本文選題：生活方式　切入點(diǎn)：祛濕熱　出處：《黑龍江中醫(yī)藥大學(xué)》2012年碩士論文　論文類型：學(xué)位論文

【摘要】：目的：大量流行病學(xué)調(diào)查和臨床研究均表明,現(xiàn)代小兒不良生活方式與喂養(yǎng)方式——小兒濕熱體質(zhì)——小兒反復(fù)呼吸道感染(RRTI)各環(huán)節(jié)之間存在著因果關(guān)系。因此,我們開展以“祛濕熱、調(diào)體質(zhì)”法治療RRTI的臨床試驗(yàn)研究。藉此不但可以在理論上反證濕熱體質(zhì)與RRTI的相關(guān)性,引導(dǎo)人們從不良生活方式角度審視RRTI高發(fā)的問題；并可在臨床上為開發(fā)符合臨床實(shí)際的,經(jīng)濟(jì)有效的防治RRTI中藥提供可靠的臨床數(shù)據(jù)支持。 方法：通過傳統(tǒng)文獻(xiàn)梳理與中醫(yī)理論推導(dǎo)相結(jié)合的方式探討小兒不良生活方式及喂養(yǎng)方式、中醫(yī)濕熱體質(zhì)與RRTI的相關(guān)性；對(duì)40例濕熱體質(zhì)RRTI患兒進(jìn)行“祛濕熱、調(diào)體質(zhì)”治療,觀察治療前后患兒的體質(zhì)量表得分,濕熱體質(zhì)相關(guān)癥狀,RRTI病情相關(guān)體征的變化情況,驗(yàn)證“祛濕熱、調(diào)體質(zhì)”法是否適應(yīng)于對(duì)現(xiàn)代RRTI的治療。 結(jié)果：40例濕熱質(zhì)RRTI患兒經(jīng)“祛濕熱、調(diào)體質(zhì)”治療后,總有效率高達(dá)85%；濕熱體質(zhì)判定量表總得分和單項(xiàng)得分全部降低,說明患兒濕熱狀態(tài)解除；隨訪發(fā)現(xiàn),治療后一年內(nèi)患兒再發(fā)呼吸道感染次數(shù)減少、病程縮短、且病位變淺,說明RRTI病情明顯減輕；治療后患兒舌苔脈象好轉(zhuǎn),面色明潤,食欲增強(qiáng),說明小兒一般生活狀態(tài)改善。 結(jié)論：1“祛濕熱、調(diào)體質(zhì)”法具有改善濕熱質(zhì)RRTI患兒體質(zhì)偏頗傾向的作用； 2“祛濕熱、調(diào)體質(zhì)”法具有緩解濕熱質(zhì)RRTI患兒病情的作用； 3濕熱質(zhì)RRTI患兒經(jīng)“祛濕熱、調(diào)體質(zhì)”法治療后,呼吸道感染的年發(fā)病次數(shù)有所減少,每次發(fā)病時(shí)間有所縮短,發(fā)病時(shí)病情減輕。 4濕熱質(zhì)RRTI患兒經(jīng)“祛濕熱、調(diào)體質(zhì)”法治療后,面色,食欲,舌苔,脈象等一般體征較治療前明顯改善。
[Abstract]:Objective: a large number of epidemiological and clinical studies have shown that there is a causal relationship between the unhealthy life style of modern children and the feeding style-children's dampness and heat constitution-children with recurrent respiratory tract infection (RRTI). We carried out the clinical trial study of treating RRTI with the method of "dispelling dampness and heat and regulating physical constitution", which can not only prove the correlation between dampness and heat constitution and RRTI in theory, but also guide people to examine the problem of high incidence of RRTI from the point of view of bad life style. And it can provide reliable clinical data support for the development of Chinese medicine for the prevention and treatment of RRTI. Methods: through the combination of traditional literature combing and theoretical derivation of traditional Chinese medicine, the relationship between traditional Chinese medicine dampness and heat constitution and RRTI was discussed, and 40 cases of RRTI with damp-heat constitution were treated with "dispelling dampness and heat." Before and after treatment, the scores of physique scale and the changes of symptoms related to dampness and heat were observed to verify whether the method of "dispelling dampness and heat, regulating constitution" was suitable for the treatment of modern RRTI. Results after the treatment of "dispelling dampness and heat, regulating constitution", the total effective rate of 40 cases of RRTI with moisture and heat was up to 85, and the total score and single score of the judgement scale of damp and heat constitution were all decreased, which indicated that the damp and heat state of the children was relieved. Within one year after treatment, the frequency of recurrent respiratory tract infection was decreased, the course of disease was shortened, and the disease position was shallower, which indicated that the condition of RRTI was obviously alleviated, the tongue coating pulse was improved after treatment, the complexion was bright, and the appetite was enhanced, which indicated that the general living state of children was improved. Conclusion the method of "dispelling dampness and heat and regulating physical constitution" can improve the biased tendency of children with dampness and heat RRTI. (2) the method of "dispelling dampness and heat and regulating physical constitution" has the effect of relieving the condition of children with damp-heat RRTI; 3After the treatment of "dispelling dampness and heat, regulating physical constitution", the annual incidence of respiratory tract infection was decreased, the time of onset was shortened, and the condition of disease was alleviated. (4) the general signs such as facial color, appetite, tongue coating, pulse and so on were obviously improved after the treatment of "dispelling dampness and heat, regulating physical constitution" in children with damp-heat RRTI.
【學(xué)位授予單位】：黑龍江中醫(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)】：R272

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