上海浦东新区膝骨性关节炎患者中医证候分布的主因子分析  

Principal Factor Analysis on the Distribution of TCM Syndromes of Knee Osteoarthropathy in Shanghai Pudong New Area

作　　者：赵蓓俊[1] 苏励[1] 曲环汝[1] 许一[1] 项珍蛹[1] 杨烨颖[1] 陈玉婷[1] 侯鑫[1] 周雯宜[1] 

机构地区：[1]上海中医药大学附属龙华医院,上海200032

出　　处：《中医学报》2013年第2期205-207,共3页Acta Chinese Medicine

基　　金：上海市浦东新区社会发展局卫生科技项目重点协作项目(编号:pw2009D-3)

摘　　要：目的:采用SPSS 17.0软件中主因子分析功能探索影响上海市浦东社区中老年人群膝骨性关节炎患者的主要中医证候因素。方法:首先采用整群、分层、随机的多阶段抽样方法,随机抽取上海市浦东新区上钢新村街道社区膝骨性关节炎患病率调查。其次运用SPSS 17.0统计软件中的主因子分析方法对确诊为膝骨性关节炎的患者中医证候进行分析,得出膝骨性关节炎患者主要中医证候分布特点。结果:本次调查1 534份有效调查问卷中,确诊膝骨性关节炎患者477例,患病率31.1%,通过主因子分析发现,膝骨性关节炎患者中医单一证候因素5个主因子贡献率为47.402%,负荷最高的证候分别为风、寒、湿、气滞、血瘀;中医复合因素前8个主因素的贡献率为75.146%,负荷最高证候分别为:心血虚,风寒,脾阴虚,心气虚,肝阴虚,肺气虚,肺阴虚,肾阳虚。结论:膝骨性关节炎主要受脏腑虚弱、外感风寒湿邪以及所产生的变证气滞血瘀等因素影响,其中脏腑虚弱相对于外感风寒湿邪以及气滞血瘀在膝骨性关节炎的发生发展中占有更重要的地位。Objctcive： To explore the impact of primary TCM syndrome factors on elderly knee osteoarthropathy patients in Shanghai Pudong community by using principal factor analysis in SPSS software.Methods： Firstly,using cluster,stratified,random multi-stage sampling method to randomly select elderly knee osteoarthropathy patients in Shanggang New Village community,Shanghai Pudong community for the investigation of the prevalence of this disease in this area.Secondly,the principal factor analysis of statistical software,SPSS,was used to analyze the TCM syndromes of patients who were diagnosed as knee osteoarthropathy and obtain the distribution characteristics of main TCM syndromes of knee osteoarthropathy patients.Results： In the 1534 copies of effective questionnaires,477 patients were diagnosed with knee osteoarthropathy and the prevalence rate was 31.1%.Through the principal factor analysis,we found that the contribution rate of 5 principal factors in TCM single syndrome of knee osteoarthropathy was 47.402%.The highest loaded syndromes were wind,cold,dampness,qi stagnation,blood stasis.The contribution rate of the top 8 principal factors of composite traditional Chinese medicine factors was 75.146%.The highest loaded syndromes were deficiency of heart blood,wind-cold,spleen yin deficiency,heart qi deficiency,liver yin deficiency,lung qi deficiency,lung yin deficiency and yang deficiency of kidney.Conclusion： The knee osteoarthropathy is mainly affected by organs weakness,externally contracted wind,cold and dampness as well as its generated variable syndromes of qi stagnation and blood stasis.The organs weakness occupies more important position in the occurrence and development of knee osteoarthropathy relative to externally contracted wind,cold and dampness as well as qi stagnation and blood stasis.

关 键 词：膝骨性关节炎 主因子分析 中医证候 辨证分型 

分 类 号：R2-03[医药卫生—中医学]