本文選題：兒童 + 目下黑�。� 參考：《黑龍江中醫(yī)藥大學(xué)》2017年碩士論文

【摘要】：目的:采用病例對(duì)照研究的方法,綜合分析黑龍江地區(qū)兒童"目下黑"癥狀形成的原因,幫助臨床診斷及早期干預(yù)治療。方法:本研究收集黑龍江中醫(yī)藥大學(xué)附屬第一醫(yī)院兒科門診及病房(2016年03月-2016年12月)年齡在3～14歲兒童240例。分為兩組,病例組:有目下黑體征兒童120例,對(duì)照組:無(wú)目下黑體檢兒童120例。通過病例對(duì)照的研究方法,采取單因素x2檢驗(yàn)及多因素logistic回歸分析的方法,分析黑龍江地區(qū)兒童目下黑形成的原因。結(jié)果:1.經(jīng)單因素x2檢驗(yàn):經(jīng)分析肺虛證、脾虛證、血瘀證、上頜竇炎、篩竇炎、腺樣體肥大、過敏性鼻炎7項(xiàng)因素在目下黑兒童中發(fā)生比例高于對(duì)照組,具有統(tǒng)計(jì)學(xué)意義(P值0.05),腎虛證、額竇炎、蝶竇炎3項(xiàng)因素在目下黑兒童中發(fā)生比例與對(duì)照組相比差異較小,無(wú)統(tǒng)計(jì)學(xué)意義(P值0.05)。2.經(jīng)多因素logistic回歸分析:單因素分析后篩選出的肺虛證(OR=3.150)、血瘀證(OR=5.366)、上額竇炎(OR=6.005)、腺樣體肥大(OR=9.438)、過敏性鼻炎(OR=4.402)5項(xiàng)因素都與目下黑的產(chǎn)生密切相關(guān);脾虛證、篩竇炎2項(xiàng)因素的P值0.05,無(wú)統(tǒng)計(jì)學(xué)意義。結(jié)論:1.黑龍江地區(qū)兒童目下黑與多種因素相關(guān)。2.肺虛證、血瘀證、上額竇炎、腺樣體肥大、過敏性鼻炎5項(xiàng)因素為黑龍江地區(qū)兒童目下黑的獨(dú)立危險(xiǎn)因素。
[Abstract]:Objective: to analyze the causes of the symptoms of children in Heilongjiang province by case-control study, and to help the clinical diagnosis and early intervention. Methods: 240 pediatric outpatients and wards (from March 2016 to December 2016) in the first affiliated Hospital of Heilongjiang University of traditional Chinese Medicine were collected. The patients were divided into two groups: 120 children with black signs and 120 children without black physical examination. By means of case control, single factor x2 test and multivariate logistic regression analysis were used to analyze the causes of the formation of melanoma in children in Heilongjiang province. The result is 1: 1. Single factor x2 test: the incidence rate of lung deficiency syndrome, spleen deficiency syndrome, blood stasis syndrome, maxillary sinusitis, ethmoiditis, adenoid hypertrophy and allergic rhinitis was higher in black children than that in control group. There was no significant difference in the incidence of P value between the three factors (P value 0.05, kidney deficiency, frontal sinusitis, sphenoid sinusitis) compared with the control group, and there was no significant difference between the three factors. Multivariate logistic regression analysis showed that all the factors selected after univariate analysis were closely related to the formation of blackness, such as lung deficiency syndrome (OR3.150D), blood stasis syndrome (ORN) 5.366N, frontal sinusitis syndrome (OR6.005), adenoid hypertrophy (OR9.438N), allergic rhinitis (OR4.402), and spleen deficiency syndrome (Spleen-deficiency syndrome). The P value of two factors of ethmoiditis was 0.05, which had no statistical significance. Conclusion 1. Children in Heilongjiang area are related to many factors. 2. Lung deficiency syndrome, blood stasis syndrome, upper frontal sinusitis, adenoid hypertrophy and allergic rhinitis were the independent risk factors for children in Heilongjiang province.
【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】：2017
【分類號(hào)】：R272

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