were somatic symptoms or signs: night sweating 15.8m, anorexia 15.0, pharynx 12.5m, abdominal pain 12.5. The frequency of pulse appearance of multiple tic syndrome was 62 times of veinlet, 52 times of chord vein and 34 times of astringent vein. 32 times. Deficiency of venereal disease syndrome of yin deficiency 52 times with 43.3%, blood deficiency of 27 times with 22. 5 points; The frequency of syndromes of sexual syndromes of venereal diseases were 29 times of heat and 24. 2 times of heat, 16 times of external wind and 16 times of dampness, and 13. 3%. Conclusion the tic symptoms of multiple tic disorder occurred in many parts. And the mental symptom is more prominent. 2) the pulse appearance of multiple tic syndrome is that the pulse position is more heavy and the pulse shape is smaller. Pulsatility but not fluency. With left ulnar as a demonstration. 3) the syndrome types and appropriate syndrome differentiation methods of multiple tic syndrome need to be enriched and expanded.
【學(xué)位授予單位】：山東中醫(yī)藥大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2012
【分類號(hào)】：R749.94

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