本文選題：兒童肺炎　切入點：中醫(yī)證型　出處：《遼寧中醫(yī)藥大學(xué)》2012年碩士論文　論文類型：學(xué)位論文

【摘要】：目的： 通過對我國東部地區(qū)6家中醫(yī)院兒童肺炎中醫(yī)證型及相關(guān)因素的整理，探討兒童肺炎中醫(yī)證型與患兒年齡、性別、地域、病原及主要初始癥狀等因素的相關(guān)性，為兒童肺炎中醫(yī)特色辨證施治提供依據(jù)，為兒童肺炎中醫(yī)證型客觀化研究提供科學(xué)依據(jù)。 方法： 通過對地區(qū)、季度和醫(yī)院比例分層抽樣方法，將符合中西醫(yī)兒童肺炎診斷標(biāo)準及病例納入標(biāo)準的598例肺炎患兒的臨床資料進行搜集整理，填寫兒童肺炎回顧性研究病例報告表，，并采用Epidate軟件進行電子錄入。全部數(shù)據(jù)錄入結(jié)束，將數(shù)據(jù)導(dǎo)出整理制表，進行數(shù)據(jù)統(tǒng)計及后期數(shù)據(jù)分析。 結(jié)果： 1.兒童肺炎回顧性研究病例數(shù)據(jù)經(jīng)統(tǒng)計結(jié)果顯示：598例肺炎患兒的年齡區(qū)間集中低齡患兒，尤以1-3歲的患兒居多。 2.2.598例中醫(yī)辨證中，由風(fēng)寒閉肺證、風(fēng)熱閉肺證、痰熱閉肺證、痰濕閉肺證、寒熱錯雜證、肺脾氣虛證、脾虛痰蘊證這七個證型構(gòu)成，其中以風(fēng)熱閉肺證（47.49%）、痰熱閉肺證（49.33%）為主。 3.肺炎發(fā)病時，風(fēng)熱閉肺證主要初始癥狀發(fā)生情況依次（多-少）：咳嗽、肺部Up音、發(fā)熱、有痰咯不出、白痰；痰熱閉肺證主要初始癥狀發(fā)生情況（多-少）：咳嗽、肺部Up音、發(fā)熱、有痰咯不出、氣促。風(fēng)熱閉肺證與痰熱比肺證在熱、咳、痰、喘及肺部Up音等初始癥狀發(fā)生情況上，差異不大，說明肺炎風(fēng)熱閉肺證、痰熱閉肺證在疾病的診斷上沒有差異。 4.各證型肺炎患兒年齡的分布仍多見于1~3歲這一年齡段，且有統(tǒng)計學(xué)意義。各證型肺炎患兒在男女性別比例及地域的分布上是沒有差異的。而在病原分布上，雖然除脾肺氣虛證外，各證型的細菌感染所占比例是較大的，但痰熱閉肺證和肺脾氣虛證中，支原體感染還是首要感染因素。 結(jié)論： 兒童肺炎多發(fā)于低齡患兒，尤以1-3歲多見。兒童肺炎的中醫(yī)證型臨床以風(fēng)熱閉肺證、痰熱閉肺證為主。兒童肺炎的中證型分布規(guī)律與肺炎患兒性別因素、地域環(huán)境影響是沒有相關(guān)性的；但在年齡分布、病原方面還有一定相關(guān)性的。
[Abstract]:Objective:. By sorting out TCM syndrome types and related factors of children pneumonia in 6 Chinese medicine hospitals in eastern China, the correlation between TCM syndrome types and age, sex, region, pathogen and main initial symptoms of children with pneumonia was discussed. To provide the basis for TCM syndrome differentiation and treatment of children pneumonia, and to provide scientific basis for the objective study of TCM syndromes of children pneumonia. Methods:. By stratified sampling method of district, quarterly and hospital proportions, the clinical data of 598 children with pneumonia, who met the diagnostic criteria of pneumonia in children with traditional Chinese and western medicine and who were included in the standard, were collected and sorted. To fill out the report form of retrospective study of pneumonia in children, and use Epidate software to enter the data electronically. After all the data were entered, the data were exported and tabulated, and the data statistics and later data analysis were carried out. Results:. 1. The statistical results of retrospective study on pneumonia in children showed that the age range of 598 children with pneumonia was concentrated in the low age group, especially those aged 1-3 years. 2.2.598 cases of TCM syndrome differentiation were composed of seven syndromes: wind-cold syndrome, wind-heat syndrome, phlegm-heat syndrome, phlegm-dampness syndrome, phlegm-dampness syndrome, heat syndrome, syndrome of deficiency of lung and spleen qi, syndrome of deficiency of spleen and phlegm accumulation, of which the main syndromes were wind and heat blocking lung syndrome (47.49) and phlegm heat closing lung syndrome (49.3333). 3. At the time of pneumonia onset, the main initial symptoms of wind-heat blocking lung syndrome occurred in order: cough, lung up sound, fever, phlegm, white phlegm, the occurrence of main initial symptoms of phlegm heat blocking lung syndrome (more or less: cough, lung up sound, Fever, phlegm, shortness of breath. Wind heat blocking lung syndrome and phlegm heat ratio lung syndrome in heat, cough, phlegm, asthma, lung up sound and other initial symptoms, the difference is not significant, indicating that pneumonia wind-heat closed lung syndrome, There is no difference in the diagnosis of phlegm heat blocking lung syndrome. 4. The age distribution of children with syndrome type pneumonia is still more common in the age group of 1 to 3 years old, and there is statistical significance. There is no difference in the sex ratio between male and female and the distribution of region in each syndrome type pneumonia, but in the distribution of pathogen, there is no difference in the distribution of male and female in each syndrome type pneumonia. Although the proportion of bacterial infection of each syndrome type is large except spleen and lung qi deficiency syndrome, mycoplasma infection is the primary infection factor in phlegm heat blocking lung syndrome and lung temper deficiency syndrome. Conclusion:. Children's pneumonia is more common in young children, especially in 1-3 years old. The TCM syndromes of children's pneumonia are wind heat blocking lung syndrome, phlegm heat blocking lung syndrome. There is no correlation between geographical environmental impact and age distribution, but there is a certain correlation in age distribution and pathogen.
【學(xué)位授予單位】：遼寧中醫(yī)藥大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2012
【分類號】：R272

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相關(guān)期刊論文 前10條

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