布鲁氏杆菌病的临床中医证候特征分析  

Analysis of traditional Chinese medicine clinical syndromes characteristic of brucellosis

作　　者：宫爱民[1] 许朝霞[1] 燕海霞[1] 刘长民[2] 张国霞[2] 钱鹏[1] 王忆勤[1] 

机构地区：[1]海南医学院(中医学院),海南海口570102 [2]黑龙江省农垦总医院,黑龙江哈尔滨150000

出　　处：《中国热带医学》2011年第6期678-680,共3页China Tropical Medicine

基　　金：国家"十一五"科技支撑计划子项目(2006BAI08B01-04);上海市教委第三期重点学科经费资助项目(编号:J50304)

摘　　要：目的探讨布鲁氏杆菌病的流行病学特征及中医临床证型特点,为布鲁氏杆菌病的中医临床诊断和治疗提供依据。方法采集大样本的临床病例,运用频次分析及系统聚类分析法进行统计学处理。结果通过频次分析,布鲁氏杆菌病的临床症状出现频数较高的是发热、自汗、关节疼痛等;通过聚类分析,布鲁氏杆菌病人的主要症状体征可以聚为6类,依据中医理论分析分别是阳虚证类,血瘀证类,气虚证类,阴虚证类,湿浊证类,湿热证类。结论布鲁氏杆菌病的症状组合规律和中医辨证密切相关,对证候分类有重要的指导意义,布鲁氏杆菌病的证候特征可为其临床诊断和治疗提供一定的依据。Aim To investigate the epidemiological characteristics of TCM clinical syndrome features of brucellosis and provide evidence for clinical diagnosis and treatment of the disease. Methods Samples of clinical brucellosis cases were collected and frequency analysis and system clustering analysis were used for statistical processing. Results through of frequency analysis,fever,spontaneous sweating and joint pains ,etc. were the frequently occurred clinical symptoms of brucellosis cases. By clustering analysis, signs and symptoms of brucellosis patient could be divided into six categories （based on traditional Chinese medicine theory）：Yang deficiency,obstructer flow of blood,Qi deficiency,Yin deficiency, dam-turbidity and dampness-heat. Conclusion The combination law of the symptoms of brucellosis cases is associated with the theory of TCM syndrome differentiation. The identification of symptoms and features of brucellosis cases can offer evidence for clinical diagnosis and treatment of the disease.

关 键 词：布鲁氏杆菌病 中医 辨证 聚类分析 

分 类 号：R516.7[医药卫生—内科学]