瘀血腹诊的客观化研究

Objectified Study of Abdomen Diagnosis on Blood Stasis Syndrome

为了确定瘀血腹诊的定位及手法，明确实验室检查指标对瘀血腹诊的意义，本研究以中医传统理论和解剖学为基础，通过１５２例瘀血腹证的临床验证，重新设计确定了瘀血腹诊的定位及检查手法；采用电子计算机多因素分析方法，对瘀血腹诊进行了客观化分析，发现瘀血腹诊的本质特征与血液粘度升高、血小板聚集及粘附性增高、血栓易于形成及肌电图异常有关；上述指标作为瘀血腹诊的客观指标用于诊断，也能达到８０．０％以上的符合率；肌电图的筛选分析也表明，各个指标对于瘀血腹诊的贡献率有明确的定量排列。从而为瘀血腹诊的深入研究和客观化打下了基础。

In order to determine the location and technique of expferimental index of abdomen diagnosis in diagnosing Blood Stasis Syndrome (BSS) and to elucidate its meaning,based on the theories of TCM, objective assay of abdomen diagnosis was carried out on 152 patients of BSS with redesigned location and technique and computerized stepwise regression analysis. It was found that the principal characteristics of abdomen diagnosis was related with changes of some laboratory parameters such as increase of blood viscosity,exacerbation of platelet aggregation and adhesiveness, tendency of extracorporeal thrombosis formation and abnormality of electromyogram. It is possible to obtain a coincidence rate of over 80.0o/o by taking the above-mentioned parameters as objective index for BSS diagnosis. It was showed by means of screening analysis of electromyogram that the contribution rate to diagnosis of various parameters had their own definite quantitative arrangement.This study therefore established a base for further objectified study on abdomen diagnosis of BSS.