我们的网站为什么显示成这样?

可能因为您的浏览器不支持样式,您可以更新您的浏览器到最新版本,以获取对此功能的支持,访问下面的网站,获取关于浏览器的信息:

|本期目录/Table of Contents|

729例特禀体质小儿咳嗽证型分布规律研究(PDF)

《云南中医学院学报》[ISSN:1000-2723/CN:53-1048/R]

期数:
2013年05期
页码:
30-35
栏目:
临床研究
出版日期:
2013-10-20

文章信息/Info

Title:
729 Cases of Children with Special Intrinsic Quality Cough Syndrome Distribution of the Law
作者:
姚勇志1王力宁1吴曙粤3蒙春雪4高冲2钟李英2刘利明2张程和2李韶华2
1. 广西中医药大学第一附属医院,广西南宁 530023;2. 广西中医药大学,广西南宁 530008;3. 南宁市第一人民医院,广西南宁 530023;4. 柳州市妇幼保健院,广西柳州 5450000
Author(s):
YAO Yong-zhi1 WANG Li-ning1 WU Shu-yue3 MENG Chun-xue4 GAO Chong2 ZHONG Li-ying2 LIU Li-ming2 ZHANG Cheng-he2 LI Shao-hua2
1. The First Affiliated Hospital of Guangxi University of Chinese Medicine, Nanning Guangxi 530023,China; 2. Guangxi University of Chinese Medicine, Nanning Guangxi 530008,China; 3. No. 1 People’s Hospital of Nanning, Nanning Guangxi 530023,China; 4. Liuzhou Women and Children Health Hospital, Liuzhou Guangxi 545000,China
关键词:
特禀质 咳嗽 小儿 证候规律
Keywords:
special intrinsic quality cough pediatric syndromes
分类号:
R256.11
DOI:
-
文献标识码:
A
摘要:
目的探讨小儿特禀质咳嗽的证候分布规律,为制定该病的辨证标准及指导治疗提供理论依据。方法对729例特禀质咳嗽患儿进行观察,以中医辨证理论方法为基础,按照事先设计的调查表调查获取患儿发病特点、病史特点及四诊资料等,应用统计软件SPSS 19.0对收集资料进行频数分析,总结出该病的发病特点、病史特点及证候特点及中医证候分布规律。结果1~5岁年龄段特禀体质患儿检出概率较其他年龄段大;首次就诊中医证型主证以风热犯肺为常见,复合证中以肺脾气虚为常见;主证中发生肺脾气虚、气阴两虚证患者病程均较长,其次为痰湿内蕴,风热犯肺证病程相对较短,复合证中以痰湿内蕴、肺脾气虚证病程较长;风热犯肺证中以1~5岁年龄段患儿最为多见,肺脾气虚证以3~7岁年龄段患儿最为多见,痰湿内蕴以1~5岁年龄段患儿为多见,7岁以后患儿就诊人数明显少于其他年龄段患儿(P<0.05);既往病史中患湿疹病史的患儿占有较大比例。特禀体质小儿咳嗽诱因多无规律,在能明确的诱因中以遇寒后咳为主,其次为活动后咳;咳嗽频率以阵咳及偶咳为主;病程小于3周的患儿以昼夜均咳、晨起咳或夜晚咳较常见,单纯以白天咳多较为少见,而午后咳的情况很少发生;病程大于3周的患儿,以晨起或夜晚咳为多见;特禀体质患儿咳嗽咳声多重浊,大部分患儿咳嗽有痰难咯。结论特禀体质小儿咳嗽具有其相关的发病特点和临床规律。
Abstract:
Objective To investigate special intrinsic quality pediatric cough syndrome distribution laws for the development of the disease syndrome standards and provide a theoretical basis to guide treatment. Methods 729 cases of children with special intrinsic quality coughing observations to Base on TCM theory, in accordance with pre-designed questionnaire survey for children with disease characteristics, medical history characteristics and The four diagnostic information, etc. The application of the collected statistical software SPSS 19.0 data frequency analysis, summed incidence of the disease characteristics, medical history characteristics and syndromes and syndrome distribution. Results 1 to 5 years old children ages intrinsic physical detection probability than other ages segment size; TCM Major syndromes to wind heat invading is common in the First visit children, complex syndromes in order to DLS is common; Major syndromes in occurred DLS and Qi Deficiency patients were longer duration, followed by intrinsic phlegm, Wind heat invading permit relatively short duration, complex syndromes in order to intrinsic phlegm, lung deficiency syndrome longer course; Wind heat invading card in 1 to 5 age group is most prevalent in children, Lung deficiency syndrome 3 to 7 age group is most prevalent in children, phlegm intrinsic 1 to 5 years of age in children more common in children after the age of seven the number of visits was significantly less than other age groups of children(P<0.05); A large proportion of children with Eczema in Past history. Intrinsic physical cough incentives and more erratic, in a clear incentive in order to be able to post Catch cold, followed by the activity cough; Cough frequency of cough and even cough array-based; Disease in children less than three weeks to circadian are cough, morning cough or cough at night is more common and more simple to more rare daytime cough, cough and afternoon rarely happens; Course of more than three weeks in children, with early morning or night cough is more common; Intrinsic physical children with cough Kesheng more muddy, most children cough slightly difficult. Conclusion Intrinsic physical cough with its associated morbidity and clinical characteristics of the law.

参考文献/References

[1] 陆权,王雪峰. 儿童咳嗽中西医结合诊治专家共识[J]. 中国实用儿科杂志,2010,25(6):439-443.
[2] 王琦. 9种基本中医体质类型的分类及其诊断表述依据[J]. 北京中医药大学学报,2005,28(4):1-8.
[3] 王力宁,冯春辉,陈金月,等. 麻杏二陈汤煮散治疗小儿特禀质咳嗽的临床研究[J]. 中医儿科杂志,2012,8(5):32-35.
[4] 高文新,李毅,齐力坤,等. 840例变应性皮肤病患者血清过敏原检测分析[J]. 中国麻风皮肤病杂志,2006,22(8):705.
[5] 喻楠,王建军,张晓鸣,等. 1844例变态反应性皮肤病血清过敏原特异性IgE抗体分析[J]. 宁夏医学院学报,2006,28(5):396.

备注/Memo

备注/Memo:
基金项目: 广西卫生厅重点课题(NO:重2011054);广西名中医民族医传承工作室建设项目(NO:桂卫中[2013]10号) 收稿日期: 2013 - 09 - 21修回日期: 2013 - 09 - 23 作者简介: 姚勇志(1985~),男,广西陆川人,住院医师,研究方向:小儿呼吸系统疾病的防治。
更新日期/Last Update: 2013-10-20