不同计量诊断对于冠心病血瘀证症状体征分析比较  

Comparison of Symptoms and Signs of Blood Stasis Syndrome in Coronary Heart Disease by Different Quantitative Diagnosese

作　　者：姚魁武[1] 王阶[1,2] 朱翠玲[3] 武继涛[3] 方居正[3] 

机构地区：[1]中国中医科学院广安门医院,北京100053 [2]湖北中医学院,武汉430065 [3]河南中医学院第一附属医院,郑州450000

出　　处：《世界科学技术-中医药现代化》2009年第5期684-688,共5页Modernization of Traditional Chinese Medicine and Materia Medica-World Science and Technology

基　　金：科技部国家重点基础研究发展计划"973"计划(2003CB517103):冠心病心绞痛病证结合诊断标准与疗效评价体系研究;负责人:王阶;国家自然科学基金(90209011):基于计算智能的血瘀证量化诊断方法学研究;负责人:王阶

摘　　要：目的:运用现代数理统计的方法探索冠心病血瘀证的诊断。方法:分别运用逐步回归法、逐步判别法筛选对于冠心病血瘀证诊断具有贡献度的指标。结果:逐步回归法得出心绞痛、心悸、胸闷、疲乏无力、口唇色黑、肌肤甲措、眼周色黑、五心烦热、舌质紫暗、舌体瘀斑、舌脉曲张、脉弦等症状对于该证的诊断有益,逐步判别法筛选出舌质紫暗、舌脉曲张、脉涩、肌肤甲错、齿龈色黑等症状。结论:运用不同的方法进行处理分析,可以从不同的角度对冠心病血瘀证的证候诊断作出判断,由此可以发现对于血瘀证和非血瘀证诊断具有较好区分能力的条目。This study aimed to explore the identification of symptoms and signs of blood stasis syndrome （BSS） in diagonosing coronary heart disease （CHD） by different quantitative methods. The factor analysis and the regression analysis were adopted to select the relatively important items for CHD diagnosis. The items selected by the step by step regression analysis included angina, palpitation, oppression in chest, fatigue and inability, black lip, coarseness in skin, black skin around eye, palms and soles, petechia in tongue, purple and dark tongue, petechia in tongue, varicose veins in tongue, and stringy pulse. The items selected by the factor analysis included purple and dark tongue, varicose veins in tongue, acerbity pulse, coarseness in skin, black gingival, petechia in tongue, petechia in skin, black skin around eyes, palms and soles, weight loss, angina, dizziness, black lip, and black complexion. The results showed that different quantitative methods may be used to select different items in different aspects, which helps to distinguish BSS from non-BSS in CHD diagnosis.

关 键 词：回归分析 主成分分析 血瘀证 

分 类 号：R734.2[医药卫生—肿瘤] R135.14[医药卫生—临床医学]