【摘要】：目的:探討新生兒窒息與母親孕期體質(zhì)的關(guān)系,為針對(duì)性調(diào)理母親孕期體質(zhì)從而為預(yù)防新生兒窒息提供新思路。對(duì)象與方法:1.研究對(duì)象及分組選擇2016年2月至2016年12月就診于南京軍區(qū)福州總醫(yī)院兒科新生兒重癥監(jiān)護(hù)室的符合納入標(biāo)準(zhǔn)的100例窒息新生兒及其母親作為新生兒窒息組(窒息組),另選擇同期出生的100例健康新生兒及其母親作為健康足月兒組(對(duì)照組)。2.方法按照《中醫(yī)體質(zhì)分類與判定表》標(biāo)準(zhǔn),進(jìn)行橫斷面抽樣調(diào)查方法,對(duì)納入研究的母親懷孕4個(gè)月至分娩時(shí)身體實(shí)際情況進(jìn)行體質(zhì)調(diào)查。分析新生兒窒息組與健康足月兒組的母親孕期中醫(yī)體質(zhì)差異情況。結(jié)果:1.根據(jù)偏頗體質(zhì)標(biāo)準(zhǔn)分最大值法判定的中醫(yī)體質(zhì)分型,新生兒窒息組分別是平和質(zhì)17例、氣虛質(zhì)6例、陽虛質(zhì)29例、陰虛質(zhì)4例、痰濕質(zhì)11例、濕熱質(zhì)7例、血瘀質(zhì)2例、氣郁質(zhì)24例、特稟質(zhì)0例;健康足月兒組分別是平和質(zhì)53例、氣虛質(zhì)3例、陽虛質(zhì)7例、陰虛質(zhì)13例、痰濕質(zhì)3例、濕熱質(zhì)11例、血瘀質(zhì)3例、氣郁質(zhì)5例、特稟質(zhì)2例;2.新生兒窒息組偏頗體質(zhì)類型出現(xiàn)頻次,最多為陽虛質(zhì)29例,其次為氣郁質(zhì)24例;健康足月兒組偏頗體質(zhì)類型出現(xiàn)頻次,最多為陰虛質(zhì)13例,其次為濕熱質(zhì)11例。3.兩組間體質(zhì)構(gòu)成比有差異(P0.001),其中新生兒窒息組陽虛質(zhì)、氣郁質(zhì)比例明顯高于健康足月兒組;健康足月兒組平和質(zhì)比例明顯高于新生兒窒息組。結(jié)論:1、新生兒窒息組母親孕期體質(zhì)主要以偏頗體質(zhì)為主,健康足月兒組母親孕期體質(zhì)以平和質(zhì)為主;兩組間母親孕期體質(zhì)構(gòu)成比有差異(P0.001)。2、新生兒窒息組母親孕期偏頗體質(zhì)以陽虛質(zhì)、氣郁質(zhì)比較多見。
[Abstract]:Objective: to explore the relationship between neonatal asphyxia and maternal pregnancy constitution so as to provide a new way to prevent neonatal asphyxia. Object and method: 1. The study participants and groups selected 100 asphyxia neonates and their mothers who were admitted to the pediatric neonatal intensive care unit of Fuzhou General Hospital of Nanjing military region from February 2016 to December 2016 as asphyxia group (asphyxia group). Another 100 healthy newborns and their mothers were selected as healthy term infants group (control group). Methods according to the criteria of TCM constitution classification and judgment, a cross-sectional sampling survey was carried out to investigate the physical condition of the mothers who were involved in the study from 4 months of pregnancy to delivery. To analyze the difference of TCM constitution between neonates with asphyxia and healthy term infants during pregnancy. Results: 1. According to the classification of TCM constitution determined by the method of maximum partial constitution standard score, the neonatal asphyxia group was composed of 17 cases of calmness, 6 cases of qi deficiency, 29 cases of yang deficiency, 4 cases of yin deficiency, 11 cases of phlegm and dampness, 7 cases of dampness and heat, 2 cases of blood stasis. There were 24 cases of qi stagnation and 0 cases of idiopathic substance. In the healthy term group, there were 53 cases of calmness, 3 cases of qi deficiency, 7 cases of yang deficiency, 13 cases of yin deficiency, 3 cases of phlegm and dampness, 11 cases of dampness and heat, 3 cases of blood stasis, 5 cases of qi stagnation, 2 cases of intrinsic property. In neonatal asphyxia group, 29 cases of yang deficiency, 24 cases of Qi stagnation, 13 cases of yin deficiency and 11 cases of dampness and heat were found in healthy term group. There was significant difference in constitution ratio between the two groups (P0.001), in which the proportion of yang deficiency and qi stagnation in neonatal asphyxia group was significantly higher than that in healthy full-term infant group, and that in healthy term infant group was significantly higher than that in neonatal asphyxia group. Conclusion: 1. The maternal physical constitution of neonatal asphyxia group was mainly biased during pregnancy, and that of healthy full-term infant group was mainly of placid quality during pregnancy. There was significant difference between the two groups (P0.001). 2. In the neonatal asphyxia group, the mothers' physical bias during pregnancy was yang deficiency and qi stagnation.
【學(xué)位授予單位】：福建中醫(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)】：R722.12

