112例抑郁症患者中医脉象信息的规律性研究

发布时间：2017-12-27 11:41

本文关键词：112例抑郁症患者中医脉象信息的规律性研究　出处：《辽宁中医药大学》2016年硕士论文　论文类型：学位论文

更多相关文章： 抑郁症 脉诊 脉诊仪 客观化 相关性

【摘要】：目的:运用新型三探头中医脉诊采集及分析系统,揭示不同证型抑郁症患者的脉象信息特征,探索其脉象与病机之间的相关性,以及相关脏腑功能失常、气血阴阳失调等病理变化,为抑郁症的中医脉诊辅助诊断及辨证施治提供客观的试验依据和检测仪器。方法:将现代科学技术与传统中医脉诊理论相结合,应用新型三探头中医脉诊采集及分析系统,采用中医独取寸口之三部九候诊法,对符合纳入标准的112例抑郁症患者依据四诊信息进行辨证分型,其中包括:肝郁脾虚组35例,心脾两虚组32例,肾虚肝郁组21例,心胆气虚组15例,心肾不交组9例。此112例抑郁症患者均为2015年11月至2016年2月间,前往辽宁省中医院心理科门诊就诊的患者,试验对所有符合纳入标准的患者按中医寸口脉诊三部九候的方法进行双手寸口六部脉象的采集,并用其配套的软件以及中医特色的脉象分析方法,对所得脉象信息进行综合分析。应用spss17.0统计学软件进行K-均值聚类分析。结果:1.肝郁脾虚型抑郁症患者的脉象特点为左手关脉部波幅大,负向波加深,右手关脉部波幅小,双手尺脉部波幅小。2.心脾两虚型抑郁症患者的脉象特点为左手寸脉部波幅小,基线不平稳,关脉部波幅大,右手关脉部波幅小。3.肾虚肝郁型抑郁症患者其脉象特点为左手寸脉部基线平稳,波幅较大,关脉部波幅大,双手尺脉部波幅偏小,波形高宽比小于1。4.心胆气虚型抑郁症患者的脉象特点为左手寸脉部波幅小,基线不平,关脉部基线不平,右手关脉部波幅小。5.心肾不交型抑郁症患者的脉象特点为左手寸脉部基线不稳,有谐波出现,双手尺脉部波幅小。6.将112例患者的脉象特点与证型均设为变量x,经k-均值聚类分析后,重新划分成5组,且每组特点中都含有一个证型特点且不与他组重复,重新划分成组后所得特点与本试验分析所得规律基本相符。1.肝郁脾虚型抑郁症患者的脉象特点为左手关脉部波幅大,负向波加深,右手关脉部波幅小,双手尺脉部波幅小。2.心脾两虚型抑郁症患者的脉象特点为左手寸脉部波幅小,基线不平稳,关脉部波幅大,右手关脉部波幅小。3.肾虚肝郁型抑郁症患者其脉象特点为左手寸脉部基线平稳,波幅较大,关脉部波幅大,双手尺脉部波幅偏小,波形高宽比小于1。4.心胆气虚型抑郁症患者的脉象特点为左手寸脉部波幅小,基线不平,关脉部基线不平,右手关脉部波幅小。5.心肾不交型抑郁症患者的脉象特点为左手寸脉部基线不稳,有谐波出现,双手尺脉部波幅小。6.将112例患者的脉象特点与证型均设为变量x,经k-均值聚类分析后,重新划分成5组,且每组特点中都含有一个证型特点且不与他组重复,重新划分成组后所得特点与本试验分析所得规律基本相符。结论:1.在传统中医脉诊理论指导下,运用新型三探头中医脉诊采集及分析系统,能够发现不同证型抑郁症患者的脉象信息特征。2.抑郁症患者的脉象信息可以提示抑郁症的发生发展与肝、心、脾、肾四脏关系密切。且抑郁症患者的脉象复杂多变,证候虚实夹杂,病情发展中各脏腑相互之间作用影响,导致病位可同时出现在多个脏腑之中。3.运用中医脉象信息分析方法,可以揭示不同证型抑郁症患者的脉象信息与其脏腑功能异常具有一定的相关性。
[Abstract]:Objective: using the new three probe TCM acquisition and analysis system, reveals the pulse information characteristics of different syndromes in patients with depression, to explore the relationship between the pulse and the pathogenesis, and related viscera function disorder, yin and Yang Qi and blood disorders and pathological changes, provide experimental basis and testing instruments for medical diagnosis objective diagnosis and syndrome differentiation depression. Methods: the modern science and technology and the traditional Chinese medicine pulse diagnosis theory combined with the application of a new type of three probe TCM acquisition and analysis system, using traditional Chinese medicine Cunkou three nine waiting to meet the inclusion criteria, 112 cases of depression patients according to four diagnostic information in TCM syndrome type, including liver stagnation and spleen deficiency group 35 cases, spleen two 32 cases of deficiency of kidney deficiency and liver qi stagnation, Qi deficiency group group 21 cases, 15 cases, 9 cases of heart kidney disharmony group. The 112 patients were from November 2015 to February 2016, to Liaoning province psychiatric hospital of traditional Chinese medicine clinic patients, testing of all patients who met the inclusion criteria for hands Cunkou six pulse three pulse according to the method of traditional Chinese medicine syndrome of Cunkou nine acquisition, and its supporting software and the characteristics of traditional Chinese Medicine pulse analysis method and make a comprehensive analysis of the obtained pulse information. The SPSS17.0 statistical software was applied to the K- mean clustering analysis. Results: 1., the pulse characteristics of patients with depression of liver qi stagnation and spleen deficiency were characterized by a large amplitude of left hand veinlet and a deep negative wave, and the amplitude of the left side of the right hand was small, and the amplitude of both hands and feet was small. The pulse characteristics of 2. deficiency of two depression patients left Cun pulse Department of small amplitude, the baseline is not stable, large amplitude of Guan pulse, right off pulse amplitude of small. 