【作者】 周士英；

【导师】 阎兆君；

【作者基本信息】 山东中医药大学 ， 中医儿科学， 2007， 硕士

【摘要】 目的:从中医体征诊断规范化的研究入手,对临床小儿过敏性鼻炎脾气虚证辨证体征进行比较分析,建立小儿过敏性鼻炎脾气虚证体征辨证预测模型,探索有益于中医临床辨证量化、客观化的方法与途径,为中医证候规范化研究提供借鉴。方法:本研究通过临床流行病学调研与统计分析相结合的方法,在中医理论指导下,采用流行病学调研、临床统计、对照观察等方式,通过对108例小儿过敏性鼻炎临床病例的调查,采用频数分析的方法,对数据进行统计学分析,筛选出23项体征数据变量,进入Logistic回归分析,并建立起辨证预测模型。结果:发现舌质淡、鼻粘膜苍白、尺肤松软、皮肤粗糙无泽、毛发黄软稀疏、山根青筋、裂纹舌等7项体征对小儿过敏性鼻炎脾气虚证的辨证特异度高,本研究将其确定为小儿过敏性鼻炎脾气虚证主要辨证体征。结论:通过与以往国家中医管理局的脾气虚证证候诊断标准对照,从而发掘出部分以往未被重视的体征;建立了小儿过敏性鼻炎脾气虚证辨证预测体征诊断模型,为临床诊断提供了新的研究途径和方法。更多还原

【Abstract】 Objective:Starting the research from TCM syndrome diagnostic standard, indicator diagnostic models is established by comparing and analyzing syndrome differentiation in deficiency of spleen-QI of paediatric Allergic Rhinitis and explore the means of quantitative and objective differentiation of TCM clinic to improve the TCM normative research.Method:The cooperative method of clinical epidemiological research and statistical analysis is used . Under the guidance of Traditional Chinese Medicine theory, and by means of epidemiological research, clinical statistics and observation of collating to investigate 108 cases of paediatric Allergic Rhinitis. we mainly compare and analyze the distribution law of the single syndrome differentiation in deficiency of spleen-QI of paediatric Allergic Rhinitis.By frequency analysis to analyze the data, then we chosing 23 variable data of syndrome,starting Logistic regression analysis and initially established models of normative Traditional Chinese medicine functional indicator diagnostic studies.Result:Light tongue, pachylosis without light, fissured tongue, slake and weak ulnar skin, radix nasi bluish tendon, nasal mucous membrane pale and yellow rarefaction hairs ect,these syndromes above have great speciality on deficiency of spleen-QI of paediatric Allergic Rhinitis.So it is considered as the main differentiation syndrome.Conclusion: By comparing with the present national DC of deficiency of spleen-QI syndrome; new or non-reconstruction functional indicator is exhumed. So the establishment of indicator syndrome diagnostic model on paediatric Allergic Rhinitis provide new methods and means for clinical diagnosis.更多还原