本文選題：小兒　切入點：慢性　出處：《云南中醫(yī)學院》2017年碩士論文　論文類型：學位論文

【摘要】：目的:探索小兒慢性胃炎的發(fā)病規(guī)律及中醫(yī)證型與胃鏡相的相關性。方法:收集2016年3月~2016年6月在昆明市兒童醫(yī)院門診及住院部就診的做胃鏡檢查的小兒慢性胃炎患兒。采用Excel進行數據整理與繪圖,IBM SPSS 22.0進行數據分析。探討小兒慢性胃炎的發(fā)病規(guī)律及中醫(yī)證型與胃鏡相的相關性。結果:小兒慢性胃炎患兒的平均年齡為7.57±3.38歲,男女比例大致相等,為1:1.01,年齡主要集中在3-12歲(86.23%),病程在1~6個月(40.98%)和12個月以上(45.90%),最長的14歲患兒有10年病史。305例患兒中多數有偏食傾向,其中有224例(73.44%)偏煎炸食品、216例(70.82%)偏肉類、210例(68.85%)偏酸食、192例(62.95%)偏甜品、189例(61.97%)偏辛辣。305例患兒均為3歲以上小兒,有一定表達能力,其中有腹痛癥狀303例(99.34%)、嘔吐52例(17.05%)、反酸37例(12.13%)。胃鏡下表現以充血、水腫、糜爛為主,分別為充血305例(100%)、水腫299例(98.03%)、糜爛188例(61.64%)。中醫(yī)證型按照由多到少分別為:濕熱中阻、寒邪犯胃、胃陰不足、脾胃虛寒、食滯胃腸、肝胃氣滯、瘀阻胃絡,其中濕熱中阻為231例,占75.74%。中醫(yī)證型與胃鏡下表現的相關性研究中,糜爛與濕熱中阻呈正相關(r=0.135,p=0.0180.05),粘膜斑與肝胃氣滯呈正相關(r=0.150,p=0.0090.05)。中醫(yī)證型與飲食的相關性研究中,煎炸與濕熱中阻呈正相關(r=0.162,p=0.0050.05);酸食與濕熱中阻呈正相關(r=0.115,p=0.0450.05);甜品與濕熱中阻呈正相關(r=0.152,p=0.0080.05);生冷與脾胃虛寒呈正相關(r=0.193,p=0.0010.05);無偏好與肝胃氣滯呈正相關(r=0.193,p=0.0010.05);結論:1.小兒慢性胃炎高發(fā)年齡為學齡前期與學齡期,腹痛為主要臨床表現,研究病例中最長病史達10年。在發(fā)病率、臨床表現、中醫(yī)證型未發(fā)現性別差異。2.充血、水腫、糜爛為小兒慢性胃炎胃鏡下主要表現,胃鏡下表現可望為中醫(yī)辨證提供依據。3.飲食因素、精神情緒因素是小兒慢性胃炎的病因,飲食因素在很大程度上決定了小兒慢性胃炎的中醫(yī)證型,濕熱中阻為主要中醫(yī)證型。
[Abstract]:Objective: to explore the pathogenesis of chronic gastritis in children and the correlation between TCM syndromes and gastroscopy. Methods: from March 2016 to June 2016, children with chronic gastroscopy were collected from outpatient and inpatient department of Kunming Children's Hospital. Children with gastritis. Excel was used to analyze the data. To explore the relationship between TCM syndrome type and gastroscope, the average age of children with chronic gastritis was 7.57 鹵3.38 years old. The ratio of male and female was about the same, 1: 1.01. the age was mainly about 86.23 and the course of disease was 1- 6 months (40.98) and more than 12 months (45.90). The longest 14 years old children had 10 years history. 305 children had a tendency of partial eating. Among them, 224 cases (73.44) and 216 cases (70.82 2) partial fried food, including 210 cases with partial meat and 210 cases with 68.85) partial sour food, 192 cases with partial sweet food, 189 cases with partial desserts (61.97 cases) with spicy food, 305 cases were all children over 3 years old and had certain expression ability. There were 303 cases of abdominal pain, 52 cases of vomiting and 17.05 and 37 cases of acid regurgitation. Under gastroscopy, hyperemia, edema and erosion were the main manifestations, which were 305 cases of hyperemia, 100 cases of edema, 299 cases of edema, 98.03N of edema, 188 cases of erosion and 61.644.The types of TCM syndromes were as follows: dampness and heat obstruction, Cold evil invades stomach, deficiency of stomach yin, deficiency of spleen and stomach, deficiency of stomach and stomach, stagnation of stomach and stomach, stagnation of qi of liver and stomach, and stagnation of stomach collaterals. There was a positive correlation between erosion and damp-heat resistance. There was a positive correlation between mucosal plaque and liver-stomach Qi stagnation. There was a positive correlation between frying and damp-heat moderate resistance; acid food and damp-heat resistance were positively correlated; desserts were positively correlated with damp-heat resistance; desserts were positively correlated with damp-heat resistance; cold of spleen and stomach were positively correlated with cold of spleen and stomach; and no preference was positively correlated with Qi stagnation of liver and stomach. Conclusion: 1.Conclusion: 1.The chronic gastritis in children with chronic gastritis. The age of high incidence was pre-school and school-age. Abdominal pain was the main clinical manifestation, and the longest history in the study was 10 years. There was no gender difference in incidence, clinical manifestation and TCM syndrome type. 2. Hyperemia, edema and erosion were the main manifestations under gastroscopy in children with chronic gastritis. The performance under gastroscope is expected to provide basis for TCM syndrome differentiation. Dietary factors and mental and emotional factors are the etiology of chronic gastritis in children. Dietary factors to a large extent determine the TCM syndrome type of chronic gastritis in children, and damp-heat resistance is the main TCM syndrome type.
【學位授予單位】：云南中醫(yī)學院
【學位級別】：碩士
【學位授予年份】：2017
【分類號】：R272

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