本文選題：小兒反復(fù)呼吸道感染　切入點(diǎn)：濕熱體質(zhì)　出處：《黑龍江中醫(yī)藥大學(xué)》2012年碩士論文

【摘要】：目的：通過(guò)對(duì)小兒反復(fù)呼吸道感染的臨床病例采集及前瞻性調(diào)查研究,探討現(xiàn)代小兒反復(fù)呼吸道感染的發(fā)病情況,小兒的體質(zhì)構(gòu)成比,小兒濕熱體質(zhì)在小兒體質(zhì)以及復(fù)感兒中體質(zhì)構(gòu)成比,對(duì)小兒日常防護(hù)及復(fù)感患兒的指導(dǎo)治療提供參考 方法：采用一般調(diào)查表,對(duì)2010年3月至2011年3月期間,在黑龍江中醫(yī)藥大學(xué)附屬慢性病門(mén)診的就診患兒進(jìn)行入選篩查,共搜集符合標(biāo)準(zhǔn)病例200例。根據(jù)小兒復(fù)感的診斷標(biāo)準(zhǔn),將200例患兒篩選出80例RRTI患兒作為患兒組,從120例非復(fù)感兒中隨機(jī)抽取80例作為正常組。制定小兒濕熱體質(zhì)量化表,將患兒組與正常組進(jìn)行體質(zhì)分類(lèi),分為濕熱體質(zhì)組與非濕熱體質(zhì)組,采用Epidate3.1建立數(shù)據(jù)庫(kù),將病例資料數(shù)據(jù)輸入數(shù)據(jù)庫(kù),進(jìn)行統(tǒng)計(jì)學(xué)分析比較得出結(jié)果 結(jié)果：1)在200例病例中癥狀出現(xiàn)的頻率從高到低分別為舌苔膩,舌質(zhì)紅,脈滑數(shù)、濡數(shù),大便異常,口中異味,口唇紅赤,小便黃赤,心煩急躁,頻率均大于20%,其次癥候分別為食欲不振,手足心熱,易汗出,易生濕疹,頻率均大于10%。2)患兒組80例中濕熱體質(zhì)45例(56.25%),非濕熱體質(zhì)35例(43.75%),正常組120例中濕熱體質(zhì)38例(31.67%)非濕熱體質(zhì)82例(68.33%)。3)患兒組與正常組有關(guān)發(fā)病因素的比較,孕母患病,出生方式,喂養(yǎng)方式等,兩組具有顯著性差異(p0.05),比較兩組出生體重,結(jié)果無(wú)顯著性差異(p0.05)。兩組有關(guān)過(guò)敏情況的比較,患兒組易致敏,具有顯著性差異(p0.01)。4)患兒組與對(duì)照組在呼吸道感染急性期癥狀頻率及百分比,兩組小兒大便異常,咽喉腫痛,咳嗽咳痰,高熱,伴發(fā)哮喘,伴發(fā)肺炎,皮膚異常癥狀中患兒組頻率均大于對(duì)照組,且患兒組前四項(xiàng)癥候頻率大于40%,對(duì)照組前三項(xiàng)癥候頻率均大于30%。5)濕熱組與非濕熱組在發(fā)病次數(shù)的比較(p0.05),具有顯著差異6)濕熱組與非濕熱組在偏嗜肉食,喜食辛辣,蔬果不足,貪涼飲冷,冬季室內(nèi)溫度方面的比較,具有顯著性差異(P0.05),兩組在運(yùn)動(dòng)量上比較,無(wú)顯著性差異(P0.05) 結(jié)論：1)此次調(diào)查發(fā)現(xiàn),小兒反復(fù)呼吸道感染在小兒疾病的構(gòu)成比中約占40%,其發(fā)病與孕母身體狀況,小兒出生方式,喂養(yǎng)方式等因素有關(guān),且小兒偏嗜肉食,蔬果不足,喜食辛辣,貪涼飲冷等不良飲食方式,冬季室內(nèi)溫度過(guò)高都是小兒復(fù)感的影響因素。2)在復(fù)感兒中,濕熱體質(zhì)型患兒所占比重較大,并且表現(xiàn)出發(fā)病次數(shù)多,病程長(zhǎng),纏綿難愈,癥狀以高熱咳嗽,唇紅口臭,咽喉腫痛,大便異常,伴發(fā)哮喘肺炎,皮膚異常,舌質(zhì)紅,苔黃膩等。3)提示祛濕熱、調(diào)體質(zhì)法對(duì)防治小兒反復(fù)呼吸道感染具有重要意義。
[Abstract]:Objective: to investigate the incidence of recurrent respiratory tract infection in modern children and the constitution ratio of children by collecting clinical cases of recurrent respiratory tract infection in children and making prospective investigation.The constitution ratio of dampness and heat in children and children with complex feeling can provide reference for the daily protection and treatment of children with resuscitation.Methods: from March 2010 to March 2011, a general questionnaire was used to screen the children in the clinic of chronic diseases affiliated to Heilongjiang University of traditional Chinese Medicine. A total of 200 cases were collected.According to the diagnostic criteria of resuscitation in children, 80 cases of RRTI were selected as the group of children, and 80 cases were randomly selected as normal group from 120 cases of non-resuscitation children.Make a quantitative table of children's dampness and heat constitution, classify the children's physical constitution with that of the normal group, and divide them into the damp heat constitution group and the non-damp heat constitution group, establish the database by Epidate3.1, input the case data into the database, and compare the results by statistical analysis and comparison.Results in 200 cases, the frequency of symptoms from high to low were greasy tongue coating, red tongue, pulse slip number, moistening number, abnormal stool, peculiar smell of mouth, red lip of mouth, yellow redness of urination, irritability and irritability.The frequency is more than 20. The next symptoms are loss of appetite, hot palms, sweating easily, eczema easily.There was no significant difference in birth weight between the two groups.The frequency and percentage of symptoms in the acute phase of respiratory infection in the two groups were abnormal, throat swelling and pain, cough and phlegm, high fever.The frequency of children with asthma, pneumonia and abnormal skin symptoms was higher than that of control group.The frequency of the first four symptoms was more than 40 in the control group, and the frequency of the first three symptoms in the control group was more than 30. 5) there was significant difference between the damp-heat group and the non-dampness heat group in the frequency of the disease. There was a significant difference between the damp-heat group and the non-damp-heat group in the preference for meat, spicy food and lack of fruits and vegetables, and there was a significant difference between the damp-heat group and the non-damp-heat group.There was a significant difference between cold drinking and cold drinking in winter and indoor temperature in winter, but there was no significant difference in exercise volume between the two groups (P 0.05).Conclusion (1) this investigation found that recurrent respiratory tract infection in children accounts for about 40% of the proportion of diseases in children. The incidence of recurrent respiratory tract infection in children is related to the physical condition of pregnant mothers, the way children are born, the way of feeding and so on, and the children are partial to meat and lack of fruits and vegetables.In the children with resuscitation, the proportion of children with dampness and heat constitution is larger, and the incidence times, the course of disease is long, and it is difficult to recover from the disease, such as spicy food, cold and cold food, and the high indoor temperature in winter are all the influencing factors of children's resuscitation, and the children with dampness and heat constitution account for a large proportion of the children with resuscitation.Symptoms such as high fever cough, red lips and bad breath, sore throat, abnormal stool, accompanied by asthma pneumonia, abnormal skin, red tongue, yellow greasy fur, etc.) suggested that dispelling dampness and heat, regulating physical constitution is of great significance in preventing and treating recurrent respiratory tract infection in children.
【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(lèi)號(hào)】：R272

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