本文選題：血脂異常 + 中醫(yī)證候�。� 參考：《遼寧中醫(yī)藥大學》2009年碩士論文

【摘要】： 目的:本研究旨在探討原發(fā)性血脂異常中醫(yī)證候的分布規(guī)律,以期為辨證論治提供參考依據(jù),提高本病的臨床診治水平。 材料與方法: 采用前瞻性研究,運用因子分析方法進行分析,對血脂異常的中醫(yī)證候規(guī)律進行探索。收集125例血脂異�；颊叩呐R床資料,其中男性54例,女性71例。共篩選出25個癥狀、體征(包括舌象、脈象)。查閱有關文獻,并經(jīng)專家論證,制訂血脂異常臨床證候觀察表,采取分級量化的方法,將每個癥狀或體征分為正常、輕、中、重級,正常者記0分,輕度者記1分,中度者記2分,重度者記3分。在對中醫(yī)四診信息進行量化的基礎上,將其視為可以直接測量的變量,采取因子分析的方法,尋找隱藏在這些信息背后的公因子,這些公因子在本質上與中醫(yī)的證候具有一致性。 結果: 運用因子分析的方法得到6個公因子,相當于6種證候。將其中兩個合并為一個,最后共得到5種證候。根據(jù)中醫(yī)理論和臨床實際,這5種證候分別是:痰瘀互結證、痰濁阻遏證、腎陰虛證、脾氣虛證、氣滯血瘀證。 5種證候分布情況:痰瘀互結證32例,所占比例最大,占25.6%,其次是脾氣虛證,28例,占22.4%,其余依次是痰濁阻遏證24例、腎陰虛證24例、氣滯血瘀證17例,分別占19.2%,19.2%,13.6%。 結論: 1.血脂異常常見的證候類型有5種,分別是痰瘀互結證、痰濁阻遏證、腎陰虛證、脾氣虛證、氣滯血瘀證。 2.與傳統(tǒng)辨證方法相比,因子分析有利于克服傳統(tǒng)辨證方法的主觀性,有望成為證候規(guī)范化研究的可行途徑之一,值得進一步深入探討。
[Abstract]:Objective: to study the distribution of TCM syndromes of primary dyslipidemia in order to provide reference for syndrome differentiation and improve the level of clinical diagnosis and treatment.Materials and methods:The prospective study and factor analysis were used to explore the TCM syndromes of dyslipidemia.The clinical data of 125 patients with dyslipidemia were collected, including 54 males and 71 females.A total of 25 symptoms and signs (including tongue and pulse) were screened.After consulting relevant literature and expert demonstration, the clinical syndrome observation table of dyslipidemia was formulated, and each symptom or sign was classified into normal, light, moderate, heavy, normal, mild, moderate, moderate, normal, mild, mild, moderate, moderate, normal, mild, and mild, and the mild ones were divided into 0 and 1, respectively, by adopting the method of grading and quantifying.The moderate score was 2 points, the severe one was 3 points.On the basis of quantifying the information of four diagnoses of TCM, it is regarded as a variable that can be measured directly, and the method of factor analysis is adopted to find the common factors hidden behind these information.These common factors are consistent with TCM syndromes in essence.Results:Six common factors, equivalent to 6 syndromes, were obtained by factor analysis.Two of them were combined into one, and finally five syndromes were obtained.According to the theory of TCM and clinical practice, the five syndromes are: phlegm and blood stasis syndrome, phlegm turbid repression syndrome, kidney yin deficiency syndrome, spleen qi deficiency syndrome, qi stagnation and blood stasis syndrome.Conclusion:1.There are five common syndromes of dyslipidemia, namely phlegm and blood stasis syndrome, phlegm and turbid repressor syndrome, kidney yin deficiency syndrome, spleen qi deficiency syndrome and qi stagnation and blood stasis syndrome.2.Compared with the traditional dialectical methods, factor analysis is helpful to overcome the subjectivity of traditional dialectical methods, and it is expected to become one of the feasible ways to study the standardization of syndromes, which is worthy of further discussion.
【學位授予單位】：遼寧中醫(yī)藥大學
【學位級別】：碩士
【學位授予年份】：2009
【分類號】：R259

【引證文獻】

相關碩士學位論文 前1條

1 高琳;高血壓病伴血脂異常血瘀證證候及生活質量特點研究[D];中國中醫(yī)科學院;2011年

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本文編號：1739705