226例甲状腺结节患者的证候要素及应证组合研究  

Study on Syndrome Elements and Syndrome Combination of 226 Patients with Thyroid Nodules

作　　者：冯伟[1] 李平 暴雪丽 张文华 李红典 龚燕冰 FENG Wei;LI Ping;BAO Xueli;ZHANG Wenhua;LI Hongdian;GONG Yanbing(Beijing University of Chinese Medicine,Beijing 100029,China;The Third Affiliated Hospital of Beijing University of Chinese Medicine,Beijing 100029,China;Dongzhimen Hospital of Beijing University of Chinese Medicine,Beijing 100007,China)

机构地区：[1]北京中医药大学,北京100029 [2]北京中医药大学第三附属医院,北京100029 [3]北京中医药大学东直门医院,北京100007

出　　处：《辽宁中医杂志》2023年第7期16-19,共4页Liaoning Journal of Traditional Chinese Medicine

基　　金：国家中医药管理局青年岐黄学者支持项目(国中医药人教发[2020]7号)。

摘　　要：目的探索甲状腺结节的证候要素及其应证组合规律。方法以226例甲状腺结节的临床数据为基础,运用因子分析和关联规则的方法,探索甲状腺结节的证候素及其应证组合规律。结果甲状腺结节的证候要素是痰湿、湿热、阳虚;甲状腺结节易出现的证型是气虚血瘀证、气滞痰阻证、气滞血瘀证、心肝阴虚证、气阴两虚证、脾虚湿盛证和湿热瘀阻证。结论通过现代数据挖掘的方法可以对中医的临床辨证和证候的客观化研究提供有效途径和参考。Objective To explore the syndrome elements of thyroid nodules and the regularity of their combinations.Methods Based on the clinical data of 226 cases of thyroid nodules,the method of factor analysis and association rules was used to explore the syndrome elements of thyroid nodules and their combination rules.Results The syndrome elements of thyroid nodules were phlegm-dampness,dampness-heat and Yang deficiency.The most common syndromes of thyroid nodules were Qi deficiency and blood stasis syndrome,Qi stagnation and phlegm stasis syndrome,Qi stagnation and blood stasis syndrome,Yin deficiency of heart and liver syndrome,and both deficiency of Qi and Yin syndrome,spleen deficiency syndrome and dampness-heat and blood stasis syndrome.Conclusion The method of modern data mining can provide an effective way and reference for the clinical syndrome differentiation of traditional Chinese medicine and the objective research of syndrome.

关 键 词：甲状腺结节 证候要素 应证组合规律 

分 类 号：R581[医药卫生—内分泌]