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1、2015NO.15中外醫(yī)療China&ForeignMedicalTreatment小兒慢性咳嗽的病因分析及中醫(yī)證候分布賽琴袁尹艷艷中國(guó)人民解放軍第211醫(yī)院袁黑龍江哈爾濱150001[摘要]目的研究小兒慢性咳嗽的病因和中醫(yī)癥候分布情況袁為臨床診斷和治療提供參考依據(jù)遙方法該研究采取回顧性分析法進(jìn)行研究遙隨機(jī)抽取該院兒科收治慢性咳嗽患兒110例袁進(jìn)行分組研究遙按照年齡分為院嬰幼兒組36例堯?qū)W齡前組36例和學(xué)齡期組38例遙結(jié)果嬰幼兒組呼吸道感染30.56%袁學(xué)齡前組變異性哮喘27.78%和肺炎支原體感染30.56%袁學(xué)齡期組上氣道咳嗽綜合征31.
2、58%遙所有研究對(duì)象中袁變異性哮喘25.45%和上氣道綜合征21.82%所致咳嗽比例較高遙中醫(yī)證候分布院風(fēng)邪久戀淵33.64%冤堯痰熱壅肺淵28.18%冤和痰濕蘊(yùn)肺淵20.91%冤遙結(jié)論小兒咳嗽病因以變異性哮喘和上氣道綜合征為主袁嬰幼兒組呼吸道感染所致咳嗽比例較高袁學(xué)齡前組變異性哮喘和肺炎支原體感染所致咳嗽比例較高袁學(xué)齡期組上氣道咳嗽綜合征所致咳嗽比例較高遙中醫(yī)證候主要分布為風(fēng)邪久戀袁臨床診斷和治療中袁可以參考進(jìn)行病因治療和預(yù)后判斷遙[關(guān)鍵詞]小兒慢性咳嗽曰病因曰中醫(yī)證候[中圖分類號(hào)]R725[文獻(xiàn)標(biāo)識(shí)碼]A[文章編號(hào)]1674-074圓淵圓
3、園員5冤05淵c冤原園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小兒咳嗽是兒科臨床中常見疾病和臨床癥狀之一袁慢性咳
8、嗽年齡6個(gè)月~3歲袁平均年齡淵1.9依1.1冤歲袁咳嗽病程6~10周袁平均是指咳嗽持續(xù)或反復(fù)發(fā)作6周及以上袁主要臨床癥狀為咳嗽袁影像咳嗽病程淵7.4依2.3冤周曰學(xué)