慢性原发免疫性血小板减少症中医证候分型的前瞻性研究  

Prospective Study on TCM Syndrome Types of Chronic Primary Immune Thrombocytopenia

作　　者：马西虎[1] 黄志惠[1] 吴雪琴[1] 白玉盛[1] 刘伟[1] MA Xihu;HUANG Zhihui;WU Xueqin;BAI Yusheng;LIU Wei(TCM Hospital Affiliated to Xinjiang Medical University,Urumqi 830000,China)

机构地区：[1]新疆医科大学附属中医医院,新疆乌鲁木齐830000

出　　处：《西部中医药》2023年第12期46-49,共4页Western Journal of Traditional Chinese Medicine

基　　金：新疆维吾尔自治区自然科学基金(2016D01C146)。

摘　　要：目的:基于文献整理,结合新疆地区血小板减少症(chronic primary immune thrombocytopenia,CITP)的诊疗现状和近年来研究团队的初步研究,探讨CITP的中医证候分布规律。方法:合理应用因子分析的方法前瞻性地研究CITP的中医证候分布规律。结果:CITP中医证候的分布规律为气阴两虚证>气虚证>肝肾阴虚证>气虚血瘀证>脾虚肝郁证>脾肾阳虚>肝肾不足证。结论:使用因子分析的主成分提取方式进行因子分析,推演CITP病机为虚实夹杂,以气、阴两虚证为本,兼血瘀、气滞、湿热之标证,脏腑多涉及脾、肝、肾三脏。Objective:To discuss the distribution laws of TCM patterns of chronic primary immune thrombocytopenia(CTIP)by sorting out the literature,analyzing the status of the diagnosis and treatment of CITP in Xinjiang uygur autonomous region and the preliminary study by the research team in the recent years.Methods:Factor analysis was rationally applied in the prosepctive study on the distribution laws of TCM patterns of CTIP.Results:The distribution laws of TCM patterns of CTIP were Qi and Yin deficiency pattern>Qi deficiency pattern>liver and kidney Yin deficiency pattern>Qi deficiency and blood stasis pattern>spleen deficiency and liver stagnation pattern>spleen and kidney Yang deficiency pattern>liver and kidney depletion pattern.Conclusion:The principal component extraction method is used to conduct factor analysis,and it is used to deduce that the pathogenesis of CITP is intermingled deficiency and excess,Qi and Yin deficiency pattern as the root cause,complicated with blood stasis,Qi stagnation,damp-heat as the superificial causes,and the viscera are mostly related to spleen,liver and kidney.

关 键 词：血小板减少症 原发免疫性 慢性 中医证型 前瞻性 因子分析 

分 类 号：R558.2[医药卫生—血液循环系统疾病]