本文關(guān)鍵詞：大連市區(qū)女童性早熟與中醫(yī)體質(zhì)的相關(guān)性研究　出處：《大連醫(yī)科大學(xué)》2016年碩士論文　論文類型：學(xué)位論文

  更多相關(guān)文章： 性早熟 女童 大連 中醫(yī)體質(zhì) 相關(guān)因素 統(tǒng)計(jì)分析

【摘要】：研究目的和意義中醫(yī)學(xué)認(rèn)為體質(zhì)和疾病的發(fā)生關(guān)系密切。故本課題研究大連市區(qū)性早熟女童的中醫(yī)體質(zhì)特點(diǎn),通過(guò)對(duì)體質(zhì)的相關(guān)研究及性早熟女童與正常女童調(diào)查結(jié)果的對(duì)照研究,分析性早熟女童中醫(yī)體質(zhì)的分布規(guī)律,中醫(yī)體質(zhì)與年齡、體重指數(shù)、相關(guān)理化檢查、中醫(yī)證候、影響因素等的相關(guān)性,旨在探討體質(zhì)與疾病的相關(guān)性、不同個(gè)體體質(zhì)形成機(jī)理與規(guī)律及如何糾正體質(zhì)的偏頗,為治療和預(yù)防本病提供客觀指標(biāo)與新的思路。從根本上預(yù)防性早熟的發(fā)生,為廣大兒童健康成長(zhǎng)保駕護(hù)航。研究方法采用橫斷面研究方法,對(duì)正常女童及符合納入標(biāo)準(zhǔn)的性早熟女童同期進(jìn)行調(diào)查問(wèn)卷判定其中醫(yī)體質(zhì),并對(duì)性早熟發(fā)病的可能相關(guān)影響因素進(jìn)行問(wèn)卷,據(jù)此篩查可能的致病因素。同時(shí)對(duì)性早熟女童進(jìn)行中醫(yī)證候調(diào)查問(wèn)卷及中醫(yī)四診,據(jù)此判斷其中醫(yī)癥候并收集臨床指標(biāo)等相關(guān)資料。運(yùn)用現(xiàn)代統(tǒng)計(jì)方法,對(duì)這些資料進(jìn)行統(tǒng)計(jì)學(xué)分析:對(duì)性早熟女童不同體質(zhì)類型與中醫(yī)證型、乳房分期的關(guān)系進(jìn)行卡方檢驗(yàn),不同體質(zhì)類型與體重指數(shù)、子宮容積、卵巢容積進(jìn)行Kruskal-Wallis檢驗(yàn),對(duì)可能引起女童性早熟的16個(gè)影響因素進(jìn)行l(wèi)ogistic回歸分析。探討正常女童及性早熟女童體質(zhì)分布情況、體質(zhì)與患兒臨床資料的相關(guān)性,發(fā)病的危險(xiǎn)因素,偏頗體質(zhì)成因、與發(fā)病的相關(guān)性及偏頗體質(zhì)的干預(yù)方法,從而指導(dǎo)如何治未病。研究結(jié)果1.正常女童體質(zhì)分布以均衡質(zhì)為主,占57.14%;性早熟女童體質(zhì)分布以濕性體質(zhì)(濕熱質(zhì)和痰濕質(zhì))為主,共占29.58%。2.對(duì)全部性早熟女童中醫(yī)證型進(jìn)行統(tǒng)計(jì),陰虛火旺型(52.67%)、肝郁化火型(30.54%)、痰濕內(nèi)蘊(yùn)型(16.79%)。3.不同體質(zhì)的性早熟女童證型分布有統(tǒng)計(jì)學(xué)差異,均衡質(zhì)患者以陰虛火旺型為主;4.對(duì)各項(xiàng)資料與體質(zhì)分類進(jìn)行統(tǒng)計(jì)學(xué)分析后得出:無(wú)統(tǒng)計(jì)學(xué)差異的是乳房分期、體重指數(shù)、子宮容積、卵巢容積。有統(tǒng)計(jì)學(xué)差異的是發(fā)病年齡和骨齡指數(shù),濕熱質(zhì)以大年齡組為主,氣郁質(zhì)骨齡指數(shù)最高。5.對(duì)可能引起女童性早熟的16個(gè)影響因素調(diào)查后,進(jìn)行l(wèi)ogistic回歸分析,結(jié)果P值小于顯著性0.05并且優(yōu)勢(shì)比OR的估計(jì)值在95%的上下限之間的影響因素為母親初潮年齡偏早、母孕期保胎、母孕期心緒不佳、亮燈睡覺(jué)、服用營(yíng)養(yǎng)滋補(bǔ)品、食用含激素食品、家庭不和諧、喜愛(ài)看情感電視,故以上可能是造成大連市區(qū)女童性早熟的影響因素。結(jié)論1.大連市區(qū)正常女童體質(zhì)分布以均衡質(zhì)為主,性早熟女童體質(zhì)分布以濕性體質(zhì)(濕熱質(zhì)和痰濕質(zhì))為主。2.不同體質(zhì)性早熟女童中醫(yī)證型存在顯著差異,均衡質(zhì)患者以陰虛火旺型為主。3.對(duì)各項(xiàng)資料與體質(zhì)分類進(jìn)行統(tǒng)計(jì)學(xué)分析后得出:無(wú)統(tǒng)計(jì)學(xué)差異的是乳房分期、體重指數(shù)、子宮容積、卵巢容積。有統(tǒng)計(jì)學(xué)差異的為發(fā)病年齡和骨齡指數(shù),大年齡組以濕熱質(zhì)為主,氣郁質(zhì)骨齡指數(shù)最高。4.母親初潮年齡偏早、母孕期保胎、母孕期心緒不佳、亮燈睡覺(jué)、服用營(yíng)養(yǎng)滋補(bǔ)品、食用含激素食品、家庭不和諧、喜愛(ài)看情感電視等,可能是造成大連市區(qū)女童性早熟的影響因素。
[Abstract]:The purpose and significance of research in TCM Constitution and diseases have close relationship. So the research of Dalian city's precocious girls Chinese physical characteristics, the control study on fitness related research and precocious girls and normal girls survey results, analysis of the distribution regularity of early Cougar children physical medicine, TCM Constitution and age. Body mass index, physical and chemical examination, TCM syndrome, correlation factors, designed to investigate the correlation between physical fitness and disease, different individual physical formation mechanism and rule and how to correct the biased constitution, to provide ideas and new objective index for the treatment and prevention of this disease. It can prevent the onset of puberty, growth escort for the majority of children's health. Research methods by using cross-sectional study, the normal girls and met the inclusion criteria of precocious girls questionnaire was used to determine the same period The constitution of