【摘要】：目的:探討小兒喘息性支氣管炎中醫(yī)證型與發(fā)病影響因素及臨床癥狀之間的相關(guān)性，為治療小兒喘息性支氣管炎提供臨床辨證的依據(jù)和參考。 方法:制定臨床調(diào)查問卷，對符合喘息性支氣管炎中西醫(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SPSS16.0統(tǒng)計軟件對所采集的數(shù)據(jù)進行統(tǒng)計學處理，分析各影響因素與中醫(yī)證型的相關(guān)性。 結(jié)果:所調(diào)查的247例喘息性支氣管炎患兒中，屬寒性哮喘證者114例，屬熱性哮喘證者93例，屬寒熱錯雜證者26例，，屬虛實夾雜證者14例。經(jīng)統(tǒng)計學分析，小兒喘息性支氣管炎中醫(yī)證型與發(fā)病年齡段、出生情況、分娩方式、出生體重、家族哮喘/過敏史、既往疾病史、發(fā)熱程度、嗜酸粒細胞百分比、心肌酶均無明顯的相關(guān)性（P0.05），而與性別、喂養(yǎng)史、好發(fā)季節(jié)、好發(fā)時間、過敏史、誘發(fā)因素、白細胞總數(shù)、發(fā)作嚴重度均有一定相關(guān)性。 結(jié)論:小兒喘息性支氣管炎中醫(yī)證型與性別、喂養(yǎng)史、好發(fā)季節(jié)、好發(fā)時間、過敏史、誘發(fā)因素、白細胞總數(shù)、發(fā)作嚴重度等因素相關(guān)，上述因素可作為中醫(yī)證型的影響因子。為小兒喘息性支氣管炎的臨床辨證提供參考。
[Abstract]:Objective: to explore the correlation between TCM syndrome type and clinical symptoms in children with wheezing bronchitis, so as to provide the basis and reference for the treatment of asthmatic bronchitis in children. Methods: to establish a clinical questionnaire, collect the medical records of children with asthmatic bronchitis according to the diagnostic criteria of traditional Chinese and western medicine, establish the relevant database, and use SPSS16.0 software to deal with the collected data statistically. To analyze the correlation between each influencing factor and TCM syndrome type. Results: among 247 cases of wheezing bronchitis investigated, 114 cases belonged to cold asthma syndrome, 93 cases belonged to febrile asthma syndrome, 26 cases belonged to cold-heat dislocation syndrome, and 14 cases belonged to deficiency-excess syndrome. According to statistical analysis, the TCM syndrome type and age of onset, birth condition, delivery mode, birth weight, family asthma / allergic history, previous disease history, fever degree, percentage of eosinophils in children with wheezing bronchitis were statistically analyzed. Myocardial enzymes had no significant correlation (P0.05), but had some correlation with sex, feeding history, season, time, history of allergy, inducing factors, leukocyte count and severity of attack. Conclusion: the TCM syndrome type of wheezing bronchitis in children is related to sex, feeding history, season, time, history of allergy, inducing factor, leukocyte count, severity of attack and so on. These factors can be used as influencing factors of TCM syndrome type. It provides reference for clinical differentiation of wheezing bronchitis in children.
【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】：2012
【分類號】：R272

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