急性阑尾炎术后中医证候聚类研究  

Study of Hierarchical Cluster on TCM Differentiation of Postoperative Patients with Acute Appendicities

作　　者：石传科[1] 严志登[1] 罗明[1] 李建明[1] 徐丹[1] 

机构地区：[1]广州中医药大学附属中山市中医院外三科,广东中山528400

出　　处：《成都中医药大学学报》2013年第1期91-93,共3页Journal of Chengdu University of Traditional Chinese Medicine

摘　　要：目的:探索急性阑尾炎术后中医证型,为术后辨证施治的规范化奠定基础;为急性阑尾炎的中西医结合治疗提供研究依据。方法:对2010年1月～2012年1月在广东省中山市中医院因急性阑尾炎行急诊阑尾切除手术的患者,术后12 h即按照中医望、问、闻、切四诊收集患者的临床资料,对急性阑尾术后的中医证候进行研究。结果:急性阑尾炎术后患者主证为脾胃湿热证,包括热重于湿和湿重于热两型,可合并兼证为气滞证。结论:急性阑尾炎术后中医证候的研究是中西医结合外科发展的必然趋势,有重要的理论意义和应用价值。Objective：To study on TCM differentiation after emergency appendectomy of acute appendicities with the method of hierarchical.Methods：Clinical data of patients of 12-hour postappencixinon according to the observation,listening and smelling,inquiring,pulse-feeling and palpation,the four conventional methods of diagnosis in TCM.In the research,the data were studied by hierarchical cluster.The resultes were incorporated with specialists,differrntiation of syndromes.Results：The most syndrome in patients after emergency appendectomy of acute appendicities is ＇spleen and stomach dampness heat＇,including more heat and more dampness,and sometimes together with vitality stopping.Conclusion：The differentiation of syndrome is of theorational and practical significance in patients of after emergency appendectomy of acute appendicities.

关 键 词：急性阑尾炎术后 聚类分析 中医证候 

分 类 号：R269[医药卫生—中西医结合] R619[医药卫生—中医外科学]