基于因子分析探索血液透析患者中医证候要素
CSTR:
作者:
作者单位:

作者简介:

通讯作者:

中图分类号:

基金项目:

国家重点研发计划中医药现代化研究重点专项(2017YFC1703300)


Exploration of TCM Syndrome Elements in Hemodialysis Patients Based on Factor Analysis
Author:
Affiliation:

Fund Project:

  • 摘要
  • |
  • 图/表
  • |
  • 访问统计
  • |
  • 参考文献
  • |
  • 相似文献
  • |
  • 引证文献
  • |
  • 资源附件
  • |
  • 文章评论
    摘要:

    目的:研究慢性肾脏病(CKD)5期进行维持性血液透析(MHD)患者的中医证候要素特征。方法:选取2019年1月至2019年5月多中心调查的MHD患者286例作为研究对象,采用流行病学方法,收集一般资料及中医症状信息,同时采用舌象仪采集舌象信息,运用因子分析的方法对症状及舌象数据进行统计分析,在中医理论指导下,综合公因子中医证候含义。结果:共提取12个公因子,病位证素有肾、脾、肝、心、胃,以肾、脾、肝为主,病性证素有气虚、阴虚、阳虚,以气虚、阴虚为主,病邪证素有湿、热、血瘀、风动,以湿、热、血瘀为主。结论:CKD5期MHD患者本虚标实并见,本虚包括脾肾气虚、脾肾阳虚、肝肾阴虚、气阴两虚,实证包括肾络瘀热、肝胆湿热,虚实夹杂包括脾虚湿浊、肾虚湿热、气虚血瘀、阴虚风动。

    Abstract:

    To study the characteristics of TCM syndrome elements in patients with maintenance hemodialysis (MHD) during chronic kidney disease stage 5 (CKD5).Methods:By epidemiological methods,a total of 286 MHD patients from a multi-center survey from January 2019 to May 2019 were selected as the research objects to collect general information and TCM symptom information.At the same time,tongue image information was collected by tongue imager.Factor analysis was used to statistically analyze the symptoms and tongue image data.The meaning of the common factor of TCM syndrome was summarized according to the theory of traditional Chinese medicine.Results:A total of 12 common factors were extracted.The disease location elements included the kidney,the spleen,the liver,the heart and the stomach.The kidney,the spleen and the liver were the main factors.The syndrome elements of the disease nature were qi deficiency,yin deficiency and yang deficiency,in which the main factors were the qi deficiency and yin deficiency.The syndrome elements of pathogenic factors were dampness,heat,blood stasis,stiring wind,with dampness,heat,blood stasis as the main elements.Conclusion:MHD patients in CKD5 5 stage was deficient in origin and excessive in superficiality.The origin deficiency includes spleen-kidney qi deficiency,spleen-kidney yang deficiency,liver-kidney yin deficiency and qi-yin deficiency.While excessive superficiality includes kidney collateral blood stasis-heat,dampness-heat of liver and gallbladder,intermingled deficiency and excess includes spleen deficiency due to dampness and turbidity,kidney deficiency due to dampness and heat,blood stasis due to qi deficiency and stirring wind due to yin deficiency.

    参考文献
    相似文献
    引证文献
引用本文

袁丽莎,肖永华,钟剑,国凤霞,窦仲萍,关静,曹钋,任可,李建军,马迎春,魏宇,裴志行.基于因子分析探索血液透析患者中医证候要素[J].世界中医药,2020,(15).

复制
相关视频

分享
文章指标
  • 点击次数:
  • 下载次数:
  • HTML阅读次数:
  • 引用次数:
历史
  • 收稿日期:2019-07-18
  • 最后修改日期:
  • 录用日期:
  • 在线发布日期: 2020-08-14
  • 出版日期:
文章二维码