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[变异型心绞痛患者证候要素的提取、组合及分布规律]

[Extraction, combination and distribution regularity of syndrome elements in patients with variant angina pectoris].

作者信息

Jia Zhen-hua, Li Ye-shuang, Wu Yi-ling, Gao Huai-lin, Chen Jing, Chen Jian-xin, Gu Chun-hua, Yuan Guo-qiang, Wu Xiang-chun, Wei Cong

机构信息

Research Room of Luobing Theory, Yiling Medical Institute of Hebei, Shijiazhuang, Hebei Province 050035, China.

出版信息

Zhong Xi Yi Jie He Xue Bao. 2007 Nov;5(6):616-20.

Abstract

OBJECTIVE

To explore the pathogenesis characteristics of variant angina pectoris (VAP) by extracting its syndrome elements and analyzing the combination and distribution regularity of the syndrome elements.

METHODS

One hundred and seventy-five case files of VAP patients were collected. The extraction of syndrome elements and symptom contribution to syndrome was completed by the partition method of complex system based on entropy theory. Diagnostic threshold was established by receiver operator characteristic curve. According to the results diagnosed by diagnostic criteria for syndrome element with quantitation, the combination and distribution regularity of the syndrome elements in patients with VAP was analyzed.

RESULTS

The basic syndrome elements in the patients with VAP were qi deficiency, qi stagnation, blood stasis, phlegm turbidity, phlegm-heat, stagnation-heat, yin deficiency and yang deficiency syndromes. It showed that the combination types of syndrome elements could be made up of one syndrome, two, three, four or more than four syndromes. Qi deficiency, yin deficiency, qi stagnation, blood stasis and phlegm turbidity syndromes had the higher frequency than other syndrome elements in the patients with VAP.

CONCLUSION

The partition method of complex system based on entropy theory can be used in extracting the syndrome elements of the patients with VAP. It is found that VAP has complicated pathogenesis according to the combination and distribution regularity of syndrome elements. Qi deficiency, qi stagnation, blood stasis, phlegm turbidity and yin deficiency syndromes are the main syndrome elements.

摘要

目的

通过提取变异型心绞痛(VAP)的证素并分析证素的组合及分布规律,探讨其发病机制特点。

方法

收集175例VAP患者的病历资料。采用基于熵理论的复杂系统划分法完成证素提取及症状对证的贡献度分析。通过受试者工作特征曲线确定诊断阈值。根据证素定量诊断标准的诊断结果,分析VAP患者证素的组合及分布规律。

结果

VAP患者的基本证素为气虚、气滞、血瘀、痰浊、痰热、郁热、阴虚、阳虚证型。结果显示,证素的组合类型可由一种证、两种证、三种证、四种证或四种以上证构成。在VAP患者中,气虚、阴虚、气滞、血瘀、痰浊证型出现的频率高于其他证素。

结论

基于熵理论的复杂系统划分法可用于提取VAP患者的证素。根据证素的组合及分布规律发现VAP发病机制复杂。气虚、气滞、血瘀、痰浊、阴虚证型是主要证素。

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