多元统计分析在慢性胃炎患者中医湿证辨证标准研究中的应用  

Multivariate Analysis on Dampness Syndrome Differentiation Standard for TCM in Chronic Gastritis

作　　者：李福凤[1] 王忆勤[1] 董英[2] 郎庆波[1] 何建成[1] 燕海霞[1] 李果刚[1] 庄燕鸿[1] 

机构地区：[1]上海中医药大学中医证候实验室,上海201203 [2]复旦大学公共卫生学院统计教研室,上海200032

出　　处：《中华中医药学刊》2009年第5期931-933,共3页Chinese Archives of Traditional Chinese Medicine

基　　金：国家中医药管理局重点实验室建设项目;上海市科委资助项目(03JG05);上海市第三期重点学科中医诊断学资助项目(S30302)

摘　　要：目的:通过慢性胃炎临床流行病学调查,探讨中医湿证辨证标准研究的思路和多元统计方法。方法:采用DME(design m easurem ent evaluation)设计的方法对慢性胃炎患者进行临床流行病学调查,对慢性胃炎湿证资料进行聚类分析、两次logistic回归分析,以此筛选出对慢性胃炎湿证辨证有决定意义的主要症状、体征。结果:运用多元统计学方法筛选出了对慢性胃炎湿证诊断有意义的主要症状、体征,为建立其规范化、标准化的证候标准提供参考。结论:多元统计分析可客观地评价各症状在证候中所处的地位和作用,是中医证候诊断标准研究的有效方法,值得深入研究。Objective： To study the thinking and multivariate analysis method for dampness syndrome differentiation Standard for TCM by means of clinical investigation epidemiological investigation on chronic gastritis. Methods： Based on the epidemiological investigation, clustering and the logistic regression analysis to the data of dampness syndrome of chronic gastritis. Results：the symptoms, which is significant to differentiating dampness syndrome of chronic gastritis were filtrated by multivariate analysis, and providing reference to the standard for syndrome diagnosis of dampness syndrome of chronic gastritis in TCM. Conclusions ： the position and action of each symptom in syndrome could be evaluated objectively by multivariate analysis. Multivariate analysis is an effective method to the study on symdrome diagnosis and worth further exploring.

关 键 词：慢性胃炎 湿证 聚类分析 LOGISTIC回归 

分 类 号：R259.733[医药卫生—中西医结合]