证实性因子分析在脑梗死病人中医证候的应用  

The Application of Confirmatory Factor Analysis in Syndrome Differentiation of Cerebral Infarction

作　　者：郑建光[1] 陈炳为[1] 陈启光[1] 郦永平[2] 蒋文瀚[1] 

机构地区：[1]东南大学公共卫生学院,210009 [2]南京医科大学附属江苏省中医院急诊科,210029

出　　处：《中国卫生统计》2011年第5期504-506,共3页Chinese Journal of Health Statistics

基　　金：国家自然科学基金资助(项目编号:30600512)

摘　　要：目的探讨证实性因子分析在脑梗死中医证候研究中的应用,为脑梗死的中医证候制定提供科学的参考依据。方法对脑梗死的临床信息采集表资料采用探索性因子分析建立模型并对该模型进行修正,通过证实性因子分析对假定的模型进行拟合。结果模型的拟合结果较为理想;确定脑梗死中医证候主要为痰热上蒙、风痰痹阻、气虚血瘀、肝阳上亢和阴虚风动。结论证实性因子分析方法在一定程度上揭示了脑梗死中医证候的主要特点,在脑梗死中医症候中有很好的应用前景。Objective To discuss the application of Confirmatory Factor Analysis （CFA） in the research of the Syndrome Differentiation （SD） on Cerebral Infarction （CI）,and to provide the scientific reference evidence for the establishment of the SD on CI.Methods Exploratory Factor Analysis （EFA） was used to establish and adjust the model on the clinical information,and CFA was utilized to fit the adjusted model.Results The results derived from the model were satisfied;and the main the SD on CI were confirmed as syndrome of phlegm-heat orifices,syndrome of blockade of wind-phlegm、syndrome of blood stasis due to deficient qi,syndrome of upper hyperactivity of liver yang and syndrome of stirring wind due to yin deficiency.Conclusion CFA reveals the main features of SD on CI to some degree and is expected to be more widely applied in this field.

关 键 词：脑梗死 中医证候 探索性因子分析 证实性因子分析 

分 类 号：R277.7[医药卫生—中医学]