本文選題：小兒厭食癥 + 體質(zhì)類型　； 參考：《湖南中醫(yī)藥大學(xué)》2012年碩士論文

【摘要】：目的 探討小兒厭食癥體質(zhì)類型與證候的相關(guān)性,從體質(zhì)角度為小兒厭食癥的預(yù)防提供依據(jù),更為臨床提供一條辨質(zhì)論治與辨證論治相結(jié)合的診療思路。 方法 本研究對符合觀察條件的103例小兒厭食癥患兒進行橫斷面現(xiàn)場問卷調(diào)查,對調(diào)查結(jié)果中的一般情況、信息資料做描述性統(tǒng)計分析,對經(jīng)整理的信息條目進行聚類分析,對體質(zhì)類型及證候相關(guān)性進行卡方檢驗。 結(jié)果 1.103例患兒男性52例(50.5%),女性51例(49.5%)；發(fā)病年齡多為6歲以下,均值為3.29歲。 2.小兒厭食癥體質(zhì)類型有陰虧內(nèi)熱質(zhì)(31.1%)、正常質(zhì)(28.2%)、腎氣不足質(zhì)+風痰內(nèi)蘊質(zhì)(24.3%)、脾弱濕滯質(zhì)+肺氣不足質(zhì)(11.7%)、脾弱肝旺質(zhì)(2.9%)及其他質(zhì)(1.9%)。正常質(zhì)、陰虧內(nèi)熱質(zhì)的構(gòu)成比差異無統(tǒng)計學(xué)意義(P=0.701),與其他體質(zhì)構(gòu)成比有統(tǒng)計學(xué)意義。 3.小兒厭食癥證候有脾胃不和證(39.8%)、脾胃陰虛證(35.9%)、脾胃氣虛證(18.4%)及其他證(5.8%)。脾胃不和證與脾胃陰虛證構(gòu)成比差異無統(tǒng)計學(xué)意義(P=0.651),與其他證候構(gòu)成比有統(tǒng)計學(xué)意義。 4.正常質(zhì)患兒證候分型中,脾胃不和證與其他證候構(gòu)成比差異有統(tǒng)計學(xué)意義(P=0.006)；陰虧內(nèi)熱質(zhì)患兒證候分型中,脾胃不和證、脾胃陰虛證與其他證候構(gòu)成比差異有統(tǒng)計學(xué)意義(P=0.000)；兼夾質(zhì)患兒的證候之間構(gòu)成比差異無統(tǒng)計學(xué)意義(P=0.326,P=0.198) 結(jié)論 1.小兒厭食癥發(fā)病無性別差異。發(fā)病年齡呈斷奶、入托兩個高峰期； 2.小兒厭食癥體質(zhì)類型以陰虧內(nèi)熱質(zhì)、正常質(zhì)較常見； 3.小兒厭食癥的證候以脾胃不和證、脾胃陰虛證較常見； 4.厭食癥正常質(zhì)的患兒脾胃不和證發(fā)生的可能性較大,陰虧內(nèi)熱質(zhì)患兒脾胃不和證、脾胃陰虛證發(fā)生的可能性較大,兼夾質(zhì)患兒發(fā)生各個證候的可能性都有。
[Abstract]:Purpose To explore the correlation between physical types and syndromes of children anorexia, to provide the basis for prevention of infantile anorexia from the physique angle, and to provide a diagnosis and treatment train of thought for diagnosis and treatment of children anorexia by differentiation of quality and treatment based on syndrome differentiation. Method In this study, 103 children with anorexia were investigated by cross-sectional questionnaire survey. The general situation, information and data of the survey were analyzed by descriptive statistics, and the information items were analyzed by cluster analysis. The correlation of physique type and syndromes was checked by chi-square. Result There were 52 males (50.5%) and 51 females (49.5%) in 1.103 children, and most of them were under 6 years old (mean 3.29 years old). 2. The physical types of anorexia in children were as follows: Yin deficiency and internal heat and substance 31. 1%, normal substance 28. 2%, kidney qi deficiency, wind and phlegm accumulation (24. 3%), spleen weak dampness stagnation, lung qi deficiency (11. 7%), spleen weak liver hyperlipidemia 2. 9) and other substances (1. 9%). There was no significant difference in the composition ratio of heat and substance between normal quality and yin deficiency (P = 0.701), but had statistical significance with other constitution. 3. The symptoms of anorexia in children included spleen and stomach disharmony syndrome (39.8%), spleen and stomach yin deficiency syndrome (35.9) and spleen and stomach qi deficiency syndrome (18.4) and other syndromes. There was no significant difference between spleen and stomach disharmony syndrome and spleen-stomach yin deficiency syndrome, but there was statistical significance between spleen and stomach disharmony syndrome and other syndromes. 4. In the syndrome classification of normal children, the difference between spleen and stomach disharmony syndrome and other syndromes was statistically significant (P < 0.006). There was a significant difference between spleen and stomach yin deficiency syndrome and other syndromes (P = 0.000), but there was no significant difference in the composition ratio of syndrome between two groups (P _ (0.326N) P _ (0.198). Conclusion 1. There was no gender difference in the incidence of anorexia in children. The age of onset was weaning, and two peak periods were taken into care. 2. Children's anorexia constitution type is Yin deficiency internal heat quality, normal quality is more common; 3. The syndrome of infantile anorexia is spleen and stomach disharmony syndrome, spleen and stomach yin deficiency syndrome is more common; 4. The possibility of spleen and stomach disharmony in children with normal quality of anorexia is greater than that in children with yin deficiency and internal heat.
【學(xué)位授予單位】：湖南中醫(yī)藥大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2012
【分類號】：R272.6

