【摘要】：目的：在前期研究的基礎(chǔ)上，通過(guò)臨床規(guī)范化研究，明確小兒慢性咳嗽的中醫(yī)證型、證候要素分布規(guī)律及其相關(guān)性，為臨床合理辨證提供客觀依據(jù)。 方法：參考前期研究及診療標(biāo)準(zhǔn)，制定小兒慢性咳嗽的中醫(yī)證候調(diào)查表，收集門(mén)診慢性咳嗽患兒的中醫(yī)四診資料，建立證候信息數(shù)據(jù)庫(kù)，采用SPSS17.0統(tǒng)計(jì)軟件，進(jìn)行頻數(shù)分析、X2檢驗(yàn)。 結(jié)果：所收集206例患兒的發(fā)病年齡主要集中在3～7歲，男女之比約為4：3。證型以風(fēng)邪久戀（35.9%）為主，，其次為痰熱咳嗽(27.2%)、痰濕咳嗽(19.9%)。病程與中醫(yī)證型密切相關(guān)：其中4周～2月時(shí)間段與2月～6月時(shí)間段無(wú)明顯差異，均以風(fēng)邪久戀、痰熱咳嗽為主，痰濕咳嗽次之，6月～1年時(shí)間段以痰濕咳嗽為主，1年以上多見(jiàn)陰虛燥咳。好發(fā)季節(jié)與中醫(yī)證型也有顯著差異，其中春季以風(fēng)邪久戀為主，秋季以陰虛燥咳為主，冬季以風(fēng)邪久戀、痰濕咳嗽為主�？忍党潭扰c中醫(yī)證型亦有顯著差異，風(fēng)邪久戀、陰虛燥咳均以咳痰量少或無(wú)為主，痰濕咳嗽咳痰量多。另外就咽喉部癥狀來(lái)說(shuō)，風(fēng)邪久戀以咽癢為主，痰熱咳嗽多有咽痛及異物、滴流感等表現(xiàn)。 結(jié)論：通過(guò)臨床病例調(diào)查，可以明確小兒慢性咳嗽的中醫(yī)證型及證候要素分布規(guī)律，能夠?yàn)榕R床合理辨證提供客觀依據(jù)。
[Abstract]:Aim: on the basis of the previous study, through the clinical standardization study, to clarify the syndrome types of children with chronic cough, the distribution of syndrome elements and their correlation, so as to provide an objective basis for the clinical reasonable differentiation of symptoms and signs. Methods: referring to the previous research and diagnosis and treatment standards, the questionnaire of Chinese medicine syndrome of children with chronic cough was formulated, the data of four diagnoses of chronic cough in outpatient department were collected, the database of syndrome information was established, and the frequency analysis was carried out by using the statistical software of SPSS17.0. X2 test. Results: the age of onset of 206 children was mainly 3 years old and 7 years old, and the ratio of male to female was about 4 / 3. The syndrome type was wind-evil lasting love (35.9%) followed by phlegm-heat cough (27.2%) and phlegm-damp cough (19.9%). The course of disease was closely related to TCM syndrome type: there was no significant difference between 4 weeks ~ 2 months and 2 months ~ 6 months, all of them were wind-evil lasting love, phlegm-heat cough, phlegm-dampness cough followed by phlegm-dampness cough, and phlegm-dampness cough was the main one in June-1 year period. More than 1 year more seen Yin deficiency and dryness cough. There is also a significant difference between the occurrence season and TCM syndrome types, in which wind evil is the main factor in spring, yin deficiency and dryness cough in autumn, wind evil in winter, phlegm and dampness cough in winter. The degree of expectoration is also significantly different from the TCM syndrome type. Wind evil is in love for a long time, Yin deficiency and dryness cough are small or non-dominant, phlegm-wet cough is more than expectorant quantity. In addition to pharynx and larynx symptoms, wind evil long love to pharynx itching, phlegm and heat cough more pharynx pain and foreign bodies, flu and other manifestations. Conclusion: according to the investigation of clinical cases, the pattern of TCM syndrome and the distribution of syndrome elements in children with chronic cough can be clarified, which can provide objective basis for reasonable differentiation of symptoms and signs in clinical practice.
【學(xué)位授予單位】：山東中醫(yī)藥大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2012
【分類號(hào)】：R272

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