强直性脊柱炎活动期中医证候分类及其诊断研究  

Research of Classification and Diagnosis of TCM Syndromes of Ankylosing Spondylitis in the Active Stage

作　　者：张吉[1] 张良登[1,2] 张月[2] 姚魁武[2] 何庆勇[2] 

机构地区：[1]北京中医药大学,北京100029 [2]中国中医科学院广安门医院,北京100053

出　　处：《中华中医药学刊》2010年第10期2027-2029,共3页Chinese Archives of Traditional Chinese Medicine

摘　　要：目的:探讨强直性脊柱炎(AS)活动期患者的中医证候分类及其诊断要点。方法:采用临床流行病学的方法,记录163例AS活动期患者的症状、体征(包括舌象和脉象)等临床资料,并对临床资料进行变量指标聚类分析。结果:AS活动期患者证候分为4类:湿热痹阻证、邪郁化热证、肝肾亏虚证、痰浊瘀阻证,并初步确定了各证候的诊断要点。结论:基于中医四诊信息的分析与变量聚类分析的结果、结合专家意见可对AS活动期中医证候进行合理分类并确定各证型诊断要点。Objective：To study the classification and diagnosis of TCM syndromes of ankylosing spondylitis（AS） that is in the active stage.Methods：We used the method of clinical epidemiology,recorded 163 cases of AS in the active stage symptoms,signs（including the tongue and pulse） and other clinical materials,and analyzed the clinical data in using mathematical statistics of variable clustering analysis.Results：Syndromes of AS patients in the active stage were classified into 4 types,including syndrome of hot and humid syndrome of permit evil yu and heat syndrome of liver and kidney deficiency syndrome of phlegm and blood stagnation,and main diagnostic points were determined for different TCM syndromes initially.Conclusion：Four diagnostic information of TCM combined with variable clustering analysis and expert＇s opinion is helpful in the rational classification of TCM syndromes and research of main diagnostic points of each TCM syndrome.

关 键 词：强直性脊柱炎 活动期 聚类分析 证候分类 

分 类 号：R285.5[医药卫生—中药学]