本文選題：嬰兒 + 功能性便秘　； 參考：《廣西中醫(yī)藥大學(xué)》2017年碩士論文

【摘要】：目的:通過調(diào)查嬰兒功能性便秘患兒的臨床特點及多個相關(guān)影響因素并進行分析,得出嬰兒功能性便秘證候特點及常見相關(guān)影響因素,為嬰兒功能性便秘的臨床診療及防治提供更充分的臨床理論依據(jù)。方法:通過對2016年3月-2017年2月間就診于廣西中醫(yī)藥大學(xué)第一附屬醫(yī)院兒科門診1個月≤年齡≤1歲的嬰兒功能性便秘患兒124例病例進行現(xiàn)場問卷調(diào)查。采集患兒年齡、性別等一般情況及其中醫(yī)四診的相關(guān)資料,運用EXCEL表格進行數(shù)據(jù)統(tǒng)計處理,建立數(shù)據(jù)庫,使用SPSS19.0軟件進行頻數(shù)分析、多元逐步回歸分析等分析判別和分析統(tǒng)計,總結(jié)并研究本病的中醫(yī)證候特點及其相關(guān)影響因素。結(jié)果:從數(shù)量上觀察嬰兒功能性便秘以脾虛氣弱證最常見,腸道氣滯證次之,乳食積滯證,腸道實熱證,脾腎陽虛證,陰虛血燥證逐漸遞減。嬰兒功能性便秘證候以大便次數(shù)減少為主要臨床表現(xiàn),而證型的區(qū)分主要以大便的性狀及舌質(zhì)、舌苔來辨別。脾虛氣弱證及腸道氣滯證與服用涼茶及開口茶習(xí)慣及發(fā)病前有無外感疾病密切相關(guān);母親哺乳期飲食偏好肉食及發(fā)病前有無外感疾病對腸道實熱證、乳食積滯證、腸道氣滯證的發(fā)生影響較大�；純旱男詣e差異,胎產(chǎn)的不同及有無家族史、有無排便訓(xùn)練等與嬰兒功能性便秘證型的分布無明顯相關(guān)性。結(jié)論:1.嬰兒功能性便秘的證型分布以脾虛氣弱證最為多見,依次是腸道氣滯證,乳食積滯證,腸道實熱證,脾腎陽虛證,陰虛血燥證。2.嬰兒功能性便秘的癥候特點表現(xiàn)除大便次數(shù)減少,大便偏干外,其余臨床癥狀不典型,舌淡苔薄白或白厚多見,無明顯熱象。3、喝涼茶及開口茶習(xí)慣及外感疾病均可促發(fā)嬰兒脾虛氣弱證便秘的發(fā)生;母親偏好肉食及外感疾病是導(dǎo)致腸道氣滯證及乳食積滯證便秘發(fā)生的主要影響因素;而母親偏好肉食也是誘發(fā)嬰兒腸道實熱證便秘的主要影響因素。
[Abstract]:Objective: to investigate the clinical characteristics and related factors of infantile functional constipation, and to obtain the characteristics of infantile functional constipation syndrome and related factors. To provide a more complete clinical theoretical basis for the clinical diagnosis and treatment of infant functional constipation. Methods: from March 2016 to February 2017, 124 cases of infantile functional constipation were investigated in pediatrics outpatient of the first affiliated Hospital of Guangxi University of traditional Chinese Medicine. To collect the age, sex and related data of the four diagnoses of TCM, to use the EXCEL table to process the data, to establish the database, to use the SPSS19.0 software to analyze the frequency, to analyze and analyze the statistics by multiple stepwise regression analysis, etc. To summarize and study the characteristics of TCM syndromes and related influencing factors of this disease. Results: the most common functional constipation in infants was spleen deficiency qi deficiency syndrome, intestinal qi stagnation syndrome, milk and food accumulation stagnation syndrome, intestinal solid heat syndrome, spleen and kidney yang deficiency syndrome, yin deficiency and blood dryness syndrome. The main clinical manifestation of infantile functional constipation syndrome is the decrease of defecation frequency, while the differentiation of syndrome type is mainly based on the character of stool, tongue quality and tongue coating. The deficiency of spleen qi and the stagnation of intestinal qi were closely related to the habit of taking herbal tea and opening tea and whether there were exogenous diseases before the onset of the disease. The occurrence of intestinal qi stagnation syndrome has great influence. There was no significant correlation between the distribution of functional constipation syndrome and sex difference, fetal birth, family history and defecation training. Conclusion 1. The distribution of syndrome types of functional constipation in infants is spleen deficiency qi deficiency syndrome, followed by intestinal qi stagnation syndrome, milk and food accumulation stagnation syndrome, intestinal heat syndrome, spleen and kidney yang deficiency syndrome, yin deficiency and blood dryness syndrome. The symptoms of functional constipation in infants were characterized by atypical clinical symptoms except the decrease of defecation frequency and dry defecation. No obvious heat. 3. The habit of drinking herbal tea and opening tea and exogenous diseases can promote the occurrence of constipation of deficiency of spleen qi in infants, and the mother's preference for meat and external diseases are the main influencing factors for the occurrence of intestinal qi stagnation and milk food accumulation stagnation constipation. The mother's preference for meat is also the main factor that induces the constipation of the infant's intestinal heat syndrome.
【學(xué)位授予單位】：廣西中醫(yī)藥大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2017
【分類號】：R272

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