HIV/AIDS患者脉象与中医证候的多重对应分析  

Multiple correspondence analysis of association between traditional Chinese medical syndromes and pulse manifestations of HIV/AIDS patients

作　　者：张芳[1] 施念[2] 杨永利[1] 施学忠[1] 

机构地区：[1]郑州大学公共卫生学院卫生统计学教研室,郑州450001 [2]郑州大学基础医学院,郑州450001

出　　处：《郑州大学学报（医学版）》2011年第4期535-537,共3页Journal of Zhengzhou University(Medical Sciences)

基　　金："十.五"国家科技攻关计划基金资助项目2004BA719A13

摘　　要：目的:探索多重对应分析模型在HIV/AIDS患者脉象与中医证候关系中的应用。方法:采用多阶段分层整群抽样,从河南省5个艾滋病高发县中随机抽取HIV/HIDS患者1277例进行体检及问卷调查。结果:脉象与实证在2个维度的Cronbach系数分别是0.559和0.241,在2个维度的特征根是2.011和1.277;湿热内蕴与脉沉、脉弱和脉虚有联系;湿热蕴毒与脉数和脉滑有联系;邪结皮肤与脉细有联系;肝郁气滞与脉弦有联系。脉象与虚证在2个维度的Cronbach系数分别是0.558和0.242,在2个维度的特征根是2.010和1.279;脾气虚弱与脉沉、脉虚和脉弱有联系;肺脾气虚与脉弦和脉滑有联系;气阴两虚、气血亏虚与脉细有联系。结论:多重对应分析可以揭示HIV/AIDS患者脉象与证候间的联系;在建立HIV/AIDS证候标准时,要充分考虑到脉象特征。Aim：To explore the application of multiple correspondence model in the association between traditional Chinese medical（TCM）syndromes and pulse manifestations in HIV/AIDS patients.Methods：Multistage random cluster sampling technique was used to select 1 277 HIV/AIDS patients from 5 counties in Henan province.The information of physical examination and questionnaire was collected.Results：Multiple correspondence model of pulse manifestation and excessive syndrome showed that Cronbach＇s Alphas were 0.559 and 0.241,and eigenvalues were 2.011 and 1.277 in two dimensions.Syndrome of dampness-heat accumulated interior was related with sunken pulse,weak pulse and feeble pulse.Syndrome of dampness-heat and accumulated-toxin was related with rapid pulse and slippery pulse.Syndrome of accumulated-pathogen skin was related with thready pulse.Syndrome of liver depression and qi stagnation was related with stringy pulse.Multiple correspondence model of pulse manifestation and deficiency syndrome showed that Cronbach＇s Alphas were 0.558 and 0.242,and eigenvalues were 2.010 and 1.279 in two dimensions.Syndrome of deficiency of spleen qi was related with sunken pulse,feeble pulse and weak pulse.Syndrome of deficiency of lung and spleen qi was related with stringy pulse and slippery pulse.Syndrome of deficiency of both qi and yin and syndrome of deficiency of both qi and blood were related with thready pulse.Conclusion：Multiple correspondence analysis can reveal the relationship between TCM syndromes and pulse manifestations in HIV/AIDS patients effectively,and pulse manifestations should be included while establishing the diagnosis criterion of TCM syndromes of HIV/AIDS.

关 键 词：多重对应分析 中医证候 艾滋病 脉象 

分 类 号：R512.91[医药卫生—内科学]