小兒營養(yǎng)性缺鐵性貧血發(fā)病因素與中醫(yī)證型研究
本文選題:小兒營養(yǎng)性缺鐵性貧血 + 發(fā)病因素 ; 參考:《山東中醫(yī)藥大學》2013年碩士論文
【摘要】:目的:了解和探討小兒營養(yǎng)性缺鐵性貧血的發(fā)病因素及與中醫(yī)證型的相關(guān)性。為中醫(yī)辨證治療小兒營養(yǎng)性缺鐵性貧血提供依據(jù)和借鑒。方法:制定臨床調(diào)查問卷,對符合小兒營養(yǎng)性缺鐵性貧血中西醫(yī)診斷標準患兒的病歷資料進行采集,建立相關(guān)數(shù)據(jù)庫,運用SPSS19.0統(tǒng)計軟件對所采集的數(shù)據(jù)進行統(tǒng)計學處理,分析各發(fā)病因素及與中醫(yī)證型的相關(guān)性。結(jié)果:所調(diào)查的200例小兒營養(yǎng)性缺鐵性貧血患兒中,屬脾胃虛弱型者124例,屬心脾兩虛型者53例,屬肝腎陰虛型者21例,屬脾腎陽虛型者2例;小兒營養(yǎng)性缺鐵性貧血發(fā)病年齡以6個月~2歲居多,早產(chǎn)、低出生體重、非母乳喂養(yǎng)、過早添加輔食、慢性腹瀉病史、孕母鐵缺乏等是小兒營養(yǎng)性缺鐵性貧血的常見發(fā)病因素;小兒營養(yǎng)性缺鐵性貧血中醫(yī)證型與病程、喂養(yǎng)方式、輔食添加時間、貧血程度有一定的相關(guān)性。 結(jié)論:通過臨床病例調(diào)查,可以明確小兒營養(yǎng)性缺鐵性貧血發(fā)病因素與中醫(yī)證型及分布規(guī)律,能夠為臨床合理辨證提供客觀依據(jù)。
[Abstract]:Objective: to investigate the pathogenesis of nutritional iron deficiency anemia in children and its correlation with TCM syndromes. To provide evidence and reference for the treatment of nutritional iron deficiency anemia in children with TCM syndrome differentiation. Methods: a clinical questionnaire was made to collect the medical records of children who met the diagnostic criteria of traditional Chinese and western medicine for nutritional iron deficiency anemia in children. The relevant database was established and the collected data were statistically processed by SPSS19.0 software. To analyze the correlation between the pathogenesis factors and TCM syndromes. Results: there were 124 cases of deficiency of spleen and stomach, 53 cases of deficiency of heart and spleen, 21 cases of deficiency of liver and kidney yin, 2 cases of deficiency of spleen and kidney yang. The most common causes of nutritional iron deficiency anemia in children were the age of 6 months or 2 years old, preterm birth, low birth weight, non-breast-feeding, early supplementation of supplementary food, history of chronic diarrhea, maternal iron deficiency and so on. There is a certain correlation between TCM syndrome type of nutritional iron deficiency anemia in children and course of disease, feeding mode, supplementary food addition time, anemia degree. Conclusion: through the investigation of clinical cases, it is possible to clarify the pathogenesis of nutritional iron deficiency anemia in children and the pattern and distribution of TCM syndromes, which can provide an objective basis for clinical rational syndrome differentiation.
【學位授予單位】:山東中醫(yī)藥大學
【學位級別】:碩士
【學位授予年份】:2013
【分類號】:R272
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