小儿慢性咳嗽的病因分析及中医证候分布.pdf

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1、2015NO.15中外医疗China&ForeignMedicalTreatment小儿慢性咳嗽的病因分析及中医证候分布赛琴袁尹艳艳中国人民解放军第211医院袁黑龙江哈尔滨150001[摘要]目的研究小儿慢性咳嗽的病因和中医症候分布情况袁为临床诊断和治疗提供参考依据遥方法该研究采取回顾性分析法进行研究遥随机抽取该院儿科收治慢性咳嗽患儿110例袁进行分组研究遥按照年龄分为院婴幼儿组36例尧学龄前组36例和学龄期组38例遥结果婴幼儿组呼吸道感染30.56%袁学龄前组变异性哮喘27.78%和肺炎支原体感染30.56%袁学龄期组上气道咳嗽综合征31.

2、58%遥所有研究对象中袁变异性哮喘25.45%和上气道综合征21.82%所致咳嗽比例较高遥中医证候分布院风邪久恋渊33.64%冤尧痰热壅肺渊28.18%冤和痰湿蕴肺渊20.91%冤遥结论小儿咳嗽病因以变异性哮喘和上气道综合征为主袁婴幼儿组呼吸道感染所致咳嗽比例较高袁学龄前组变异性哮喘和肺炎支原体感染所致咳嗽比例较高袁学龄期组上气道咳嗽综合征所致咳嗽比例较高遥中医证候主要分布为风邪久恋袁临床诊断和治疗中袁可以参考进行病因治疗和预后判断遥[关键词]小儿慢性咳嗽曰病因曰中医证候[中图分类号]R725[文献标识码]A[文章编号]1674-074圆渊圆

3、园员5冤05渊c冤原园164-02EtiologyofChronicCoughinChildrenandTCMSyndromeDistributionSAIQin袁YINYan-yanPLA211Hospital,Harbin,HeilongjiangProvince,150001China[Abstract]ObjectiveResearchthecausesofchroniccoughinchildrenandTCMsymptomsdistribution,toprovidereferenceforclinicaldiagnosisand

4、treatment.MethodsThispaperadoptsaretrospectiveanalysisresearch.Extractionpediatrichospitaltreated110casesofchroniccoughinchildren,studygroup.Childrendividedaccordingtoage:36casesofinfantgroup,38casesofpreschoolandschool-agegroupof36casesofgroup.ResultsRespiratorytractinfect

5、ionsininfantsgroup30.56%,preschoolgroupvariantasthma27.78%and30.56%Mycoplasmapneumoniaeinfection,theschool-agegroupairwaycoughsyndrome31.58%.Allofthesubjects,thevariantasthma25.45%andupperairwaycoughsyndrome21.82%duetothehigherproportion.TCMSyndromeDistribution:FengXielongl

6、ove(33.64%),phlegmobstructthelung(28.18%)andphlegmretentioninthelung(20.91%).Conclu鄄sionCoughvariantasthmaandcausetoupperairwaysyndrome,mainlyduetorespiratoryinfectionininfantssethigherproportioncough,asthmaandMycoplasmapneumoniaeinfectionvariabilitypreschoolgroupcoughhighe

7、rproportionoftheschool-agegroupofgasRoadcoughcoughsyndromecausedbyahigherratio.TCMsyndromemainlylongloveforFengXie,clinicaldiagnosisandtreatment,youcanrefertocausethetreatmentandprognosis.[Keywords]Childrenwithchroniccough;Causeofdisease;TCMSyndrome小儿咳嗽是儿科临床中常见疾病和临床症状之一袁慢性咳

8、嗽年龄6个月~3岁袁平均年龄渊1.9依1.1冤岁袁咳嗽病程6~10周袁平均是指咳嗽持续或反复发作6周及以上袁主要临床症状为咳嗽袁影像咳嗽病程渊7.4依2.3冤周曰学