本文選題：慢性咳嗽　切入點(diǎn)：小兒　出處：《山東中醫(yī)藥大學(xué)》2013年碩士論文

【摘要】：目的：通過采集3歲以上慢性咳嗽患兒主要癥狀和體征及飲食因素，分析探討小兒慢性咳嗽中醫(yī)證型與飲食因素的相關(guān)性。方法：采用問卷調(diào)查的方式，收集符合納入標(biāo)準(zhǔn)的慢性咳嗽患兒的主要癥狀和體征及其飲食行為情況，并對其進(jìn)行中醫(yī)辨證分型，然后將每一型患兒的各個飲食因素分別進(jìn)行數(shù)據(jù)統(tǒng)計，，建立相應(yīng)的信息數(shù)據(jù)庫，并利用SPSS16.0軟件Fisher確切概率法進(jìn)行分析。結(jié)果：所收集196例慢性咳嗽患兒的男女之比約為1：1，學(xué)齡前期患兒發(fā)病率明顯高于學(xué)齡期兒童。不同證型的患兒，其飲食因素特點(diǎn)各異，飲食特征、飲食結(jié)構(gòu)、飲食規(guī)律與否等均與中醫(yī)證型密切相關(guān)。結(jié)論：通過臨床病例問卷調(diào)查，可以明確小兒慢性咳嗽的中醫(yī)證型及飲食因素的相關(guān)性，能夠?yàn)榕R床合理辨證提供客觀依據(jù)，對于患兒飲食提供必要參考。飲食特征方面：風(fēng)邪久戀型患兒平素偏于辛辣飲食；痰熱咳嗽型患兒平素偏于炙q厚味飲食；痰濕咳嗽型患兒平素偏于炙q厚味和甘味飲食；氣虛咳嗽型患兒平素偏于平淡飲食；陰虛咳嗽型患兒平素偏于甘味飲食。飲食結(jié)構(gòu)方面：風(fēng)邪久戀型患兒平素飲食結(jié)構(gòu)均衡；痰熱型咳嗽患兒平素偏于油脂類和蔬菜水果類飲食；痰濕咳嗽型患兒平素偏于動物蛋白類食物；氣虛咳嗽型患兒平素偏于食油脂類和糧食類食物；陰虛燥咳型患兒平素偏于動物蛋白類。飲食規(guī)律與否方面：風(fēng)邪久戀咳嗽型、痰濕咳嗽型、氣虛咳嗽型患兒在飲食規(guī)律方面沒有顯著差異，痰熱咳嗽型和陰虛咳嗽型患兒飲食不規(guī)律者較多。
[Abstract]:Objective: to collect the main symptoms and signs and dietary factors of children with chronic cough over 3 years old, and to analyze the correlation between TCM syndromes and dietary factors in children with chronic cough. Methods: questionnaire was used to investigate the relationship between TCM syndromes and dietary factors in children with chronic cough. The main symptoms and signs of children with chronic cough and their dietary behaviors were collected and classified according to TCM syndrome differentiation, and then the dietary factors of each type of children were statistically analyzed. A corresponding information database was established and analyzed by SPSS16.0 software Fisher. Results: the ratio of male and female was about 1: 1 in 196 children with chronic cough. The incidence of preschool children was significantly higher than that of school-age children. The dietetic factors were different, and the characteristics of diet, diet structure and diet regularity were all closely related to TCM syndrome types. Conclusion: through the questionnaire survey of clinical cases, the correlation of TCM syndromes and dietary factors of children with chronic cough can be determined. It can provide objective basis for clinical reasonable syndrome differentiation and provide necessary reference for children's diet. Children with phlegm-dampness cough type tend to burn Q thick taste and sweet taste diet; Qi deficiency cough type children tend to eat plain diet; Yin deficiency cough type children average element lean to sweet food diet. The children with phlegm-heat cough were fed with oils and vegetables and fruits, the children with phlegm-damp cough were on animal protein foods, the children with qi deficiency cough were on lipids and cereals, and the children with phlegm and heat cough were on the diet of greases and fruits. The dietary rules of children with Yin deficiency and dryness cough, phlegm and dampness cough, Qi deficiency cough had no significant difference. The children with phlegm heat cough and yin deficiency cough had irregular diet.
【學(xué)位授予單位】：山東中醫(yī)藥大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2013
【分類號】：R272

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