火热相关证候慢性失眠脉图特征研究  

Study on the Characteristics of Pulse Graph of Chronic Insomnia Related to Fire-heat Syndromes

作　　者：党娇娇 于艺 雷洪涛[1] 袁霭凤[1] 张喜 闪增郁[1] 宋军[1] DANG Jiaojiao;YU Yi;LEI Hongtao;YUAN Aifeng;ZHANG Xi;SHAN Zengyu;SONG Jun(Experimental Research Center,China Academy of Chinese Medical Sciences,Beijing 100700,China)

机构地区：[1]中国中医科学院医学实验中心,北京100700

出　　处：《西部中医药》2024年第2期65-68,共4页Western Journal of Traditional Chinese Medicine

基　　金：中国中医科学院医学实验中心自主选题项目(zz2017010,zz2018015)。

摘　　要：目的:对火热相关证候慢性失眠患者与正常人群的脉图模型及参数进行对比分析,以探寻火热相关证候慢性失眠的脉图特征。方法:应用高精度智能机械手中医脉诊信息采集分析系统,对16例火热相关证候慢性失眠患者与20例健康受试者的脉诊信息进行采集与分析。结果:两组人群的脉诊信息差异明显,参数拟合的分类判决结果正确区分率高达97%;在193个参数中共有19个参数参与了分类,包括5个脉位参数,4个时域参数,10个频域参数;双手6部脉图参数的贡献度比较,右关脉贡献最多,其次是右尺脉,左关脉贡献最少。结论:脉图参数可以将火热相关证候慢性失眠患者与正常人群进行区分,可将左手寸关尺、右关、右尺脉位沉、右尺脉位最沉作为火热相关证候慢性失眠的一个重要标志。运用脉诊仪进行诊脉客观可靠且特异性较高,能为慢性失眠的中医辨证从中医脉学角度提供客观参考依据。Objective:To find out the characteristics of pulse graph of chronic insomnia related to fire-heat syndrome by analyzing and comparing pulse graph models and parameters of the patients with chronic insomnia related to fire-heat syndromes and normal population.Methods:The information of pulse diagnosis of 16 chronic insomnia patients with fire-heat related syndrome and 20 healthy subjects were collected and analyzed by the highprecision intelligent manipulator pulse information collection and analysis system.Results:The difference in the information of pulse diagnosis was obvious between both groups,the correct discrimination rate of the classification decision results of parameter fitting reached 97%;among 193 parameters,there were 19 ones participating in the classification,including five pulse position parameters,four time domaine parameters and ten frequency domain parameters;in terms of the contribution of six pulsogram parameters of both hands,right Guan pulse contributed the maximum,right Chi pulse was the next,left Guan pulse contributed the minimum.Conclusion:Parameters of pulse graph could distinguish chronic insomnia patients with fire-heat related syndromes from the normal population,sinking of left Guan,left Guan and left Chi,sinking of right Guan and Chi and sinking the most of right Chi are one of the important signs of chronic insomnia related to fire-heat syndrome.Pulse diagnosis with pulse diagnosis instrument,objective and reliable with high specificity could provide objective reference for TCM syndrome differentiation of chronic insomnia from the perspective of TCM pulse.

关 键 词：失眠 慢性 火热 证候 脉图 脉诊客观化 

分 类 号：R256.23[医药卫生—中医内科学]