【摘要】：目的:通過整理王雪峰教授門診510例次慢性咳嗽患兒的病例,探究反復(fù)肺炎與慢性咳嗽發(fā)病特點(diǎn)及中醫(yī)證型的相關(guān)性,為指導(dǎo)臨床辨證及防治提供依據(jù)。方法:收集2015年3月到2015年12月王雪峰教授于門診接診的慢性咳嗽患兒214例,共計(jì)510例次,自擬小兒慢性咳嗽臨床癥狀觀察表(附),通過對(duì)其一般情況、既往史、特稟質(zhì)、主要癥狀、體征以及理化檢查等資料的記錄,觀察其發(fā)病特點(diǎn)及中醫(yī)證型分布。結(jié)果:1.學(xué)齡前期兒童發(fā)生頻率高達(dá)66.02%,特稟質(zhì)兒童發(fā)生頻率達(dá)到58.25%,顯示學(xué)齡前期兒童和特稟質(zhì)兒童在反復(fù)肺炎后更易罹患慢性咳嗽。2.反復(fù)肺炎后慢性咳嗽患兒出現(xiàn)盜汗、夜臥不安、大便干燥、自汗、食少、偏食、小便黃這七個(gè)癥狀的頻率高于非反復(fù)肺炎后慢性咳嗽患兒,差異有統(tǒng)計(jì)學(xué)意義(P0.05)。3.是否為反復(fù)肺炎后慢性咳嗽患兒兩組比較中,反復(fù)肺炎后慢性咳嗽患兒多見陰虛肺熱、痰熱蘊(yùn)肺和肺脾氣虛此三種證型,差異具有統(tǒng)計(jì)學(xué)意義(P0.05)。結(jié)論:1.學(xué)齡前期兒童與特稟質(zhì)兒童更易在反復(fù)肺炎后罹患慢性咳嗽。2.反復(fù)肺炎后慢性咳嗽患兒更為多見盜汗、夜臥不安、大便干燥、自汗、食少、偏食、小便黃這七個(gè)癥狀。3.反復(fù)肺炎后的慢性咳嗽中醫(yī)證型以陰虛肺熱證為主。
[Abstract]:Objective: to investigate the correlation between recurrent pneumonia, chronic cough and TCM syndrome type by sorting out 510 cases of chronic cough in outpatient department of Professor Wang Xuefeng, so as to provide basis for clinical syndrome differentiation and prevention and treatment. Methods: 214 children with chronic cough received by Professor Wang Xuefeng from March 2015 to December 2015 were collected. The clinical symptoms of chronic cough in children (attached) were investigated by self-made clinical symptom list (attached). The main symptoms, signs and physical and chemical examination data were recorded, the characteristics of the disease and the distribution of TCM syndromes were observed. Results: 1. The frequency of occurrence of pre-school children was as high as 66.02 and that of children with special nature reached 58.25, indicating that preschool children and special children were more likely to suffer from chronic cough after repeated pneumonia. 2. The frequency of the seven symptoms of chronic cough after recurrent pneumonia was higher in children with chronic cough after repeated pneumonia than in children with chronic cough after recurrent pneumonia (P0.05) (P0.05), and the frequency of these seven symptoms was significantly higher than that of children with chronic cough after recurrent pneumonia (P0.05). Whether it is chronic cough after repeated pneumonia in the two groups, chronic cough after repeated pneumonia, Yin deficiency of lung heat, phlegm heat accumulation of lung and deficiency of lung and spleen Qi deficiency, the difference was statistically significant (P0.05). Conclusion: 1. Preschool and idiopathic children are more likely to suffer from chronic cough after recurrent pneumonia. 2. 2. Chronic cough after repeated pneumonia is more common in children with night sweats, restlessness, dry stool, self-sweating, eating less, eating partial, urinate yellow these seven symptoms. 3. Chronic cough syndrome type after repeated pneumonia is Yin deficiency and lung heat syndrome.
【學(xué)位授予單位】：遼寧中醫(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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本文編號(hào)：2400196