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  本文選題：小兒咳嗽變異性哮喘 + 中醫(yī)證型　； 參考：《中國中醫(yī)科學(xué)院》2012年碩士論文

【摘要】：咳嗽變異性哮喘(Cough Variant Asthma, CVA)又稱隱匿型哮喘或咳嗽性哮喘,是哮喘的一種特殊類型,也可認(rèn)為是典型哮喘的前驅(qū)表現(xiàn)�？人宰儺愋韵莾嚎频某Ｒ姴�,其臨床特點為無喘息或呼吸困難癥狀的持續(xù)性、反復(fù)性、頑固性的咳嗽。目前,西醫(yī)對咳嗽變異性哮喘的治療以腎上腺皮質(zhì)激素、白三烯受體拮抗劑和β-受體激動劑為主,但存在長期應(yīng)用有一定副作用且停藥后易復(fù)發(fā)等缺點。中醫(yī)藥在增強咳嗽變異性哮喘患兒體質(zhì)及免疫力、改善患兒癥狀及相關(guān)預(yù)后方面都有其獨特的優(yōu)勢。近年來關(guān)于小兒咳嗽變異性哮喘辨證分型的文章日益增多,但國家行業(yè)標(biāo)準(zhǔn)如《中醫(yī)病癥診斷療效標(biāo)準(zhǔn)》、《中醫(yī)臨床診療術(shù)語》均術(shù)發(fā)布其中醫(yī)證型標(biāo)準(zhǔn),即該病目前尚缺乏統(tǒng)一的中醫(yī)證型及分型方法。故本課題研究試對小兒咳嗽變異性哮喘的臨床辨證分型進行科學(xué)系統(tǒng)的研究。 目的：研究小兒咳嗽變異性哮喘的中醫(yī)證型分布規(guī)律。 方法：從2011年4月—2012年4月中國中醫(yī)科學(xué)院西苑醫(yī)院兒科門診納入符合西醫(yī)診斷小兒咳嗽變異性哮喘患兒共120例。采集納入患兒的癥狀、體征、舌苔、脈象等信息。采用SPSS18.0統(tǒng)計軟件包對數(shù)據(jù)進行頻數(shù)分析。 結(jié)果：120例患兒中,陰虛痰濕未盡證73例,占60.83%；氣陰兩虛證33例,占27.50%；痰熱閉肺證5例,占4.17%；肺脾蘊熱證5例,占4.17%；痰濕蘊肺證4例,占3.33%。 結(jié)論： 1對120例咳嗽變異性哮喘患兒調(diào)查結(jié)果的一般資料顯示3-6歲學(xué)齡前兒童患病率較高。 2對120例咳嗽變異性哮喘患兒進行中醫(yī)辨證分型,其中以陰虛痰濕未盡證73例(60.83%)、氣陰兩虛證33例(27.50%)居多。 3對120例咳嗽變異性哮喘患兒進行統(tǒng)計分析發(fā)現(xiàn)：有個人過敏史以及家族過敏史者是易患咳嗽變異性哮喘的危險因素,運動、冷空氣刺激以及感冒是誘發(fā)咳嗽發(fā)作及加重的危險因素。
[Abstract]:Cough variant asthma (CVA) is also called occult asthma or cough asthma. It is a special type of asthma and can also be considered as the precursor of typical asthma. Cough variant asthma is a common disease in pediatrics. It is characterized by persistent, recurrent and persistent cough without wheezing or dyspnea. At present, the main treatment of cough variant asthma in western medicine is adrenocortical hormone, leukotriene receptor antagonist and 尾-receptor agonist. Chinese medicine has its unique advantages in enhancing the health and immunity of children with cough variant asthma and improving their symptoms and related prognosis. In recent years, there are more and more articles on syndrome differentiation and classification of cough variant asthma in children. However, the national trade standards, such as "criteria for the diagnosis of TCM symptoms" and "terms of Clinical diagnosis and treatment of TCM", have issued their TCM syndromes. That is, the disease is still lack of unified TCM syndrome type and classification method. Therefore, the clinical syndrome differentiation of cough variant asthma in children was systematically studied. Objective: to study the distribution of TCM syndromes of cough variant asthma in children. Methods: from April 2011 to April 2012, 120 children with cough variant asthma were included in the pediatric outpatient clinic of Xiyuan Hospital, Chinese Academy of traditional Chinese Medicine. Collect information of symptoms, signs, tongue coating, pulse and so on. The frequency of data was analyzed by SPSS18.0 software package. Results among 120 cases, 73 cases (60.833c) were without phlegm dampness due to yin deficiency, 33 cases (27.50%) were Qi and Yin deficiency syndrome, 5 cases (4.17) were phlegm heat blocking lung syndrome, 5 cases were lung heat accumulation syndrome (4.17), 4 cases were phlegm dampness accumulation lung syndrome (3.33%). Conclusion: 1 the general data of 120 children with cough variant asthma showed that the prevalence rate of 3-6 years old preschool children was higher. 2 the syndrome differentiation of 120 children with cough variant asthma was carried out, among which 73 cases with deficiency of yin and phlegm and dampness were 60.83G, 33 cases with deficiency of qi and yin were 27. 50%). (3) A statistical analysis of 120 children with cough variant asthma was carried out. The results showed that individual allergic history and family allergic history were the risk factors of cough variant asthma. Cold air irritation and colds are risk factors for cough attack and aggravation.
【學(xué)位授予單位】：中國中醫(yī)科學(xué)院
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2012
【分類號】：R272

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