發(fā)布時(shí)間：2019-02-12 07:49

【摘要】：目的:通過(guò)對(duì)內(nèi)環(huán)境溫度(皮膚以外,衣被以內(nèi)的空間溫度)與小兒脫被發(fā)生關(guān)系的研究,明確內(nèi)環(huán)境溫度對(duì)小兒“脫被征”發(fā)生有無(wú)影響,為小兒“脫被征”防治提供理論依據(jù)和實(shí)驗(yàn)數(shù)據(jù)支持。方法:1.理論回顧:歸納文獻(xiàn)和現(xiàn)代醫(yī)學(xué)研究,對(duì)體溫調(diào)節(jié)機(jī)制進(jìn)行歸納分析,對(duì)小兒體溫調(diào)控發(fā)育特點(diǎn)進(jìn)行總結(jié),為研究?jī)?nèi)環(huán)境溫度對(duì)小兒“脫被征”的影響提供理論依據(jù)。2.臨床研究:(1)按照年齡、體重、性別相近原則進(jìn)行隨機(jī)配對(duì)設(shè)計(jì)。從某幼兒園隨機(jī)選取“脫被征”陽(yáng)性兒童和“脫被征”陰性兒童,按照年齡、體重、性別相近原則隨機(jī)配對(duì),以一名“脫被征”陽(yáng)性兒童和一名“脫被征”陰性兒童組成一組對(duì)照觀測(cè),共隨機(jī)選取40組。(2)用溫度記錄儀記錄兩組兒童在相同條件(相同室內(nèi)溫度、覆蓋相同厚度被褥、穿著相同厚度衣服)下內(nèi)環(huán)境最高溫度、平均溫度、脫被瞬間溫度,并統(tǒng)計(jì)兩組脫被次數(shù)。(3)以問(wèn)卷形式,統(tǒng)計(jì)40名“脫被征”陽(yáng)性兒童和40名“脫被征”陰性兒相關(guān)癥狀等指標(biāo)。結(jié)果:1.在相同條件下,兩組脫被次數(shù)差異有非常顯著性意義(p0.01);2.在相同條件下,“脫被征”陽(yáng)性組和“脫被征”陰性組內(nèi)環(huán)境最高溫度、平均溫度、脫被瞬間溫度比較無(wú)顯著性差異(p0.05);3.兩組組內(nèi)內(nèi)環(huán)境最高溫度、脫被瞬間溫度與內(nèi)環(huán)境平均溫度比較均有顯著性差異(p0.05);4.“脫被征”陽(yáng)性組與口臭、打鼾、磨牙、大便干結(jié)、煩躁易怒、睡眠不安穩(wěn)等有顯著性相關(guān)(p0.05);與夜啼、講夢(mèng)話、食欲差、大便稀溏、自汗、盜汗等無(wú)明顯相關(guān)性(p0.05)。結(jié)論:1.在同樣室溫17℃、覆蓋2.5kg棉被條件下,兩組脫被發(fā)生率差異非常顯著,但兩組內(nèi)環(huán)境最高溫度、平均溫度、脫被瞬間溫度比較無(wú)顯著性差異,提示在室溫17℃、覆蓋2.5kg棉被情況下,內(nèi)環(huán)境溫度的變化不是兩組脫被發(fā)生率差別的原因,推測(cè)可能與復(fù)雜的深層的內(nèi)在因素(如溫度感受器敏感性上調(diào),大腦皮層和皮層下中樞功能失調(diào),內(nèi)在的干擾和刺激因素等)相關(guān),仍需進(jìn)一步深入研究。2.兩組組內(nèi)脫被瞬間溫度均高于平均溫度,說(shuō)明睡眠時(shí)過(guò)多覆蓋衣被也是導(dǎo)致脫被的原因之一3.小兒“脫被征”與口臭、打鼾、磨牙、大便干結(jié)、煩躁易怒、睡眠不安穩(wěn)等這組癥狀有明顯相關(guān)性,這組癥狀是小兒胃腸功能紊亂和積滯的主要臨床表現(xiàn),揭示積食和胃腸道功能紊亂與“脫被征”的發(fā)生存在密切相關(guān),與中醫(yī)“胃不和,則臥不安”的認(rèn)識(shí)是吻合的。
[Abstract]:Objective: to study the relationship between the internal ambient temperature (outside the skin, the space temperature inside the coat) and the occurrence of children's delamination, and to determine whether the temperature of the inner environment has an effect on the occurrence of the children's "detachable sign". To provide theoretical basis and experimental data for the prevention and treatment of children. Methods: 1. Review of theory: summarize the literature and modern medical research, summarize the mechanism of thermoregulation, summarize the developmental characteristics of children's body temperature regulation and provide a theoretical basis for the study of the effect of internal ambient temperature on children's "deducible". 2. Clinical study: (1) A randomized pairing design was conducted according to age, weight and sex. Children with positive and negative symptoms were randomly selected from a kindergarten, and matched randomly according to age, weight and sex. A group of 40 groups were randomly selected by a positive child and a negative child. (2) the temperature recorder was used to record the two groups of children in the same condition (the same indoor temperature). Covering the same thickness of bedding, wearing the same thickness of clothing) under the highest temperature, average temperature, instantaneous temperature, and statistics of the two groups of de-quilt times. (3) in the form of a questionnaire, The symptoms of 40 positive children and 40 negative children were analyzed. Results: 1. Under the same conditions, there was a significant difference between the two groups (p0.01); 2. Under the same conditions, there was no significant difference in the highest ambient temperature, mean temperature and instantaneous temperature between the positive group and the negative group (p0.05). There were significant differences between the two groups in the highest temperature in the internal environment, the instantaneous temperature in the desquamation and the average temperature in the internal environment (p0.05); 4. The positive group was significantly associated with halitosis, snoring, molars, stool dry knots, irritability and restlessness (p0.05). There was no significant correlation with night cry, sleep talk, poor appetite, loose stools, spontaneous sweating, night sweating and so on (p0.05). Conclusion: 1. At the same room temperature of 17 鈩，

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