[1]吴萍,赵艳霞,李永平,等.基于因子分析的高原红细胞增多症中医证候量化诊断研究[J].西部中医药,2023,36(10):104-111.[doi:10.12174/j.issn.2096-9600.2023.10.22]
　WU Ping,ZHAO Yanxia,LI Yongping,et al.Factor Analysis-Based Quantitative Diagnosis of Chinese Medicine Syndromes of High Altitude Polycythemia[J].Western Journal of Traditional Chinese Medicine,2023,36(10):104-111.[doi:10.12174/j.issn.2096-9600.2023.10.22]
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基于因子分析的高原红细胞增多症中医证候量化诊断研究
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《西部中医药》[ISSN:2096-9600/CN:62-1204/R]

卷:
36
期数:
2023年10期
页码:
104-111
栏目:
出版日期:
2023-10-15

文章信息/Info

Title:
Factor Analysis-Based Quantitative Diagnosis of Chinese Medicine Syndromes of High Altitude Polycythemia
作者:
吴萍, 赵艳霞, 李永平, 任延明, 冶建强, 渠媛雪, 赵协慧
青海大学医学院，青海 西宁 810001
Author(s):
WU Ping, ZHAO Yanxia, LI Yongping, REN Yanming, YE Jianqiang, QU Yuanxue, ZHAO Xiehui
Medical College of Qinghai University, Xining 810001, China
关键词:
红细胞增多症; 因子分析法; 中医证候; 辨证要点; 高原
Keywords:
polycythemia; factor analysis; TCM syndrome; the main points for syndrome differentiation; plateau
分类号:
R555+.1
DOI:
10.12174/j.issn.2096-9600.2023.10.22
文献标志码:
A
摘要:
目的初步确定高原红细胞增多症中医基本证型及证候量化诊断要点。 方法对专家问卷调查获得的四诊信息资料进行因子分析。 结果气虚血瘀证KMO=0.816，Bartlett球型检验结果为992.402（P＜0.001），本组四诊资料经6次迭代后收敛，结果统计为4个公因子，总贡献率为62.336%；气滞血瘀证KMO=0.868，Bartlett球型检验结果为1055.700（P＜0.001），本组四诊资料经5次迭代后收敛，结果统计为3个公因子，总贡献率为59.294%；气血两虚证KMO=0.856，Bartlett球型检验结果为859.138（P＜0.001），本组四诊资料经8次迭代后收敛，结果统计为3个公因子，总贡献率为62.120%；痰湿阻肺证KMO=0.879，Bartlett球型检验结果为870.371（P＜0.001），本组四诊资料经8次迭代后收敛，结果统计为3个公因子，总贡献率为58.537%；气阴两虚证KMO=0.838，Bartlett球型检验结果为884.874（P＜0.001），本组四诊资料经5次迭代后收敛，结果统计为3个公因子，总贡献率为66.877%。 结论获得高原红细胞增多症气虚血瘀、气滞血瘀、气血两虚、痰湿阻肺、气阴两虚5个基本证型及各证量化诊断要点。
Abstract:
ObjectiveTo confirm TCM basic syndromes of high altitude polycythemia(HAPC) initially and the key points of quantitative diagnosis of TCM syndromes. MethodsFactor analysis of four diagnostic information gained in expert questionnaire was conducted. ResultsQi deficiency and blood stasis syndrome KM0=0.816, the result of Bartlett's sphere test was 992.402 (P<0.001), The four diagnostic data in this group converged after six iterations, the statistics of the results were four metric factors, and overall contribution rate was 62.336%; Qi stagnation and blood stasis syndrome KM0=0.868, the result of Bartlett's sphere test was 1055.700 (P<0.001), The four diagnostic data in this group converged after five iterations, the statistics of the results were three metric factors, and overall contribution rate was 59.294%; Qi and blood deficiency syndrome KM0=0.856, the result of Bartlett's sphere test was 859.138 (P<0.001), The four diagnostic data in this group converged after eight iterations, the statistics of the results were three metric factors, and overall contribution rate was 62.120%; phlegm-dampness obstructing lung syndrome KM0=0.879, the result of Bartlett's sphere test was 870.371 (P<0.001), The four diagnostic data in this group converged after eight iterations, the statistics of the results were three metric factors, and overall contribution rate was 58.537%; Qi and yin deficiency syndrome KM0=0.838, the result of Bartlett's sphere test was 884.874 (P<0.001), The four diagnostic data in this group converged after five iterations, the statistics of the results were three metric factors, and overall contribution rate was 66.877%. ConclusionThe study gains five basic syndromes of HAPC, including Qi deficiency and blood stasis, Qi stagnation and blood stasis, Qi and blood deficiency, HAPC obstructing lung, and Qi and yin deficiency, and the key points of quantitative diagnosis of the syndromes.

备注/Memo

备注/Memo:
吴萍（1962—），女，教授，硕士研究生导师。研究方向：高原地区中医内科病证的研究。2018年青海省科技计划面上项目（2018-ZJ-918）基金项目:。
更新日期/Last Update: 1900-01-01