本文關(guān)鍵詞：五運(yùn)六氣稟賦對(duì)兒童過(guò)敏性紫癜發(fā)病的相關(guān)性研究　出處：《廣州中醫(yī)藥大學(xué)》2017年碩士論文　論文類(lèi)型：學(xué)位論文

  更多相關(guān)文章： 過(guò)敏性紫瘢 五運(yùn)六氣 治未病

【摘要】：目的:本文通過(guò)將運(yùn)氣稟賦體質(zhì)與過(guò)敏性紫癜相結(jié)合,以五行生克制化和治未病思想作為防治理論,探討運(yùn)氣稟賦因素對(duì)過(guò)敏性紫癜發(fā)病、發(fā)展的影響,從而尋找廣州中醫(yī)藥大學(xué)第一附屬醫(yī)院兒科住院病人中過(guò)敏性紫癜的病人與非過(guò)敏性紫癜患兒的運(yùn)氣稟賦差異特點(diǎn),以期發(fā)現(xiàn)該病致病的危險(xiǎn)因素或保護(hù)因素,更好地規(guī)避風(fēng)險(xiǎn)、指導(dǎo)治療。方法:收集廣州中醫(yī)藥大學(xué)第一附屬醫(yī)院兒科住院部的全部患兒,出生日期在1996至2010年,其中過(guò)敏性紫癜患兒共350例,以此作為實(shí)驗(yàn)組,并以同年齡段在該科室住院的非過(guò)敏性紫癜患兒為對(duì)照組,共計(jì)約14418例。采用回顧性病例對(duì)照的研究方法,分別比較兩組之間的各個(gè)稟賦因素和運(yùn)氣稟賦體質(zhì)的差異,推測(cè)發(fā)生過(guò)敏性紫癜可能存在的易感或保護(hù)因素。結(jié)果:在五運(yùn)當(dāng)中,分別對(duì)兩組十天干進(jìn)行比較,結(jié)果提示兩者無(wú)統(tǒng)計(jì)學(xué)意義(P=0.087);對(duì)兩組合并后的五行進(jìn)行比較,既分別比較水行、木行、火行、土行、金行五行,結(jié)果提示兩者在木運(yùn)、金運(yùn)和土運(yùn)間具有統(tǒng)計(jì)學(xué)意義(P0.05);以陰陽(yáng)屬性為原則,對(duì)兩者進(jìn)行歸納比較,結(jié)果提示其在陰屬性、中(土)間具有統(tǒng)計(jì)學(xué)意義(P0.05)。在六氣當(dāng)中,分別對(duì)兩組十二地支進(jìn)行比較,結(jié)果提示陽(yáng)明燥金司天(P=0.0079)、太陽(yáng)寒水司天(P=0.0058)、太陰濕土司天(P=0.0058)及太陽(yáng)寒水在泉(P=0.0092)具有統(tǒng)計(jì)學(xué)意義;而合并后的三陰三陽(yáng)(P=0.451)及陰陽(yáng)屬性(P=0.425)無(wú)統(tǒng)計(jì)學(xué)意義。而在運(yùn)氣稟賦因素的協(xié)同作用下,對(duì)兩組運(yùn)氣稟賦進(jìn)行比較,結(jié)果提示太金-太陽(yáng)寒水(P=0.0000)、少木-少陽(yáng)相火(P:=0.0001)、少土-太陰濕土(P=0.0000)、少土-太陽(yáng)寒水(P=0.0001)具有統(tǒng)計(jì)學(xué)意義。結(jié)論:過(guò)敏性紫癜的易感因素包括陽(yáng)明燥金司天、太陽(yáng)寒水司天、歲運(yùn)-中(土)、歲運(yùn)-土行和太金-太陽(yáng)寒水;保護(hù)因素包括太陰濕土司天、太陽(yáng)寒水在泉、歲運(yùn)-陰、歲運(yùn)-木行、歲運(yùn)-金行、少木-少陽(yáng)相火、少土-太陰濕土和少土-太陽(yáng)寒水,提示紫癜患兒的體質(zhì)具有體質(zhì)偏陽(yáng)、脾腎虧虛和稟賦逆四時(shí)生長(zhǎng)規(guī)律等特點(diǎn)。
[Abstract]:Objective: to explore the influence of luck endowment factors on the pathogenesis and development of Henoch-Schonlein purpura (Hpura) by combining luck endowment with allergic purpura and taking the thought of "Wuxingsheng restraint" and "preventing and treating diseases" as the prevention and treatment theory. In order to find out the risk factors or protective factors of allergic purpura in pediatric inpatients in the first affiliated Hospital of Guangzhou University of traditional Chinese Medicine, the difference of luck between the patients with Henoch-Schonlein purpura and children with non-Henoch-Schonlein purpura was found. Methods: all the children in the Department of Pediatrics of the first affiliated Hospital of Guangzhou University of traditional Chinese Medicine were collected from 1996 to 2010. Among them 350 cases of Henoch-Schonlein purpura were used as experimental group and non-Henoch-Schonlein purpura children who were hospitalized in the same age department as control group. A total of 14418 cases were studied by retrospective case-control study to compare the differences of the endowment factors and the physique of luck between the two groups. The results showed that there was no significant difference between the two groups in ten days, the results showed that there was no statistical significance between the two groups. The comparison of the five elements of the two groups after the merger, namely water row, wood line, fire line, soil line, gold line five elements, the results suggest that the two groups in wood transport, gold transport and soil transport between the statistical significance of P0.05; Based on the principle of yin and yang, the results show that there is statistical significance between them in the Yin attribute and the middle (earth). In the six Qi, the two groups of 12 ground branches are compared respectively. The results suggested that Yangming dryness Jinsitiandao (P0. 0079) and sun cold water (P0. 0058). There was statistical significance between Taiyin and wet Tusi (P0. 0058) and solar cold water (P0. 0092). However, there was no statistical significance between the combined three yin and three yang (P _ (0.451)) and the attribute of Yin and Yang (P _ (0.425)). However, the luck endowment of the two groups was compared under the synergistic effect of the factors of luck endowment. The results suggest that Taijin-Sun cold water (P0. 00000), Shaomu-Shaoyang phase fire (P0. 0001), and soil-too wet soil (P0. 0000). Conclusion: the susceptible factors of allergic purpura include Yangming dryness Jinsitian, solar cold water days, years of transport-middle (soil). Years of transport-soil line and Taijin-sun cold water; Protective factors include too wet toast days, the sun cold water in spring, year transport-yin, year-transport-wood line, year-transport-gold line, less wood-less sun fire, less soil-too wet soil and less earth-sun cold water. It is suggested that the constitution of the children with purpura has the characteristics of yang deficiency of spleen and kidney deficiency of spleen and kidney and growth law of endowment.
【學(xué)位授予單位】：廣州中醫(yī)藥大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2017
【分類(lèi)號(hào)】：R272

