基于信息熵的乙肝后肝硬化证素提取及病机分析
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国家自然科学基金重点项目(编号:81330084);上海市中医临床重点学科建设项目(编号:ZYXK202010);浦东新区卫生系统重点学科群建设项目(编号:PWZxq2014-12)


Syndrome Element Summary and Pathogenesis Analysis of Hepatitis B Caused Cirrhosis Based on the Information Entropy
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    目的:提取乙肝后肝硬化证候要素(证素)并分析其组成及分布规律,探讨肝硬化的病机特点。方法:收集294例病毒性乙型肝炎(乙肝)后肝硬化患者的四诊资料,采用基于信息熵的复杂系统划分方法(信息熵法)提取证候要素(证素),确定症状贡献度,并通过诊断阈值,分析乙肝后肝硬化证素组成及分布规律。结果:乙肝后肝硬化患者存在着脾虚、肾气虚、肝阴虚、痰湿、气滞、肝郁、湿热7个主要证素,并有1个至多个证素存在,其中脾虚、气滞、湿热出现频率较高。结论:信息熵法可以用于乙肝后肝硬化证候要素的提取。乙肝后肝硬化的病机复杂,其中脾虚、气滞、湿热可能是其主要的病机因素。

    Abstract:

    To summarize the syndrome elements of hepatitis B-caused cirrhosis (HBC), to analyze its composition and distribution and to explore the characteristics of its pathogenesis in HBC patients. Methods:The four-diagnostic information of 294 HBC cases was collected. The summary of syndrome elements and the symptoms contribution degree were carried out by an entropy-based complex systematic classification method and the composition and distribution rules were analyzed according to the diagnostic threshold value. Results:There were7 syndrome elements in HBC, namely spleen deficiency, kidney qi deficiency, liver yin deficiency, dampness-phlegm, qi stagnation, liver depression and dampness-heat. Moreover, at least one or more syndrome elements can be concluded from one patient. Spleen deficiency, qi stagnation and dampness-heat were those with highest frequency. Conclusion:The entropy-based complex system method may be used to summarize syndrome elements for HBC. The pathogenesis of HBC is complicated and its main factors may be related to spleen deficiency, qi stagnation and dampness-heat.

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郭志忠,魏滨,孙继佳,王文海,苏式兵.基于信息熵的乙肝后肝硬化证素提取及病机分析[J].世界中医药,2016,(10).

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  • 收稿日期:2015-12-22
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  • 在线发布日期: 2016-11-29
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