兒童閉塞性細(xì)支氣管炎的中醫(yī)辨證規(guī)律的研究
發(fā)布時(shí)間:2018-05-01 12:41
本文選題:閉塞性細(xì)支氣管炎 + 兒童。 參考:《山東中醫(yī)藥大學(xué)》2016年碩士論文
【摘要】:目的:探討兒童閉塞性細(xì)支氣管炎的中醫(yī)辨證規(guī)律,為臨床辨證論治提供依據(jù)。方法:在復(fù)習(xí)相關(guān)文獻(xiàn)的基礎(chǔ)上,結(jié)合兒童閉塞性細(xì)支氣管炎的臨床特點(diǎn),制定中醫(yī)癥候調(diào)查表,對(duì)65例閉塞性細(xì)支氣管炎患兒的中醫(yī)四診資料進(jìn)行收集,建立數(shù)據(jù)庫(kù),采用SPSS22.0統(tǒng)計(jì)軟件對(duì)結(jié)果進(jìn)行統(tǒng)計(jì)分析,得出中醫(yī)證型。結(jié)果:(1)一般情況:臨床共搜集65例BO患兒病歷;男孩發(fā)病明顯高于女孩,男女比例為4:1;嬰兒發(fā)病率53.85%,1-2歲幼兒發(fā)病率41.54%,兩歲以后則發(fā)病較少;BO患兒病程較長(zhǎng),最長(zhǎng)病程已達(dá)十年之久,有67.6%的患兒病程在3個(gè)月到2年之間;肺炎是BO的主要原發(fā)疾病;致病病原體以病毒感染者占33.85%,其次為支原體感染占21.54%,細(xì)菌、真菌和衣原體分別占4.62%、3.08%、3.08%。(2)兒童閉塞性細(xì)支氣管炎常見(jiàn)中醫(yī)證型為:肺虛寒證、表寒肺熱證、肺脾氣虛證、痰熱蘊(yùn)肺證、陰虛痰熱證。結(jié)論:BO多見(jiàn)于男性嬰幼兒,主要由病毒感染引起;是肺炎的重要并發(fā)癥;中醫(yī)證型依次為肺虛寒證、表寒肺熱證、肺脾氣虛證、痰熱蘊(yùn)肺證、陰虛痰熱證,以肺虛寒證最多。
[Abstract]:Objective: To explore the TCM syndrome differentiation of children with bronchiolitis obliterans, and to provide basis for clinical syndrome differentiation. Methods: on the basis of reviewing the relevant literature and combining the clinical characteristics of children with obliterans bronchitis, a questionnaire of TCM syndrome was formulated, and the data of 65 cases of children with bronchiolitis obliterans were collected and established. SPSS22.0 statistical software was used to analyze the results with statistical analysis. Results: (1) general situation: 65 cases of BO children were collected clinically; the incidence of boys was obviously higher than that of girls, and the proportion of men and women was 4:1; the incidence of infants was 53.85%, 1-2 years old was 41.54%, and the incidence was less after two years of age; the duration of the disease was longer and the longest disease in BO children. The course has lasted for ten years, and 67.6% of the course of the disease is between 3 months and 2 years. Pneumonia is the main primary disease of BO; the pathogenic pathogen is 33.85% of the virus infection, the second is the mycoplasma infection 21.54%, the bacteria, fungi and Chlamydia are 4.62%, 3.08%, and 3.08%. (2) children with obliterans bronchiolitis common TCM Syndrome Type: lung deficiency cold syndrome, Table cold lung heat syndrome, lung spleen qi deficiency syndrome, phlegm heat accumulation syndrome, yin deficiency phlegm heat syndrome. Conclusion: BO is mostly found in male infants and infants, mainly caused by virus infection; it is an important complication of pneumonia; TCM syndrome type is in turn of lung deficiency cold syndrome, table cold and lung heat syndrome, lung spleen qi deficiency syndrome, phlegm heat accumulation syndrome, yin deficiency phlegm heat syndrome, and lung deficiency cold syndrome at most.
【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】:2016
【分類號(hào)】:R272
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