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900例肝炎后肝硬化患者的中医综合征分化模式研究

[Study on the patterns of TCM syndrome differentiation of 900 patients with posthepatitic cirrhosis].

作者信息

Zhang Qin, Liu Ping, Zhang Hao-wei

机构信息

Shanghai Public Health Center, Shanghai 201508.

出版信息

Zhongguo Zhong Xi Yi Jie He Za Zhi. 2006 Aug;26(8):694-7.

Abstract

OBJECTIVE

To investigate the formula for TCM syndrome pattern differentiation in patients with posthepatitic cirrhosis.

METHODS

Factors analysis, C mean clustering and fuzzy comprehensive assessment were used for analyzing the basic information, including clinical symptoms and signs, obtained from 900 patients with posthepatitic cirrhosis to establish the formula for syndrome pattern differentiation through collecting the syndromic factors.

RESULTS

Multivariate statistic analysis showed the syndromic factors could be classified into two categories: the common characteristics related factors, which reflected the basic pathology of cirrhosis as qi deficiency and blood stasis, and the factors for differentiating 5 syndrome patterns (Gan-Shen yin-deficiency, dampness-heat accumulation, stasis-heat accumulation, Gan-qi stagnation with Pi-deficiency, and Pi-Shen qi-deficiency), which reflected the different pathological features of different syndrome patterns, showing the complexity and polymorphism of syndrome construction. And the functional formula for differentiating syndrome pattern was established.

CONCLUSION

The differentiating formula of TCM syndrome pattern could provide a quantified criterion for syndrome pattern differentiation in posthepatitic cirrhosis patients.

摘要

目的

探讨肝炎后肝硬化患者中医辨证分型公式。

方法

采用因子分析、C均值聚类和模糊综合评价法,对900例肝炎后肝硬化患者的临床症状、体征等基本信息进行分析,通过收集证候要素建立辨证分型公式。

结果

多变量统计分析显示,证候要素可分为两类:反映肝硬化基本病理的气虚血瘀等共性相关要素,以及区分肝肾阴虚、湿热蕴结、瘀热蕴结、肝郁脾虚、脾肾气虚5种证型的要素,体现了证候构成的复杂性和多态性。并建立了辨证分型的函数公式。

结论

中医证候分型鉴别公式可为肝炎后肝硬化患者的证候分型提供量化标准。

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