基于多元统计学方法对颈动脉粥样硬化中医证候的初步研究  

Preliminary Research on Patterns of TCM of Carotid Atherosclerosis Based on Multivariate Statistics Analysis

作　　者：杜文婷[1] 顾耘[1] 徐辉[1] 陈明荃[1] 杜文娇[1] 

机构地区：[1]上海中医药大学附属龙华医院,上海200032

出　　处：《辽宁中医杂志》2014年第9期1859-1861,共3页Liaoning Journal of Traditional Chinese Medicine

基　　金：上海市卫生局课题(20114055)

摘　　要：探讨颈动脉粥样硬化(CAS)的中医临床常见证型及其主要症状。方法:通过文献参考,经专家咨询法(Delphi法),得到CAS临床病例观察表。采用因子分析、聚类分析及频数优势法等对511例颈动脉粥样硬化患者中医证候进行统计分析。结果:经多元统计学方法分析,将颈动脉粥样硬化临床常见证型分为:气虚痰浊,肾虚痰浊,肾虚气滞,肾虚血瘀,肝肾阴虚,肾阴亏虚等6型。结论:在CAS临床常见6类分型中,肾虚型为其基本证型。Objective ： To investigate the distribution characteristic of TCM syndrome in patients with carotid atherosclerosis by the method of modem statistics. Methods ~ Through document reference and expert consultation, the form of carotid atherosclerosis syndrome of TCM was obtained. By clinical epidemiological investigation, TCM syndrome distribution characteristics of 511 pa- tients with carotid atherosclerosis were observed. Factor analysis, clustering analysis and frequency advantage analysis were adopt- ed to analyze the clinical data of 511 eases of carotid atherosclerosis. Results ： The syndromes of carotid atherosclerosis were divid- ed into six types：qi deficiency and phlegm, insufficiency of kidney essence and phlegm, insufficiency of kidney essence and qi stagnation, insufficiency of kidney essence and blood stasis,insufficiency of liver yin and kidney yin, insufficiency of kidney yin. Conclusion：Insufficiency of kidney is the basic TCM type in patients with CAS.

关 键 词：颈动脉粥样硬化 中医证候 因子分析 聚类分析 频数优势法 

分 类 号：R543.5[医药卫生—心血管疾病]