基于因子分析探讨高血压病中医证候要素研究  

Study on TCM syndrome factors of hypertension probed by applying factor analysis

作　　者：王丽颖[1] 李元[2] 宇文亚[1] 史楠楠[1] 韩学杰[1] 

机构地区：[1]中国中医科学院中医临床基础医学研究所,北京100700 [2]北京中医药大学,北京100029

出　　处：《中华中医药杂志》2013年第12期3520-3522,共3页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金：国家重点基础研究发展计划(973计划)(No.2006CB504805);中国中医科学院基本科研业务费自主选题(No.ZZ2006029;No.Z02106;No.Z0194;No.Z0221)~~

摘　　要：目的:探索高血压病的证素分布规律,为确立病证结合的高血压病证候诊断标准提供依据。方法:通过横断面调查,采集1 508例高血压病患者的常见四诊信息,选择探索性因子分析方法,对高血压病中医症状特点进行分析。并根据因子得分情况,分析各证素的出现频率。结果:因子分析结果得出10个公因子,得到气虚、痰、阳虚、内火、阳亢、阴虚、瘀血7个证候要素,其中痰和气虚这两个证素出现频率最高,分别为29.95%和19.53%。结论:痰和气虚是高血压病的主要证候要素,肝、肾、心是高血压病的主要病位,临证时,要尤其重视痰这一病理因素。Objective： To study the common syndrome factors distribution regularity of hypertension and provide the foundation of syndrome differentiation and treatment standard for hypertension. Methods： 1508 hypertensive patients were collected with cross-sectional survey methods. The information of TCM four examination methods was collected and TCM symptom characteristics were analyzed through exploratory factor analysis method. According to the factor score, the syndrome factor of frequency were extracted. Results： There were 10 common factors extracted by factor analysis. Qi deficiency, phlegm, yang deficiency, inner fire, damp, yang hyperactivity, yin deficiency, blood stasis were common syndrome factor, in which phlegm and qi deficiency were most frequent, 29.95% and 19.53% respectively. Conclusion： Phlegm and qi deficiency were main syndrome factors of hypertension, while kidney, liver and heart were main location of disease. The pathological factor of phlegm should be paid more attention to in clinical practices.

关 键 词：高血压病 证候要素 因子分析 

分 类 号：R259[医药卫生—中西医结合]