摘要
目的探讨重症肺炎的中医证候分布及演变规律。方法填写《重症肺炎中医证候采集表》,建立中医四诊信息Excel数据库,采用因子分析方法进行公因子提取。结果重症肺炎的证候学特征以本虚标实为主,涉及脏腑较多,总体上的证候特点经历了由实转虚的过程。在入院及出院两个时间点上分别提取出13个及14个公因子,入院时证候要点主要以痰证、热证、津亏为主,出院时患者的证候要点主要以阳虚、气虚、阴虚为主,湿阻、血瘀、气滞等证候可以看作是重症的兼夹表现。结论利用因子分析的方法较为客观地揭示了重症肺炎的证候分布及病情演变规律。
Objective To investigate the traditional Chinese medicine （TCM） syndromes distribution and evolution of severe pneumonia. Methods The TCM Syndromes Information Collection Table for Severe Pneumonia was filled in to build up database of four diagnostic methods of TCM by Excel, and extract the common factors by means of factor analysis. Results The syndromic characteristic of severe pneumonia was deficient root and excessive superficial, and it affected several viscera. Generally speaking, the syndrome underwent a process that excess syndrome transformed into deficiency syndrome. On the two time-points of admission and discharge, 13 and 14 common factors were respectively extracted. At the beginning of hospitalization, the TCM syndrome was mainly concluded phlegm syndrome, heat syndrome and fluid deficiency, and at the ending, it was concluded deficiency of yang , deficiency of qi , deficiency of yin . Damp obstruction, blood stasis and qi stagnation could be regarded as accompanied symptom. Conclusion The TCM syndromes distribution and evolution of severe pneumonia is revealed by factor analysis objectively.
作者
于小林
张艳霞
张晓梅
YU Xiaolin;ZHANG Yanxia;ZHANG Xiaomei(Beijing University of Chinese Medicine,Beijing 100029,China)
出处
《环球中医药》
CAS
2018年第9期1337-1342,共6页
Global Traditional Chinese Medicine
基金
国家自然科学基金(81603577)
卫计委全国重点专科
关键词
重症肺炎
因子分析
证候分布
证候演变
Severe pneumonia
Factor analysis
TCM syndrome distribution
TCM syndrome evolution
