乳腺增生病中医证候分布规律及证候分级阈值初探  

Explore of the TCM Syndrome Distribution and Threshold Value for Diagnosis Patterns in Hyperplastic Disease of Breast

作　　者：司徒红林[1] 林毅[1] 欧爱华[2] 汤凤池[3] 刘鹏熙[1] 陈前军[1] 朱华宇[1] 

机构地区：[1]广州中医药大学附属广东省中医院乳腺科,广东广州510120 [2]广州中医药大学附属广东省中医院临床流行病研究室,广东广州510120 [3]广州中医药大学

出　　处：《辽宁中医杂志》2007年第11期1545-1547,共3页Liaoning Journal of Traditional Chinese Medicine

基　　金：广东省中医药管理局科研基金课题(040013)

摘　　要：目的:探讨乳腺增生病临床证候分布规律,初步制定证候分级诊断量化标准。方法:采用文献调研、自制临床证候信息采集表、运用描述性分析、聚类分析、频数归一化权重及参考值范围制定方法。结果:809例乳腺增生病患者临床主要证候及证候诊断阈值分别为:冲任失调(占39.9%),诊断阈值≥12分;肝郁气滞(占31.52%),诊断阈值≥34分;痰瘀互结(28.55%),诊断阈值≥24分。结论:初步制定乳腺增生病证候四诊指标权重、证候诊断阈值以及辨证分型分级标准,可供临床诊断与疗效评价之参考。Objective： To explore the TCM syndrome distribution patterns in hyperplastic disease of breast （HDB） in order to initially establish the diagnostic ranking criteria for the TCM syndrome differentiation of HDB. Method： A questionnaire for clinical symptoms collection was developed based on a thorough literary review, and the statistical methods include descriptive analysis, clustering analysis, unitary frequency weighing and confidential interval estimation. Result ： The major TCM syndromes in HDB patients as well as their threshold value respectively are： disharmony of the Cong and Ren meridian （39.9%） whose threshold value is ≥ 12 points, liver qi stagnation （31.52% ） whose threshold value is ≥34 points, agglomeration of sputum and blood stasis （28.55%） whose threshold value is ≥24 points. Conclusion： The initially established TCM syndrome diagnosis criteria for HDB including index weighing, TCM syndrome diagnosis threshold and ranking standard for syndrome differentiation can serve as reference for clinical diagnosis and efficacy evaluation.

关 键 词：乳腺增生病 中医证候 权重 诊断阈值 

分 类 号：R271.44[医药卫生—中医妇科学]