中风病证候要素与急性大脑中动脉脑梗死部位的多重对应分析  

Multiple Correspondence Analysis on Stroke and Different Parts of Acute Middle Cerebral Artery Infarction

作　　者：韩刚[1] 朱晓晨[1] 张志辰[1] 贺立娟[1] 陈宝鑫[1] 周晶[1] 郭蓉娟[1] 

机构地区：[1]北京中医药大学东方医院脑病2科,北京100078

出　　处：《辽宁中医杂志》2014年第6期1219-1221,共3页Liaoning Journal of Traditional Chinese Medicine

摘　　要：目的:运用多重对应分析方法,研究中风病证候要素与急性大脑中动脉梗死部位的相互关系。方法:收集2010年至2013年新发大脑中动脉脑梗死患者的资料,ASPECTS方法进行分区,并对患者证候要素积分。以急性大脑中动脉梗死部位为行变量,以证候要素为列变量,进行简单对应分析数据处理,筛选出痰证、火证、血瘀证、热证、风证等变量,行多重对应分析。结果:急性大脑中动脉脑梗死M1、M2、M3、M4、M5、M6分区和中医证候要素痰证、火证、血瘀证、热证、风证的轻、中、重值积分值为变量,进行多重对应分析,2个维度的Cronbach'sα值分别为0.779和0.737,大于0.5,并且累积解释90.70%的变量。结论:急性大脑中动脉M1分区与中医证候要素中痰证轻型、火证中的中型相关联;急性大脑中动脉M2分区与中医证候要素中痰证中的中型、火证中的轻型相关联;急性大脑中动脉M3分区与中医证候要素中火证中的轻型相关;急性大脑中动脉M4分区与中医证候要素中的血瘀证轻型和风证的中型相关;急性大脑中动脉M5分区与中医证候要素风证中的轻型、热证中的中型、血瘀证中的轻型、火证中的重型相关联。急性大脑中动脉M6分区与中医证候要素中火证中的重型、血瘀证中的轻型关系密切。Objective： To use multiple correspondence analysis method to study the disease syndrome factors associated with acute middle cerebral artery infarction of mutual relations. Methods： The new infarctions of the middle cerebral artery in patients from 2010 to 2013 were investigated and ASPECTS method was to partition and made the integral elements of patient symptoms.With acute middle cerebral artery infarction for the row variables and symptom elements for the column variable,data processing simple correspondence analysis was used to filter out phlegm,fire,blood stasis,heat,wind and the multiple correspondence analysis was to be used. Results： Results： The acute middle cerebral artery infarction M1,M2,M3,M4,M5,M6 partition and TCM syndrome elements phlegm,fire,blood stasis,heat syndrome,wind proof light,medium,heavy integral value were the variable values for multiple correspondence analysis,two dimensions Cronbach＇s α values were 0. 779 and 0. 737,greater than 0. 5,and the cumulative explained 90. 70% of the variable values. Conclusion： Acute middle cerebral artery M1 was associated with light phlegm and medium fire; acute middle cerebral artery M2 was associated with medium phlegm and light fire syndrome; acute middle cerebral artery M3 was associated with light fire syndrome; acute middle cerebral artery M4 was associated with light blood stasis and light wind syndrome; acute middle cerebral artery M5 was associated with light wind syndrome and medium heat syndrome and light blood stasis syndrome and severe fire syndrome; acute middle cerebral artery M6 was associated with severe fire and blood stasis syndrome.

关 键 词：中医证候 大脑中动脉 多重对应分析 

分 类 号：R743.33[医药卫生—神经病学与精神病学]