| Objective:Based on 62 cases of pediatric asthma outpatients of inducing factors, Cough, onset time, have phlegmy or no phlegm, wheezing sound.properties such as the main symptoms,ananalysis the characteristics and accompanied symptoms. Emphatically discussed on patients with TCM syndrome distribution, provide reference for clinical evidence-based medicine.Methods:According to the diagnostic standard of asthma, with 62 cases of pediatric asthma cases, collecting a total of 62 cases of the Pediatric asthma patients at the pediatric asthma outpatient service department in the First Affiliated Hospital of Guangzhou University of Chinese Medicine. According to the diagnostic cases evidence type, and to statistics of cases of symptoms, set up the database, Using the Microsoft Excel software package for data processing. And the Syndrome research mainly use Statal2.0 network technology, then describe the clinical syndrome that were analyzedResults:In this study, based on gender classification, in which 46 cases of male patients,16 cases of female patients, accounted for 74.2%,25.8% respectively. This study into the age range of 1-15 years, more than 15 years of age and less than 1 year old excluded, the number and rate of the respectively. The pediatric asthma is Closely related to the history of allergy. At this investigation,there are 48 cases of children who have pediatric asthma with allergies, accounting for 77.42%of the total, in which men(43 cases,69.35%)>women(3 cases,8.06%). According to the common allergic reason statistics, including allergic rhinitis> urticarial> drug allergy, food allergy. There appear two or more allergy causes the 11 cases,17.74%of the total. Pediatric asthma is closely related to the family genetic history at the same time, in the investigation, a total of 28 cases of children with family history,45.16%of the total number of cases, in which men (22,35.48%)> women (6 cases,9.68%).This study also investigated the common cause of pediatric asthma inducing factors, including the cold air> contact allergens> movement excitant odour> of modern. In the main symptoms, severity classification according to cough, mild, moderate, severe; Classified according to time of cough, cough or early evening cough (19 cases,30.65%), both in the morning and evening cough (24 cases,38.7%), cough all day (19 cases,30.65%); According to cough sound classification:cough sound slightly (11 cases,17.74%), cough sound weightier, uncomfortable (33 cases,53.23%), phlegm roar (5 cases,8.06%), cough sound humble (13 cases,20.79%); Of cough with phlegm is 59 cases, accounting for 95.16%of the total, according to the classification of sputum volume:a small amount of sputum (15 cases,24.19%), more (33 cases,53.23%), a lot of phlegm (10 cases,16.12%); According to sputum color classification: sputum color white (22 cases), the color yellow (37 cases,); According to phlegm quality classification:phlegm thin (12 cases,19.35%), sputum mass sticks (41 cases,66.13%), phlegm thick (6 cases,9.68%). Clinical syndrome type distribution is as follows.:hot asthma 14 cases,22.58%of the total, lung spleen-deficiency 14 cases, accounting for 22.58%of the total number of 12 cases of asthma, cold asthma 12 cases,19.35%of the total, spleen kidney Yang deficiency, accounting for 19.35%of the total, lung excess and kidney deficiency 4 cases,6.45%of the total, Yin deficiency both lung, and kidney (3 cases),4.38%of the total.Conclusion:Based on the collected 62 cases of pediatric asthma from the outpatient medical records analysis, High rates of children who with asthma aged from 1 to 6 years old, give priority to with 3,4,5 years old. In the survey of the related diseases and inducing factors, allergic history accounted for the vast majority of the patients, of which the most allergic rhinitis, and the cold air stimulation is the most obvious inducing factor. In the patients who with asthma, appear more moderate cough and severe cough, no matter morning or evening the cough without regularity, most of the patients when they cough can cough up phlegm, and characteristic the of the phiegm is yellow and sticky. And the vast majority of patients have expiratory wheezing sound. Other performance such as poor appetite, sore throat, runny nose, fever, spontaneous sweating, night sweats, thirst, chills, fever and other symptoms also can appear.Combined with the case data of the patient’s clinical symptoms, asthma patients can appear such as hot asthma, cold asthma, and also has a Qi deficiency of the lung and spleen, spleen and kidney Yang deficiency, lung and kidney Yin deficiency syndrome patients, lung excess and kidney deficiency patients factors, mainly involving the zang-fu organs have lung, spleen, kidney, clinical syndrome can be the end of the five type for the disease diagnosis and treatment of traditional Chinese medicine and provide reference for prevention. |
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