【摘要】：目的：分析兒童肺炎文獻中醫(yī)證候相關(guān)信息，初步規(guī)范兒童肺炎癥狀名稱，并探討常見中醫(yī)證候主癥描述的特點，比較風熱閉肺證和痰熱閉肺證主癥描述的差異性，為兒童肺炎中醫(yī)辨證規(guī)范提供依據(jù)。 方法：檢索(1994年—2010年)兒童肺炎中醫(yī)證候的臨床療效研究類文獻共108篇，針對所納入的文獻進行中醫(yī)癥狀規(guī)范研究。本研究主要從以下幾個方面進行研究，首先，對所納入文獻的癥狀進行初步規(guī)范；對臨床常見的6種證候進行其主癥描述特點分析；分析比較文獻中風熱閉肺證和痰熱閉肺證的主癥描述的差異性。 結(jié)果： 1本次研究對所納入文獻進行癥狀規(guī)范，共規(guī)范癥狀72種，其中主癥規(guī)范為29種，兼癥規(guī)范為43種。 2本次研究得出文獻中常見中醫(yī)證候中主要癥狀的描述特點為： （1）風寒閉肺證：惡寒發(fā)熱，咳嗽，痰稀，痰白，氣急 （2）風熱閉肺證：咳嗽，氣急，發(fā)熱，痰粘稠 （3）痰熱閉肺證：喉間痰鳴，鼻翼煽動，壯熱，咳嗽，喘憋，痰多 （4）毒熱閉肺證：壯熱，喘憋，咳嗽，喉中痰鳴 （5）肺脾氣虛證：低熱，咳嗽無力 （6）陰虛肺熱證：干咳，，低熱，無痰，痰少 3.風熱閉肺證和痰熱閉肺證主癥描述的比較：在發(fā)熱方面，經(jīng)卡方檢驗，X~2=40.269，P=0.0000.05，兩種證候的發(fā)熱描述情況分布有顯著差異；在咳嗽方面，經(jīng)卡方檢驗，X~2=2.918，P=0.0880.05，兩種證候的咳嗽描述情況無顯著差異性；在咯痰方面，經(jīng)Fisher精確檢驗，P=0.0000.05，兩種證候的痰量描述情況差異有統(tǒng)計學意義；喉間痰鳴描述情況比較，經(jīng)卡方檢驗，X~2=31.448，P=0.000，兩者具有明顯差異性；在氣促方面，經(jīng)卡方檢驗，卡方X~2=39.155，P=0.0000.05，兩種證候的氣促的描述情況差異有統(tǒng)計學意義。 結(jié)論 1.本次研究規(guī)范肺炎癥狀72種，其中主癥29種，兼癥43種。 2.分析得出6種常見中醫(yī)證候的主癥描述特點。 3.分析風熱閉肺證和痰熱閉肺證主癥描述特點可以看出兩者在發(fā)熱，咯痰，氣促的描述情況具有明顯差異性。
[Abstract]:Objective: to analyze the relevant information of TCM syndromes in the literature of children's pneumonia, to preliminarily standardize the names of symptoms of children's pneumonia, and to explore the characteristics of common symptoms of TCM syndrome, and to compare the difference between the description of main symptoms of wind-heat blocking lung syndrome and phlegm-heat blocking lung syndrome. To provide evidence for TCM syndrome differentiation of children pneumonia. Methods: a total of 108 literatures on the clinical efficacy of TCM syndrome of pneumonia in children were searched (1994-2010), and the criteria of TCM symptoms were studied. This research mainly carries on the research from the following several aspects: first, carries on the preliminary standard to the included literature symptom, carries on its main symptom description characteristic analysis to the clinical common 6 kinds of syndromes; To analyze and compare the difference of main symptom description between wind heat blocking lung syndrome and phlegm heat closing lung syndrome in literature. Results: 1 in this study, 72 kinds of symptoms were standardized, 29 of which were major symptoms, and 43 of which were symptoms. 2 the main symptoms of common TCM syndromes in the literature are as follows: (1) wind-cold closed lung syndrome: cold fever, cough, thin phlegm, white phlegm, acute qi (2) wind-heat blocking lung syndrome: cough, acute qi, fever, (3) phlegm heat blocking lung syndrome: phlegm between larynx, nasal wing incitement, strong heat, cough, asthma, phlegm many (4) toxic heat to block lung syndrome: strong heat, asthma, cough, phlegm in larynx (5) lung and spleen qi deficiency syndrome: low fever, Cough weakness (6) Yin deficiency lung heat syndrome: dry cough, low fever, no phlegm, phlegm less 3. Comparison of the description of the main symptoms of wind-heat blocking lung syndrome and phlegm-heat blocking lung syndrome: in the aspect of fever, the distribution of fever description of the two syndromes was significantly different in terms of cough, After chi-square test, there was no significant difference in cough description between the two syndromes, and there was statistical significance in the description of sputum volume between the two syndromes by accurate Fisher test. There was a significant difference in the description of phlegm volume between the two syndromes, and there was no significant difference in the description of phlegm between larynx and larynx, and there was no significant difference in the description of phlegm volume between the two syndromes by chi-square test. After chi-square test, there was a significant difference between the two groups, and by chi-square test, there was a significant difference in the description of the two syndromes between the two syndromes in terms of shortness of breath, and by chi-square test, the description of the two syndromes was 0.0000.05.There was a significant difference between the two syndromes in the description of the dyspnea of the two syndromes. Conclusion 1. In this study, 72 kinds of pneumonia symptoms were standardized, including 29 main symptoms and 43 concurrent symptoms. 2. The main symptoms of 6 common TCM syndromes were analyzed. 3. By analyzing the description characteristics of the main symptoms of wind-heat blocking lung syndrome and phlegm-heat blocking lung syndrome, we can see that the description of fever, sputum and shortness of breath between them has obvious difference.
【學位授予單位】：遼寧中醫(yī)藥大學
【學位級別】：碩士
【學位授予年份】：2012
【分類號】：R272

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