支气管哮喘患者中医四诊信息调查及验证性因子分析  

Investigation and confirmatory factor analysis of information collected with the four diagnostic methods in patients with bronchial asthma

作　　者：史锁芳[1] 刘秀芳[2] 严志林[3] 王道成[3] 孔祥文[3] 沈镇苍[4] 陈启光[5] 闵捷[5] 

机构地区：[1]江苏省中医院呼吸内科,江苏南京210029 [2]南京中医药大学,江苏南京210029 [3]江苏省兴化市中医院呼吸内科,江苏兴化225700 [4]江苏省常州市中医院呼吸内科,江苏常州213003 [5]东南大学公共卫生学院统计学教研室,江苏南京210006

出　　处：《中西医结合学报》2005年第5期363-365,共3页Journal of Chinese Integrative Medicine

基　　金：国家自然科学基金资助项目(No.39830460)江苏省科技厅社会发展项目(No.BS1996053)

摘　　要：目的:收集支气管哮喘患者中医四诊信息,进行证候分类。方法:随机调查430例支气管哮喘患者,详细记录四诊信息,用Amos软件建立数据模型,进行验证性因子分析(confirmatoryfactoranalysis,CFA)。结果:行四因子、五因子及六因子分析,其中六因子分析结果与临床实际相一致。结论:按六因子分析结果排序,以标准回归系数0.4作为主次证界值,将支气管哮喘分为寒饮伏肺证、痰热蕴肺证、风痰阻肺证、肺肾气虚证及脾气不足证等5大类证候。Objective： To investigate the information acquired through the four diagnostic methods of traditional Ohinese medicine in patients with bronchial asthma, and to classify the syndrome types. Methods： Four hundred and thirty patients with bronchial asthma were randomly investigated. The information acquired through the four diagnostic methods was recorded and the database was established by Amos software, and then the data were analyzed by confirmatory factor analysis （CFA）. Results： After analyzing the data with 4 factors, 5 factors and 6 factors, we found that the results of OFA with 6 factors were in accordance with clinical practical experience. Conclusion： According to the results of OFA with 6 factors and with the standard regression coefficient 0.4 as primary and secondary critical points, the syndromes in patients with bronchial asthma can be classified into 5 types, which are syndromes of cold fluid retained in lung, phlegm-heat obstructing lung, wind-phlegm blocking lung, qi deficiency of lung and kidney and qi deficiency of spleen.

关 键 词：哮喘 四诊 证候分类 验证性因子分析 

分 类 号：R241[医药卫生—中医诊断学]