基于因子分析的老年高血压中医证素特征研究  

Research on characteristics of TCM syndrome elements of elderly hypertensive patients based on factor analysis

作　　者：方锐[1] 胡镜清[2] 彭锦[3] 葛金文[4] 

机构地区：[1]杭州师范大学医学院,杭州310018 [2]中国中医科学院中医基础理论研究所,北京100700 [3]中国中医科学院中医临床基础医学研究所,北京100700 [4]湖南中医药大学,长沙410208

出　　处：《中华中医药杂志》2016年第12期5040-5044,共5页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金：国家中医药管理局中医药行业科研专项(No.201307003);科技部国家"十二五"支撑计划项目(No.2012BAI25B02)~~

摘　　要：目的:观察老年高血压患者中医证素分布及组合特征。方法:采用横断面调查法,收集3个社区(北京市汇晨老年社区、湖北省武汉市洪山社区及黄冈市浠水县福主农村社区)299例老年高血压患者的人口学资料、既往病史、中医四诊信息等,并建立数据库;通过因子分析总结老年高血压患者中医证素分布情况。结果:经因子分析提取14个公因子,公因子中症状/体征群所代表的病性证素为阴虚、血瘀、阳虚、气虚、痰湿、火(热)等,病位证素为肝、肾、心、脾。根据证素分布和组合,其中医证型可归纳为肝肾阴虚、瘀血阻络、阴阳两虚、气阴两虚、痰湿壅盛及肝火亢盛证。结论:老年高血压证素呈现一定特征,其病性证素以阴虚、血瘀为多,病位证素主要为肝、肾。Objective： To observe the distribution and combination characteristics of TCM syndrome elements of elderly hypertensive patients. Methods： By cross-sectional investigation, we screened the demographics, the history of past illness（HPI） and the TCM four diagnosis information of 299 elderly hypertensive patients who conformed to the hypertensive diagnostic criteria, and established the database to summarize the distribution regularity of TCM syndrome elements of elderly hypertensive patients in three different communities（Huichen elderly community of Beijing, Hongshan community of Wuhan in Hubei Province and Fuzhu rural community of Xishui County in Huanggang City） by factor analysis. Results： Factor analysis found 14 common factors. The common factors showed the character of TCM syndrome elements were yin deficiency, blood stasis, yang deficiency, qi deficiency, phlegm-damp, heat syndrome, etc. The location of TCM syndromes elements were liver, kidney, heart and spleen in elderly hypertensive patients. Yin deficiency of liver and kidney type, blood stasis syndrome type, deficiency of yin and yang type, deficiency of qi and yin type, stagnation of phlegm-dampness type and hyperactivity of liver-yang type were the most possible TCM syndrome types through the distribution and combination characteristics of elderly hypertensive TCM syndrome elements. Conclusion： There exists a certain rule of TCM syndrome elements of elderly hypertensive patients. The yin deficiency and blood stasis are characterized as the main character of TCM syndrome elements, and liver and kidney are characterized as the main location of TCM syndrome elements.

关 键 词：老年高血压 证素 因子分析 

分 类 号：R259[医药卫生—中西医结合]