主观认知下降中医证型分布特点研究  

Study on Distribution Characteristics of Chinese Medicine Syndromes in Patients with Subjective Cognitive Decline

作　　者：李红娟[1] 许春燕 黄宏强[1] 左俊岭[2] LI Hongjuan;XU Chunyan;HUANG Hongqiang;ZUO Junling

机构地区：[1]广州中医药大学第二临床医学院,广东广州510006 [2]广州中医药大学第一临床医学院,广东广州510405

出　　处：《新中医》2020年第14期61-64,共4页New Chinese Medicine

摘　　要：目的:探讨主观认知下降(SCD)患者中医证型分布特点,为该类患者的辨证论治提供依据。方法:将符合纳入标准的患者临床资料进行统计分析,频数描述为计数资料,应用聚类分析方法进行对计量资料进行正态性分析。结果:SCD患者证型分布以虚证居多,肝脾肾虚为主,病理产物如气滞、痰浊、瘀血等均占有一定比例。由四诊总频数分析提示SCD患者以虚证指标居多,以气虚、肾虚、肝虚和脾虚为主。中医辨证肝肾亏虚、脾肾不足分别聚为第1、2类,其中肝肾亏虚证出现频率最高,聚为第1类,其次为脾肾不足。结论:SCD患者的中医证型分布具有自身特点,其证型以肝肾亏虚、脾肾不足为主。Objective: To investigate the distribution characteristics of Chinese medicine syndromes in patients with subjective cognitive decline(SCD),so as to provide a basis for its treatment based on syndrome differentiation. Methods:The data of patients meeting the inclusion criteria were statistically analyzed,and the frequency was described as measurement data. Cluster analysis was used to analyze the normality of measurement data. Results:The deficiency syndrome dominated in SCD patients, mainly deficiency of liver, spleen and kidney;the pathological manifestations, such as qi stagnation,phlegm turbidity and blood stasis, accounted for a certain proportion. The total frequency analysis of the four diagnoses indicated that the indexes concerning deficiency syndrome was the most common in SCD patients, mainly qi deficiency,kidney deficiency, liver deficiency and spleen deficiency. According to Chinese medicine syndrome differentiation, liverkidney deficiency and deficiency of spleen and kidney were the first and second categories respectively,in which liver-kidney deficiency was the most frequent clustered as the first type,followed by deficiency of spleen and kidney. Conclusion:The distribution of Chinese medicine syndromes in SCD patients has its own characteristics, and the syndromes are closely related to liver-kidney deficiency and deficiency of spleen and kidney.

关 键 词：主观认知下降 辨证分型 肝肾亏虚 脾肾不足 分布特点 

分 类 号：R277.7[医药卫生—中医学]