亚健康状态的中医特征聚类研究  

The cluster analysis on traditional Chinese medicine four diagnostics in patients in sub-health condition

作　　者：黄鹂[1,2] 原嘉民[3] 欧爱华[1,4] 老膺荣[1,2] 李英帅[5] 杨小波[1,2] 王琦[5] 杨志敏[1,2] 

机构地区：[1]广东省中医药科学院 [2]广东省中医院名医工作室,广州510120 [3]广州中医药大学第二临床医学院,广州510405 [4]广东省中医院流行病学临床运用研究室,广州510120 [5]北京中医药大学基础医学院,北京100029

出　　处：《广东医学》2012年第1期25-28,共4页Guangdong Medical Journal

基　　金：国家"十一五"科技支撑计划项目(编号:2006BAI13B02);广东省科技计划项目(编号:2007B031403003)

摘　　要：目的应用系统聚类分析方法,进行亚健康状态的中医四诊聚类研究,探讨亚健康状态的中医四诊特征,为亚健康临床干预提供参考。方法采用《个体身心健康调查量表》对来自华东、华北、华南9家合作单位的体检人员进行健康状态辨识及收集其中医临床四诊信息。采用SPSS 13.0统计软件对2 730例亚健康状态者的中医临床四诊信息作系统聚类分析。结合中医学知识与统计分析结果,归纳亚健康状态的中医四诊特征及分类。结果调查收集亚健康状态人群的中医临床四诊信息共273种,出现频率在50%以上的四诊信息共36个,其中正常17个(47.22%),异常19个(52.78%),异常四诊以容易疲乏困倦(80.20%)频率最高。根据统计分析结果并结合中医学知识,认为亚健康状态人群分为5分型:完全正常四诊组、气虚倾向正常四诊组、气虚初期组、偏向肾气虚发展组和偏向脾虚肝郁发展组。结论亚健康状态人群中医四诊特征以正常四诊为主,兼夹异常。根据聚类5分型的情况,分型之间的中医证候存在逐渐加重的发展趋势。中医干预亚健康的思路应分类而论,对于有证可辨组应当辨证论治,对于正常四诊组可从中医体质方向干预。提示聚类分析有助于中医认识亚健康状态的客观化研究。Objective To evaluate the characteristics of traditional Chinese medicine（TCM） four diagnostic methods in patients in sub-health condition,thus to provide evidences for treatment of sub-health. Methods A total of 2730 Subjects from Guangzhou,Chengdu,Shanghai and Beijing were investigated according to individual psychosomatic healthy investigative scale.The collected data were analyzed by hierarchical cluster analysis in SPSS 13.0 software. Results There were 273 symptoms observed in people in sub-health condition.Among them,there were 36 symptoms with prevalence over 50%,in which the normal and abnormal ones accounted in 47.22% and 52.78%,respectively.The most prevalent symptom（80.20%） was fatigue.Five syndrome types of TCM in people in sub-health condition were concluded,including normal 4 diagnostic signs,normal 4 diagnostic signs with deficiency of vital energy potential,primary deficiency of vital energy,kidney energy deficiency,and dysfunction of spleen and liver. Conclusion Normal 4 diagnostic signs are presented mainly in people in sub-health condition,complicated with mild indisposition.Specified treatment of sub-health should be taken according to the specific TCM syndromes presented in subjects.Cluster analysis contributes to objective research of syndrome types of TCM.

关 键 词：亚健康 中医 四诊 聚类分析 

分 类 号：R161[医药卫生—公共卫生与预防医学]