肺血栓栓塞症中医证候分类因子分析  

Briefly Exploration of Pulmonary Embolism TCM Syndrome Classification Factor Analysis

作　　者：王静[1] 陈伟涛[1] 张美楠[1] 程显声[2] 

机构地区：[1]北京市房山区中医医院,北京102400 [2]北京阜外心血管病医院,北京100037

出　　处：《中医学报》2014年第4期482-484,共3页Acta Chinese Medicine

摘　　要：目的:运用因子分析方法对肺血栓栓塞症52个症状进行分类研究。方法:收集77例经肺动脉CT增强证实的急性肺血栓栓塞症患者,记录中医四诊信息,采用因子分析方法对收集到的信息提取公因子,并对相似的公因子进行合并,分类研究肺血栓栓塞症中医证候。结果:对收集到的信息进行因子分析并经中医辨证后得到5个公因子,分别是血瘀胸腑、气虚血瘀、痰瘀阻络、心肾阳虚、阳气暴脱兼血瘀。其中痰瘀阻络证最多,21例,占27.3%;然后依次为气虚血瘀证,20例,占26.0%;血瘀胸腑证,15例,占19.5%;心肾阳虚证,13例,占16.9%;阳气暴脱兼血瘀证,8例,占10.4%。结论:血瘀、痰浊和气虚是肺血栓栓塞症的主要病机。Objective：To research on the classification of pulmonary embolism 52 symptoms by the factor analysis method. Methods： Col- lecting 77 cases of patients with pulmonary embolism confirmed by pulmonary CT enhancement in Beijing Fangshan District hospital of Chinese Medicine in Beijing,reeords of TCM four diagnostic information,using factor analysis method to extract the common factor of the collected information, and merging similar common factor to classification study pulmonary embolism syndrome in TCM. Results： Factor analysis of the collected information and get five common factors after traditional Chinese medicine syndrome differentiation and treatment respectively were blood stasis in xiong-fu, qi deficiency and blood stasis, phlegm and blood stasis resistance collaterals, heart kidney yang deficiency, heart-yang collapse combination blood stasis. Syndrome of phlegm and blood stasis resistance collaterals was the most,21 cases,accounting for 27.3% ; and then the following were qi deficiency and blood stasis syndrome,20 cases, accounting for 26.0% ; blood stasis in xiong-fu, 15 cases,accounting for 19.5% ; heart kidney yang deficiency syndrome, 13 cases, accounting for 16. 9% ; yang-qi collapse combination blood stasis,8 cases, accounting for 10.4%. Conclusion： Blood stasis, phlegm turbidity and qi defi- ciency is the main pathogenesis of pulmonary embolism.

关 键 词：肺血栓栓塞症 中医证候 血瘀胸腑证 气虚血瘀证 痰瘀阻络证 心肾阳虚证 阳气暴脱兼血瘀证 

分 类 号：R259.43[医药卫生—中西医结合]