基于多元统计分析探讨室性过早搏动发生频率与中医症状的相关性

发布时间：2018-04-05 12:44

本文选题：室性过早搏动　切入点：中医　出处：《北京中医药大学学报》2017年06期

【摘要】：目的应用因子分析联合单因素方差分析或非参数检验等多元统计方法,探索中医症状与室性过早搏动发生频率的相关性。方法选取428例室性过早搏动的患者按照早搏发生频率分为5组,筛选出发生率40%的中医症状进行因子分析,计算每位患者的各个公因子得分,并根据因子得分的结果进行单因素方差分析或多样本非参数检验。结果共提取6个公因子:F1心肌缺血症状公因子、F2疼痛及睡眠异常公因子、F3津液及情绪异常公因子、F4过早搏动主症公因子、F5头脑感觉异常公因子、F6因子记忆力公因子。F1、F3、F4公因子的得分Z1、Z3、Z4在各组无统计学差异(P0.05)。30 000次/24 h分别与1 000~4 999次/24 h、1 000次/24 h,10 000~30 000次/24 h分别与1 000~4 999次/24 h、1 000次/24 h的F2公因子得分Z2有统计学差异(P0.008 3)。30 000次/24 h与1 000次/24h,10 000~30 000次/24h与1 000次/24 h的F5公因子得分Z5有统计学差异(P0.008 3)。30 000次/24 h分别与5 000~9 999次/24 h、1 000次/24 h的F6公因子得分Z6有统计学差异(P0.008 3)。结论室性过早搏动患者会出现胸闷、气短、乏力等心肌缺血症状,津液及情绪异常,以及心悸等症状,其严重程度与过早搏动频率无关;而疼痛及睡眠异常、头脑感觉异常及记忆力下降等方面严重程度会随着过早搏动频率的增加而增加。
[Abstract]:Objective to explore the correlation between TCM symptoms and frequency of ventricular premature pulsation by factor analysis combined with univariate ANOVA or nonparametric test.Methods 428 patients with premature ventricular pulsation were divided into 5 groups according to the frequency of premature ventricular beats, and 40% of the symptoms of TCM were selected for factor analysis, and the scores of each common factor of each patient were calculated.Single factor ANOVA or multi-sample non-parametric test were carried out according to factor score.Results A total of 6 common factors, 1: F1, common factor of myocardial ischemia symptoms, F 2, common factor of pain and sleep abnormality, F 3 body fluid, and common factor of mood disorder, F 4, prematurely pulsatile disease, common factor, common factor of brain sensation, factor F 6, common factor of memory, were extracted.There were significant differences in the scores of F 5 common factor Z 5 between 10 000 times per 24 h and 1 000 times / 24 h and 1 000 times / 24 h, respectively P 0.008 3 0. 30 000 times / 24 h and 5 000 times / 9 999 times / r 1 000 times / 24 h F 6 factor scores Z6 respectively.Conclusion Cardiac ischemia symptoms, body fluid and mood abnormalities, palpitation and other symptoms, such as chest tightness, shortness of breath, fatigue and so on, may occur in patients with premature ventricular pulsation. The severity of ventricular premature pulsation is not related to the frequency of premature pulsation, but the severity is not related to the frequency of premature pulsation.The severity of brain dysfunction and memory loss increases with the increase of premature pulsation frequency.
【作者单位】：北京中医药大学;河南中医药大学第二附属医院;北京中医药大学第三附属医院;
【基金】：北京市科技计划项目(No.Z151100004015036)~~
【分类号】：R259

【相似文献】