【摘要】：目的:探索昆明地區(qū)兒童咳嗽變異性哮喘的中醫(yī)體質(zhì)。方法:運用王琦教授的《中醫(yī)體質(zhì)分類與判定標準》9分法的體質(zhì)標準,對2016年1月1日至2017年1月1日在云南省中醫(yī)醫(yī)院咳嗽變異性哮喘的患兒進行調(diào)查并同期收集正常兒童。采用問卷調(diào)查方式進行體質(zhì)調(diào)查,統(tǒng)計學(xué)軟件SPSS22.0版本分析,探討昆明地區(qū)兒童咳嗽變異性哮喘的體質(zhì)類型。1.結(jié)果:(1)CVA患兒130例,單純平和質(zhì)人數(shù)為41例(31.5%)、特稟質(zhì)28例(21.5%),偏頗體質(zhì)中的痰濕質(zhì),為17例(13.1%),氣虛質(zhì)2例(1.5%)、陽虛質(zhì)5例(3.8%)、陰虛質(zhì)4例(3.1%)、濕熱質(zhì)2例(1.5%)、瘀血質(zhì)1例(0.75%)、氣郁質(zhì)3例(2.3%)、特稟質(zhì)兼痰濕5例(3.8%);正常兒童中,單純平和質(zhì)人數(shù)為56例(50.9),特稟質(zhì)24例(21.8),痰濕質(zhì)為9例(8.2),陽虛質(zhì)2例(1.8%)、陰虛質(zhì)1例(0.9%)、濕熱質(zhì)1例(0.9%)、特稟質(zhì)兼痰濕4例(3.6%)。以上CVA患兒和正常兒童的平和、特稟、痰濕質(zhì)人數(shù)分別位列前三;(2)CVA患兒中,單純平和質(zhì)人數(shù)為41例(31.5%),平和質(zhì)兼傾向特稟質(zhì)為13例(10.0%),平和質(zhì)兼痰濕質(zhì)9例(6.9%),偏頗質(zhì)為67例(51.5%),而正常兒童單純平和質(zhì)為56例(50.9%),平和質(zhì)兼傾向特稟質(zhì)為8例(7.3%),平和質(zhì)兼痰濕質(zhì)5例(4.6%),偏頗質(zhì)為41例(37.3%),兩組在單純平和質(zhì)的患兒人數(shù)差異具有統(tǒng)計學(xué)意義,p=0.0020.05,其余各項p0.05,無統(tǒng)計學(xué)意義。(3)CVA患兒中,單純平和質(zhì)、平和質(zhì)兼特稟質(zhì)、平和質(zhì)兼痰濕質(zhì)共63例,我們對以上63例患兒進行了平和質(zhì)打分,其得分中位數(shù)位65.625,25th62.500,75th為65.625。而正常兒童69例的得分中位數(shù)位78.125,25th為78.125,75th為90.625。從以上部分看出,中位數(shù)、25th、75th的各項數(shù)值正常兒童得分均高于CVA患兒。并且通過兩獨立樣本秩和檢驗P0.01,差異具有統(tǒng)計學(xué)意義。結(jié)論:1昆明地區(qū)CVA患兒與正常兒童體質(zhì)類型有相似性,前三位分別為單純平和質(zhì)、特稟質(zhì)和痰濕質(zhì)。2.CVA患兒組單純平和質(zhì)人數(shù)低于正常兒童組,差異具有統(tǒng)計學(xué)意義。3.CVA患兒的平和質(zhì)與正常兒童平和質(zhì)分數(shù)差異,具有具有顯著統(tǒng)計學(xué)意義。
[Abstract]:Objective: to explore the TCM constitution of cough variant asthma in children in Kunming area. Methods: according to the constitution standard of 9 points method of traditional Chinese Medicine (TCM) classification and judgement of Professor Wang Qi, we investigated the children with cough variant asthma from January 1, 2016 to January 1, 2017 in Yunnan traditional Chinese Medicine Hospital and collected the normal children at the same time. The physique of children with cough variant asthma in Kunming area was investigated by questionnaire and the SPSS22.0 version of statistical software was used to study the physical types of children with cough variant asthma. Results: (1) in 130 cases of CVA, 41 cases (31.5%) were simple calmness, 28 cases (21.5%) were idiosyncratic. 17 cases (13.1%), 2 cases (1.5%), 5 cases (3.8%), 4 cases (3.1%), 2 cases (1.5%), 1 case (0.75%), 3 cases (2.3%), 5 cases (3.8%). There were 56 cases (50.9) with simple calmness, 24 cases (21.8%) with idiosynthesis, 9 cases (8.2) with phlegm dampness, 2 cases (1.8%) with yang deficiency, 1 case (0.9%) with yin deficiency, 1 case (0.9%) with dampness and heat, 4 cases (3.6%) with hyperthermia and phlegm dampness. The number of phlegm dampness in children with CVA and normal children were among the top three respectively. (2) among the children with CVA, There were 41 cases (31.5%) of simple calmness, 13 cases (10.0%) of special quality of pacification and tendency, 9 cases (6.9%) of mild and phlegm wet, 67 cases (51.5%) of bias, 56 cases (50.9%) of normal children, 8 cases (7.3%) of mild and prone. There were 5 cases (4.6%) with phlegm dampness and 41 cases (37.3%) with partial phlegm and dampness. The difference between the two groups was statistically significant (P < 0.05). (3) there was no significant difference between the two groups in the number of children with simple and mild quality (P < 0.05) and the rest (p 0.05). (3) there was no significant difference in the number of children with CVA. There were 63 cases of simple mild, mild and idiopathic, mild and phlegm dampness. We scored the above 63 children with mild quality. The median score was 65.625 / 25th62.500 / 75th, which was 65.625'/ 25th62.500 / 75th, and the median score was 65.625 / 25th62.500 / 75th. The median score of 69 normal children at 78.125 and 25th was 78.125 and 75th was 90.625. From the above part, the scores of normal children with median value of 25 th / 75 ~ 5th were higher than those of children with CVA. The difference was statistically significant through the rank sum test of two independent samples (P0.01). Conclusion the constitution types of children with CVA in Kunming area were similar to those of normal children, the first three were simple placidity, and the number of children with idiopathic substance and phlegm dampness was lower than that of normal children. The difference was statistically significant. 3. There was significant difference in pacification score between children with CVA and normal children.
【學(xué)位授予單位】：云南中醫(yī)學(xué)院
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2017
【分類號】：R272

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