血脂异常中医证候规律研究

发布时间：2018-04-12 12:13

本文选题：血脂异常 + 中医证候　；参考：《辽宁中医药大学》2009年硕士论文

【摘要】： 目的:本研究旨在探讨原发性血脂异常中医证候的分布规律,以期为辨证论治提供参考依据,提高本病的临床诊治水平。材料与方法: 采用前瞻性研究,运用因子分析方法进行分析,对血脂异常的中医证候规律进行探索。收集125例血脂异常患者的临床资料,其中男性54例,女性71例。共筛选出25个症状、体征(包括舌象、脉象)。查阅有关文献,并经专家论证,制订血脂异常临床证候观察表,采取分级量化的方法,将每个症状或体征分为正常、轻、中、重级,正常者记0分,轻度者记1分,中度者记2分,重度者记3分。在对中医四诊信息进行量化的基础上,将其视为可以直接测量的变量,采取因子分析的方法,寻找隐藏在这些信息背后的公因子,这些公因子在本质上与中医的证候具有一致性。结果: 运用因子分析的方法得到6个公因子,相当于6种证候。将其中两个合并为一个,最后共得到5种证候。根据中医理论和临床实际,这5种证候分别是:痰瘀互结证、痰浊阻遏证、肾阴虚证、脾气虚证、气滞血瘀证。 5种证候分布情况:痰瘀互结证32例,所占比例最大,占25.6%,其次是脾气虚证,28例,占22.4%,其余依次是痰浊阻遏证24例、肾阴虚证24例、气滞血瘀证17例,分别占19.2%,19.2%,13.6%。结论: 1.血脂异常常见的证候类型有5种,分别是痰瘀互结证、痰浊阻遏证、肾阴虚证、脾气虚证、气滞血瘀证。 2.与传统辨证方法相比,因子分析有利于克服传统辨证方法的主观性,有望成为证候规范化研究的可行途径之一,值得进一步深入探讨。
[Abstract]:Objective: to study the distribution of TCM syndromes of primary dyslipidemia in order to provide reference for syndrome differentiation and improve the level of clinical diagnosis and treatment.Materials and methods:The prospective study and factor analysis were used to explore the TCM syndromes of dyslipidemia.The clinical data of 125 patients with dyslipidemia were collected, including 54 males and 71 females.A total of 25 symptoms and signs (including tongue and pulse) were screened.After consulting relevant literature and expert demonstration, the clinical syndrome observation table of dyslipidemia was formulated, and each symptom or sign was classified into normal, light, moderate, heavy, normal, mild, moderate, moderate, normal, mild, mild, moderate, moderate, normal, mild, and mild, and the mild ones were divided into 0 and 1, respectively, by adopting the method of grading and quantifying.The moderate score was 2 points, the severe one was 3 points.On the basis of quantifying the information of four diagnoses of TCM, it is regarded as a variable that can be measured directly, and the method of factor analysis is adopted to find the common factors hidden behind these information.These common factors are consistent with TCM syndromes in essence.Results:Six common factors, equivalent to 6 syndromes, were obtained by factor analysis.Two of them were combined into one, and finally five syndromes were obtained.According to the theory of TCM and clinical practice, the five syndromes are: phlegm and blood stasis syndrome, phlegm turbid repression syndrome, kidney yin deficiency syndrome, spleen qi deficiency syndrome, qi stagnation and blood stasis syndrome.Conclusion:1.There are five common syndromes of dyslipidemia, namely phlegm and blood stasis syndrome, phlegm and turbid repressor syndrome, kidney yin deficiency syndrome, spleen qi deficiency syndrome and qi stagnation and blood stasis syndrome.2.Compared with the traditional dialectical methods, factor analysis is helpful to overcome the subjectivity of traditional dialectical methods, and it is expected to become one of the feasible ways to study the standardization of syndromes, which is worthy of further discussion.
【学位授予单位】：辽宁中医药大学
【学位级别】：硕士
【学位授予年份】：2009
【分类号】：R259

【引证文献】