3., the pulse characteristics of depressive patients with deficiency of kidney and liver depression are characterized by a stable baseline and a large amplitude. The amplitude of the pulse is large. The amplitude of both hands and feet is small. The ratio of the height to width is less than 1. The pulse characteristics of 4. patients with Xindan Qi type depression left Cun pulse amplitude of small baseline, uneven, pulse off baseline uneven, right Guan pulse of small amplitude. 5. the pulse characteristics of the patients with depressive disorder of heart and kidney type are the unstable baseline of the left hand position, the appearance of harmonics and the small amplitude of the hands and veins. 6. of 112 patients with the syndrome characteristics of pulse was set as variable x, analyzed by k- means clustering, re divided into 5 groups, and each group contains a feature of syndrome characteristics and not with the group he repeated, re division of group income characteristics are basically consistent with the analysis of the rules in this experiment. 1. the pulse characteristics of the patients with depression of liver depression and spleen deficiency are the large amplitude of the left left vein, the deepening of the negative wave, the small amplitude in the right hand vein, and the small amplitude in the hands of the hands. The pulse characteristics of 2. deficiency of two depression patients left Cun pulse Department of small amplitude, the baseline is not stable, large amplitude of Guan pulse, right off pulse amplitude of small. 3., the pulse characteristics of depressive patients with deficiency of kidney and liver depression are characterized by a stable baseline and a large amplitude. The amplitude of the pulse is large. The amplitude of both hands and feet is small. The ratio of the height to width is less than 1. The pulse characteristics of 4. patients with Xindan Qi type depression left Cun pulse amplitude of small baseline, uneven, pulse off baseline uneven, right Guan pulse of small amplitude. 5. the pulse characteristics of the patients with depressive disorder of heart and kidney type are the unstable baseline of the left hand position, the appearance of harmonics and the small amplitude of the hands and veins. 6. of 112 patients with the syndrome characteristics of pulse was set as variable x, analyzed by k- means clustering, re divided into 5 groups, and each group contains a feature of syndrome characteristics and not with the group he repeated, re division of group income characteristics are basically consistent with the analysis of the rules in this experiment. Conclusion: 1. on the basis of the traditional Chinese medicine diagnosis theory, using the new three probe TCM acquisition and analysis system, can discover the pulse information characteristics of different syndromes in patients with depression. 2. the pulse information of the depressive patients can suggest that the occurrence and development of depression are closely related to the four organs of the liver, the heart, the spleen and the kidney. Moreover, the pulse condition of depressive patients is complex and changeable. The syndrome is mixed with deficiency and excess. During the development of the disease, all organs affect each other, leading to the simultaneous occurrence of disease in multiple viscera. 3. the pulse information analysis method of traditional Chinese medicine can reveal the correlation between the pulse information of different syndrome type depressive patients and the abnormal function of the viscera.
【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】：2016
【分类号】：R277.7

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