世界中医药
文章摘要
引用本文:吴皓萌 徐志伟 敖海清.肠易激综合征中医证候规律的研究[J].世界中医药,2013,8(2):.  
肠易激综合征中医证候规律的研究
Factor Analysis and Cluster Analysis of the TCM Pattern of Irritable Bowel Pattern
投稿时间:2013-01-06  
DOI:10.3969/j.issn.1673-7202.2013.02.004
中文关键词:  肠易激综合征  中医证型  聚类分析
English Keywords:Irritable bowel pattern  TCM pattern  Factor analysis  Cluster analysis
基金项目:基金项目:国家重点基础研究发展计划(973计划),课题名称:肠易激综合征从肝论治的作用机制及证治规律研究(编号:2011CB505103)
作者单位
吴皓萌 徐志伟 敖海清 广州中医药大学广州510405 
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中文摘要:
      目的:研究肠易激综合征(IBS)的中医证型分布规律。方法:对309肠易激综合征患者进行中医临床流行病学调查,提出症状、舌象、脉象,运用聚类分析法对130个变量进行分析。结果:分为肝郁脾虚、脾肾阳虚、肝阳上亢、湿邪中阻、肝气郁滞、肝气乘脾、脾胃虚弱、大肠湿热、脾胃气滞等9个证型。结论:IBS病位在大肠但证型分布紧紧围绕肝和脾胃,并与湿邪密切相关,主要证素有肝实、脾虚、湿热、寒湿等,病性多虚实错杂;所得证型与中医理论和临床契合,可为临床提供一些较为客观的诊断和治疗依据。
English Summary:
      To research the TCM pattern of irritable bowel pattern (IBS). Methods: We extracted data of symptoms, tongue manifestation and pulse condition from TCM epidemiology research of 309 cases of IBS, then used the factor analysis and cluster analysis on 88 variables. Results: It broken down to 12 TCM patterns, i.e. pattern of liver depression and spleen deficiency, pattern of liver qi invading the Stomach, pattern of dual deficiency of the heart and spleen , spleen-kidney yang deficiency pattern, pattern of ascendant hyperactivity of liver yang , pattern of depressed gallbladder with harassing phlegm, spleen deficiency pattern , pattern of liver depression and qi stagnation , liver qi invading the spleen, pattern of dampness-heat in the spleen and stomach, large intestinal dampness-heat pattern, qi stagnation of the spleen and stomach. Conclusion: The research reflects the potential factors which determines the correlation between the variables, and provides some objective clinical diagnosis and treatment basis.
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