1. 温州市中医院脑病科
2. 温州医学院附属第一医院
纸质出版:2012
移动端阅览
[1]胡万华,陈克龙,赵娜,陈凌,支英豪,何金彩.亚健康失眠患者中医证型的判别分析[J].中医杂志,2012,53(02):142-144.
HU Wanhua1, CHEN Kelong1, ZHAO Na1, et al. Discriminative Analysis on TCM Syndromes of Insomnia of Subhealthy Patients[J]. Journal of Traditional Chinese Medicine2012, 53(2): 142-144.
[1]胡万华,陈克龙,赵娜,陈凌,支英豪,何金彩.亚健康失眠患者中医证型的判别分析[J].中医杂志,2012,53(02):142-144. DOI: 10.13288/j.11-2166/r.2012.02.014.
HU Wanhua1, CHEN Kelong1, ZHAO Na1, et al. Discriminative Analysis on TCM Syndromes of Insomnia of Subhealthy Patients[J]. Journal of Traditional Chinese Medicine2012, 53(2): 142-144. DOI: 10.13288/j.11-2166/r.2012.02.014.
目的采用判别分析法探讨亚健康失眠患者中医证候的诊断规律。方法收集413例亚健康失眠患者
制定中医证候调查问卷
包括亚健康失眠常见的33种症状。将患者中医辨证分为心脾两虚型(216例)和阴虚火旺型(197例)
并将临床症状分为"有"和"无"2级
分别计为"1"和"0"分。根据患者中医证型对变量进行逐步判别分析
将有显著贡献的变量建立判别函数式
并使用逐一回代法和刀切法对函数式的一致率进行检验。结果筛选出对区分2类中医证型有显著贡献的12个变量:耳鸣、五心烦热、目赤、小便黄、盗汗、大便结、口干咽燥、心烦懊、神疲体倦、口苦、面色少华和心悸。建立亚健康失眠中医证型判别函数为:阴虚火旺型=-6.183+3.326×目赤+1.511×口苦+1.887×心烦懊+2.915×耳鸣+1.919×口干咽燥+3.017×五心烦热+1.798×心悸+0.965×盗汗+2.877×神疲体倦+1.069×面色少华+2.025×小便黄+2.141×大便结;心脾两虚型=-3.529+0.573×目赤+0.762×口苦+1.070×心烦懊+1.091×耳鸣+0.950×口干咽燥+1.851×五心烦热+1.086×心悸-0.436×盗汗+3.712×神疲体倦+1.930×面色少华+1.134×小便黄+1.391×大便结。逐一回代法判别总一致率为81.1%;刀切法计算一致率为79.7%。结论亚健康失眠中医证型判别函数与临床诊断吻合良好
可提高亚健康失眠中医诊断的客观性和准确性。
Objective To explore the diagnosis rules of TCM syndromes of insomnia of the subhealthy patients with discriminatory analysis. Methods The data of 413 insomnia patients in a subhealthy condition were collected. A questionnaire on TCM syndromes of insomnia was worked out
which included 33 common symptoms of insomnia of subhealthy patients. The patients were differentiated into two syndromes
deficiency of both the heart and spleen (216 cases) and yin deficiency with fire flaring (197 cases). The clinical symptoms were marked as "yes" and "no"
and scored as "1" and "0". According to the TCM syndromes of patients
the variables were step-by-step discriminatively analyzed
those significant contributors were attributed into the discriminant function formulas
and the uniformity of which were tested with returning-replacement and knife-cut methods. Results The 12 variables of significant contribution in differentiating the two syndromes were screened out as following: tinnitus
hot sensation in chest
palms and soles
red eyes
yellow urine
night sweating
constipation
dry throat
irritability with heartburn
tiredness
bitter taste in mouth
pale complexion
and palpitation. The discriminant function formulas were established as: Yin deficiency with fire flaring =-6.183 + 3.326 × red eyes + 1.511 × bitter taste in mouth + 1.887 × irritability with heartburn + 2.915 × tinnitus + 1.919 × dry throat + 3.017 × hot sensation in chest
palms and soles + 1.798 × palpitation + 0.965 × night sweating + 2.877 × tiredness + 1.069 × pale complexion + 2.025 × yellow urine + 2.141 × constipation; Deficiency of both the heart and spleen = -3.529 + 0.573 × red eyes + 0.762 × bitter taste in mouth + 1.070 × irritability with heartburn + 1.091 × tinnitus + 0.950 × dry throat + 1.851 × hot sensation in chest
palms and soles + 1.086 × palpitation -0.436 × night sweating + 3.712 × tiredness + 1.930 × pale complexion + 1.134 × yellow urine + 1.391 × constipation. The total uniformity examined by the returning-replacement step-by-step was 81.1%
and that calculated by knife-cut was 79.7%. Conclusion The discriminant function formulas of TCM syndromes of insomnia of the subhealthy patients match well with the clinical diagnosis. They are improving the accuracy and objectivity of TCM diagnosis.
0
浏览量
1037
下载量
0
CSCD
关联资源
相关文章
相关作者
相关机构
京公网安备11010102007558号