摘要
目的探讨高血压病中医证素分布与组合的特征,指导中医临床辨证。方法根据流行病学调查要求,制定《高血压病临床调查表》,对高血压病患者进行调查并建立证素研究数据库,应用因子分析得出高血压病的中医证素,并进行统计描述。结果因子分析得到7个公因子,分别是:F1(血瘀证素)、F2(阳虚证素)、F3(痰浊证素)、F4(阳亢证素)、F5(气虚证素)、F6(血虚证素)、F7(阴虚证素)。7个证素出现的频次和比例由高到低依次为:血瘀51(45.95%)>气虚48(43.24%)>阴虚36(32.43%)>阳亢31(27.93%)>痰浊29(26.13%)>阳虚28(25.23%)>血虚12(10.81%);证素组合情况以2个证素相兼最为常见,占60.4%(67/111);其次是单证素,占21.6%(24/111);3个证素相兼占16.2%(18/111);4个证素相兼占1.8%(2/111)。结论高血压病的主要中医证素是血瘀、气虚、阴虚;证素组合情况以2个证素组合最常见,其中又以阴虚+阳亢的组合所占比例最高。
Objective To explore the distribution and combination characteristics of hypertensive syndrome elements of TCM, and to guide TCM differentiation. Methods Based on the requirements of TCM epidemiological investigation of hypertension clinical research, Hypertension Clinical Survey Questionnaire was set up applying in the investigation of hypertensive patients, and also the database of TCM essential elements and syndromes. The hypertensive syndrome elements of TCM were obtained by factor analysis and statistical description. Results Seven common factors were obtained by factor analysis：F1 （blood stasis syndrome factor）, F2 （yang deficiency syndrome factor）, F3 （phlegm turbidity syndrome factor）, F4 （hyperactivity of yang syndrome factor）, F5 （qi deficiency syndrome factor）, F6 （blood deficiency syndrome factor）, F7 （yin deficiency syndrome factor）. The frequency and proportion of seven syndrome factors from high to low were as follows：blood stasis 51 （45.95%） 〉 qi deficiency 48 （43.24%） 〉 yin deficiency 36 （32.43%） 〉 hyperactivity of yang 31 （27.93%） 〉 phlegm turbidity 29 （26.13%） 〉 yang deficiency 28 （25.23%） 〉 blood deficiency 12 （10.81%）. Syndrome factor combination：Two syndrome factors combined was the most common, and the proportion was 60.4% （67/111）;next was the documents element, account for 21.6% （24/111）;the proportion of three syndrome factors combined was 16.2% （18/111）;the proportion of four syndrome factors combined was 1.8% （2/111）. Conclusion The main hypertensive TCM syndrome factors are blood stasis, qi deficiency and yin deficiency. Syndrome factor combination is that two syndrome factors combined is the most common, among them yin deficiency combined with hyperactivity of yang has the highest proportion.
出处
《中国中医药信息杂志》
CAS
CSCD
2012年第1期29-31,共3页
Chinese Journal of Information on Traditional Chinese Medicine
基金
国家重点基础研究发展计划(2007CB507400)
中国中医科学院基本科研业务费自主选题项目(Z02151)
关键词
高血压病
证素
因子分析
流行病学调查
hypertension
syndrome elements
factor analysis
epidemiological investigation