【參考文獻】

相關(guān)期刊論文 前10條

1 鄧雪梅,陳鳳媚;自擬運脾消食湯治療小兒厭食癥療效觀察[J];中醫(yī)藥臨床雜志;2004年02期

2 韋黎;婭、證、癥、候的沿革和證候定義的研究[J];中國醫(yī)藥學(xué)報;1996年02期

3 何欣怡;;《黃帝內(nèi)經(jīng)》中的中醫(yī)兒科學(xué)思想[J];長春中醫(yī)藥大學(xué)學(xué)報;2008年04期

4 韓小梅,李彥敏,王炳輝,陳寶昌,田朝霞,董紅紅;厭食癥患兒血清瘦素與微量元素鋅、鐵、銅之間的關(guān)系研究[J];中國兒童保健雜志;2003年06期

5 徐世軍;李秀亮教授辨治小兒厭食癥的學(xué)術(shù)思想[J];福建中醫(yī)藥;2002年01期

6 張吉仲,郭瑜;小兒體質(zhì)形成及分型之我見[J];廣西中醫(yī)藥;2002年06期

7 向開維;貴陽市厭食癥兒童1843例發(fā)鋅含量分析[J];貴陽中醫(yī)學(xué)院學(xué)報;1992年04期

8 袁建黨;李蘭云;李貴霞;張麗霞;;厭食癥患兒血清瘦素水平與甲狀腺激素相關(guān)性研究[J];河北醫(yī)藥;2007年09期

9 黃慧;李貴霞;張麗霞;張彥影;吳昊;;厭食癥兒童血清瘦素及胰島素測定[J];河北醫(yī)藥;2009年14期

10 傅沛藩;論錢乙的學(xué)術(shù)思想及其對后世的影響[J];湖北中醫(yī)雜志;1999年03期

相關(guān)碩士學(xué)位論文 前2條

1 蔣祥林;30例肺炎患兒體質(zhì)調(diào)查及調(diào)質(zhì)預(yù)防方案設(shè)計[D];成都中醫(yī)藥大學(xué);2005年

2 梁霞輝;小兒肺炎恢復(fù)期中醫(yī)體質(zhì)分型及其與相關(guān)免疫功能關(guān)系的研究[D];廣州中醫(yī)藥大學(xué);2010年

，

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