【參考文獻(xiàn)】

相關(guān)期刊論文 前10條

1 虞人杰;葉鴻瑁;朱建幸;朱小瑜;;新生兒窒息診斷的專家共識(shí)[J];中華圍產(chǎn)醫(yī)學(xué)雜志;2016年01期

2 張艷麗;汪天英;;孕婦中醫(yī)主體質(zhì)對(duì)新生兒健康影響的研究——附675例臨床資料[J];江蘇中醫(yī)藥;2015年04期

3 李燕鈺;劉碧媚;;從中醫(yī)體質(zhì)學(xué)說探討妊娠期糖尿病的防治[J];陜西中醫(yī);2014年04期

4 馮永亮;彭婷婷;王芳;蘇通;岳福娟;張臨瑞;張亞瑋;楊海瀾;王素萍;;妊娠期高血壓疾病對(duì)出生結(jié)局的影響及相關(guān)因素[J];中華疾病控制雜志;2014年02期

5 徐勁松;劉繼洪;余志映;;加味酸棗仁湯治療陰虛體質(zhì)失眠癥44例臨床觀察[J];中國(guó)中醫(yī)基礎(chǔ)醫(yī)學(xué)雜志;2013年12期

6 張皆佳;沈世豪;;體質(zhì)調(diào)理對(duì)糖耐量異常人群干預(yù)效果研究[J];上海中醫(yī)藥雜志;2013年07期

7 柳璇;王琦;;《中醫(yī)體質(zhì)分類與判定》標(biāo)準(zhǔn)修改建議及分析[J];北京中醫(yī)藥大學(xué)學(xué)報(bào);2013年05期

8 肖麗娜;過建春;荀運(yùn)浩;王宇芳;王薇薇;石偉珍;李春青;施軍平;;陰虛體質(zhì)與慢性無癥狀HBV攜帶者肝組織病理改變的聯(lián)系[J];中華中醫(yī)藥學(xué)刊;2012年09期

9 李鴻斌;沈莉;馮海娟;;二十年新生兒窒息死亡動(dòng)態(tài)分析[J];中國(guó)新生兒科雜志;2012年03期

10 劉穎;;圍生期高危因素與胎兒窘迫及新生兒窒息間的關(guān)系[J];中國(guó)婦幼保健;2012年12期

相關(guān)碩士學(xué)位論文 前1條

1 楊瑛笛;妊娠期糖尿病中醫(yī)體質(zhì)與糖脂代謝及妊娠結(jié)局的研究[D];廣州中醫(yī)藥大學(xué);2016年

，

本文編號(hào)：2404377