traditional Chinese medicine, and the onset of precocious puberty may be related factors questionnaire, pathogenic factors accordingly. At the same time of screening may precocious girls TCM syndrome questionnaire and TCM diagnosis, judge their symptoms and collect relevant information of clinical indicators. Using modern statistical methods, statistical analysis of these data: precocious girls of different constitution types and TCM syndrome type, the chi square test breast staging, different body types and body mass index, uterine volume, ovarian volume of Kruskal-Wallis test, can cause the girls 16 factors of precocious puberty were analyzed by logistic regression analysis. To explore the normal girls and precocious girls physical distribution. The correlation between clinical data and physical fitness of children, the risk factors, the biased constitution causes, intervention methods and the incidence of correlation and biased constitution, How to guide the treatment of disease. The results of 1. normal girls physical distribution to balance quality based, accounting for 57.14%; precocious girls physical distribution to wet body (damp heat and phlegm), accounted for 29.58%.2. of all the precocious girls of TCM, yinxuhuowang (52.67%), liver Yu fire type (30.54%), phlegm dampness type (16.79%).3. in different physical precocious girls syndrome distribution had significant difference, the equilibrium quality with Yinxu Huowang type; 4. of the information and the constitution classification of statistical analysis showed that no statistically significant difference is breast stage, body mass index. Volume of uterus, ovarian volume. There were significant differences in the onset age and bone age index, damp heat by age group, Qi quality index is the highest.5. of bone age may cause investigation of girls 16 factors of sexual precocity, logistic regression analysis. If the P value is less than 0.05 and significant advantages than the estimated value of OR factors between the upper 95% of the mothers menarche age early pregnancy, miscarriage, pregnancy, bad mood, light sleep, taking nutritional supplements, eating food containing hormones, family discord, enjoy watching TV is so emotional, more than likely influence factors of Dalian urban girls with precocious puberty. Conclusion constitution of Dalian city 1. normal girls in the distribution of equilibrium matter, precocious girls physical distribution in wet body (damp heat and phlegm dampness) there are significant differences in.2. in different physical precocious girls TCM syndrome type, balanced type with Yinxu Huowang type.3. statistical analysis of the data and classification of constitution that is no significant difference between breast stage, body mass index, uterine volume, ovarian volume. There were significant differences in the age of onset and bone age index, Age group of damp heat, qi stagnation, bone age index and the highest.4. mother age early menarche, pregnancy, miscarriage, pregnancy, bad mood, light sleep, taking nutritional supplements, eating food containing hormones, family discord, like Emotional TV, may be caused by the factors of Dalian city. The girls with precocious puberty

【學(xué)位授予單位】：大連醫(yī)科大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2016
【分類號(hào)】：R272

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