痛风性关节炎中医证素及证型的聚类研究  

Clustering research of TCM syndrome factors and syndrome types Gouty arthritis

作　　者：熊辉[1] 姜国勇[1] 胡楠[1] 曲良烨[1] 

机构地区：[1]湖南中医药大学,湖南长沙410208

出　　处：《中医正骨》2011年第11期26-28,共3页The Journal of Traditional Chinese Orthopedics and Traumatology

摘　　要：目的:探讨痛风性关节炎的发病特征、证素组合、证型分布特点。方法:对319例痛风性关节炎患者的病例四诊信息运用文锋中医辅助软件判断证素;SPSS15.0统计软件包进行聚类分析,再对每类进行主成分分析,判定证型及主要证侯。结果:出现频率较高的证侯有跖趾关节疼痛、踝关节疼痛、关节肿、活动不利、舌红、局部灼热感、舌舌苔黄、脉弦、灼痛、关节红、痛处固定、失眠、夜间痛甚。痛风性关节炎的证素构成:筋骨、肾、肌肤、肝、湿、血瘀、热、阴虚、痰、血虚、气虚、阳虚。最后归纳出6个基本证型。结论:根据本次研究结果结合临床,认为本病分为6型较为合理。Objective： To study pathogenesis characteristics,syndrome factor combination, syndrome type distribution characteristics of gouty arthritis, Methods：The syndromefactors of 319 gouty arthritis were judged according to the four diagnostic information using Wen- Feng traditional Chinese medicine suppout software; SPSS15.0 statistical software package was used for clustering analysis, analysing main component of the each type, judging syndrome type and the main syndrome. Results： High frequency evidence included metatarsophalan- geal joint pain, ankle pain, joint swelling ,activities unfavorable and red tongue, local difficulty during urination, coating on the yellow, pulse string, burn, joint red, pain is fixed, insomnia, and night more pain. The syndrome factor combination of The Gouty arthritis ： bones and muscles, kidney, skin, liver, wet, blood stasis, heat, phlegm, deficiency of Yin, Yang, qi and blood deficiency. Six basic Syndrome types were inducted and summaried finally. Conclusion： According to clinical and the conclusion of the research, the disease is more reasonable to divided into 6 type.

关 键 词：证素 痛风性关节炎 聚类分析 证侯 证型 

分 类 号：R259[医药卫生—中西医结合]