【參考文獻(xiàn)】

相關(guān)期刊論文 前10條

1 劉雪艷;;探討雷公藤多苷聯(lián)合糖皮質(zhì)激素治療兒童紫癜性腎炎的臨床療效及安全性[J];世界最新醫(yī)學(xué)信息文摘;2016年58期

2 王鳳英;黃路圣;魯曼;張?zhí)┥?;過(guò)敏性紫癜患兒SOCS3、HMGB1的表達(dá)及意義[J];重慶醫(yī)學(xué);2016年15期

3 李娟;;低分子肝素聯(lián)合雷公藤多甙治療兒童過(guò)敏性紫癜性腎炎的臨床觀察[J];河南醫(yī)學(xué)研究;2016年04期

4 馬玉萍;;地氯雷他定干混懸劑治療兒童過(guò)敏性紫癜臨床效果分析[J];河南醫(yī)學(xué)研究;2016年04期

5 陳歡;;小兒過(guò)敏性紫癜的中醫(yī)辨治經(jīng)驗(yàn)[J];中醫(yī)兒科雜志;2016年03期

6 張冷;劉智;;糖皮質(zhì)激素治療過(guò)敏性紫癜臨床療效及血清sVCAM-1和LTB4水平變化研究[J];臨床和實(shí)驗(yàn)醫(yī)學(xué)雜志;2016年09期

7 楊燕;盛燕;張克青;李歆;穆靜;劉暢;田萌萌;;清熱利濕活血解毒中藥聯(lián)合西藥治療腹型過(guò)敏性紫癜濕毒內(nèi)蘊(yùn)證75例臨床觀察[J];中醫(yī)雜志;2016年09期

8 廖立夏;常紅;張慶群;訾廣芹;曹紅梅;;SOCS1和SOCS3在兒童過(guò)敏性紫癜Th1/Th2失衡中作用[J];齊魯醫(yī)學(xué)雜志;2016年02期

9 吳雪梅;黃美娜;李賽媛;;孟魯司特治療兒童過(guò)敏性紫癜的臨床療效分析[J];中國(guó)實(shí)用醫(yī)藥;2016年10期

10 張軒;劉一玄;賀娟;;腦梗死患者出生日期的運(yùn)氣規(guī)律探析[J];北京中醫(yī)藥大學(xué)學(xué)報(bào);2015年12期

相關(guān)博士學(xué)位論文 前1條

1 林忠嗣;復(fù)腎湯治療小兒過(guò)敏性紫癜性腎炎（濕熱瘀阻型）的臨床研究[D];遼寧中醫(yī)藥大學(xué);2013年

相關(guān)碩士學(xué)位論文 前3條

1 陳佩;運(yùn)用五運(yùn)六氣淺析武漢地區(qū)2001年-2010年兒童肺炎支原體感染率差異[D];湖北中醫(yī)藥大學(xué);2012年

2 董霞;五運(yùn)六氣稟賦與原發(fā)性高血壓形成的相關(guān)性研究[D];北京中醫(yī)藥大學(xué);2012年

3 阿曼古麗;呂仁和教授治療紫癜性腎風(fēng)學(xué)術(shù)思想初探—49例紫癜性腎炎醫(yī)案淺析[D];北京中醫(yī)藥大學(xué);2011年

，

本文編號(hào)：1379074