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机构地区:[1]上海中医药大学附属龙华医院,上海200032
出 处:《中华中医药学刊》2009年第12期2508-2510,共3页Chinese Archives of Traditional Chinese Medicine
基 金:国家“十一五”科技支撑计划子课题(2007BAI20B078)
摘 要:目的:探讨痰瘀互结型高脂血症常见中医症状分布特点。方法:通过对1995-2008年间中医辨证治疗高脂血症文献检索,建立数据库,筛选出符合中医辨证为痰瘀互结型高脂血症的文献,对其临床症状的频次、频率进行统计分析,并参考《中医统计诊断》的回归数学模型。结果:共检出中医药辨证治疗高脂血症文献197篇,其中辨证分型属于痰瘀互结型文献47篇,经综合分析提示:胸闷、眩晕、心前区刺痛、肢麻沉重、形体肥胖、心悸、头重如裹、肢体困倦、呕吐痰涎、气憋、舌有瘀斑点、舌质紫黯、苔滑腻、脉弦滑、脉沉涩对痰瘀互结型高脂血症具有诊断价值。结论:总结其主要症状的分布特点是实现痰瘀互结型高脂血症中医诊断规范化、现代化的初步探索。Objective:To discuss the distribution characteristics for common TCM symptoms and syndrome of hyperlipemia. Methods : Literatures about phlegm accumulating with stagnation of hyperlipemia from 1995 to 2008 were collected, and the database was established. The frequencies and rates of symptoms were analysis. Regression medel was referred according to "Statistical diagnose of TCM". Results : One hundred ninety - seven papers of hyperlipemia by treating based on syndrome differentiation were retrieved, 47 papers of those were phlegm accumulating with stagnation syndrome. And our study indicate that some symptoms have significant diagnosis value, which are chest distress, dizziness, praeeordium stabbing pain, numbness and heaviness of limbs, physique and body obesity, cardiopalmus, heaviness of head, drowsiness, spit phlegm, breathlessness, tongue with eeehymosis, texture of tongue purple and dark, slippery and creamy tongue fur, taut and slippery pulse, stmken and unsmooth pulse. Conclusion: To reveal fundamental symptom distribute characteristic is only initial research in order to achieve traditional Chinese medicine diagnosis normalization and modernization about phlegm accumulating with stagnation of hyperlipemia.
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