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Research On Professor Hou Jianghong’s Experience In Pediatric Inspection Based On Data Analysis

Posted on:2022-09-24Degree:MasterType:Thesis
Country:ChinaCandidate:L L MaFull Text:PDF
GTID:2504306569988449Subject:Chinese Academy of Pediatrics
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Objective:Through clinical learning with teachers,analyzing outpatient cases and reading relevant articles and works published by the tutor,the author summarized the characteristics of Hou Jianghong’s observation and its application in disease syndrome differentiation,constitution identification and disease early warning,in order to provide guidance for the prevention and treatment of clinical children’s diseases.Methods:Collect the diagnosis and treatment records of the patients treated by Professor Hou Jianghong from Henan Provincial Hospital of Traditional Chinese Medicine from September 2018 to September 2019,save and sort 1764 cases that meet the inclusion criteria,and enter the name of the disease and the symptoms of the inspection into the Excel table after standardization,using SPSS22.0 Statistical analysis software for data analysis of diseases,etiology and pathogenesis,inspection symptoms and physical fitness types.Results:1.The distribution of inspection symptoms in the disease1)This topic involves 35 diseases,and the top 6 ranked in order are:cough(25.11%),cold(11.05%),chronic cough(11.05%),fever(9.35%),stagnation(7.09%),Sub-health(6.92%).Although sub-health is not a disease,it reflects the changes in the body of children,which can be seen in the morbid state of disease or the recovery period after the disease,so it is analyzed and discussed together with the disease.2)This topic involves a total of 69 inspection symptoms,and the top 6 in order are chlorosis(46.77%),dry stool(39.63%),weight gain of bags under the eyes(35.20%),red throat(34.30%),and milk moths.(33.56%),the tongue is red and the fur is white and thick and greasy(32.65%).3)Facial chlorosis(87.70%)is most distributed in sub-health;dry stool(50.26%)is most distributed in chronic cough;eye bag weight gain(46.15%)is most distributed in chronic cough;red throat(57.58%)is fever The distribution is the most in the middle;the milk moth(36.97%)is the most distributed in the fever;the red tongue and the white,thick and greasy fur(41.21%)is the most distributed in the fever.2.The relationship between symptoms and etiology and pathogenesisAmong the three types of pathogenesis,exopathies,exopathies combined with internal injuries,and internal injuries,1302 cases(73.81%)of internal injuries were the most common.The most common cause and pathogenesis of internal injuries is food accumulation(27.00%),and the rest are Qi deficiency,actual heat,phlegm dampness,and phlegm heat in order.Among them,the face was chlorosis and the nails were the most with deficiency of qi;the stool was the most with the most heat;the red pharynx,the weight gain of the eye bags,the moths,the red tongue,the white and thick greasy fur,and the food accumulation in the retrograde thorns all accounted for the first place.3.Distribution of inspection symptoms in biased physiqueThere are 107 sub-health cases in this subject,104 cases involve biased physique,of which 44 cases(42.31%)are stagnant body the most.Dry stool(56.82%)is the most distributed in the inspection of stagnant body,followed by chlorosis and retrograde thorns;dry stool(59.09%)is the most distributed in the inspection of heat-sheng body,followed by red throat and milk moth;Chlorosis(69.70%)on the face during diagnosis was the most distributed,followed by weight gain in eye bags.4.The results of factor analysis of the symptoms of cough during inspectionCarry out factor analysis on the symptoms of cough with frequency ≥20%.There are 7 common factors with eigenvalues>1,and the cumulative variance explanation rate is 59.128%.F1 includes facial chlorosis(0.676),weight loss(0.691),and bad hair.(0.599);F2 is red tongue and white and thick greasy fur(0.674);F3 is red throat(0.643);F4 is dry stool(0.792);F5 is methoprene(0.707),retrograde peeling(0.616));F6 is dry lip(0.662),milk moth(0.543);F7 is turbid nose(0.862).Conclusion:1.Professor Hou Jianghong combined holistic and local inspection in clinical practice.The holistic examination focused on facial appearance,and the local examination focused on the gas pool,throat,tongue image,hands and feet,defecation,teeth,hair and nails.2.Professor Hou Jianghong’s combination of disease differentiation,syndrome differentiation,and body differentiation has a guiding role in disease differentiation,physique identification,and early warning of disease desire and morbidity.
Keywords/Search Tags:Experience summary, Data analysis, Pediatric inspection
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