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原发性肝癌中医证型临床分布及证型标准 被引量:24

Clinical Distribution and Standards of TCM Syndrome of Primary Hepatic Carcinoma
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摘要 目的:研究原发性肝癌中医证型临床分布特征,确定各证型的必备变量,以建立原发性肝癌的中医辨证标准。方法:采用描述流行病学方法,分析原发性肝癌中医证型分布特征;以参考标准为假设,采用逐层聚类和因子分析的方法验证原发性肝癌中医基本证型及各证型的基本必备变量。结果:原发性肝癌临床分期Ⅰ期中中医辨证单证占78.1%,两证相兼占18.8%,三证相合占3.1%;Ⅱ期中医辨证单证占53.5%,两证相兼占44.4%,三证相合占2.1%;Ⅲ期中医辨证单证占40.5%,两证相兼占48.8%,三证相合占10.7%。结论:原发性肝癌的基本证型为肝郁气滞、肝血瘀阻、脾气虚、肝胆湿热、肝肾阴虚,各证型的必备变量为与证型关系密切的主要变量。 Objective:To study the clinical TCM syndrome distribution of primary hepatic carcinoma and establish the differentiation standards of symptoms and signs. Methods:The frequency distribution method was used for the analysis of the clinical syndrome. The clustering step by step and factor analysis methods were used for the analysis of syndrome classification. Results :The proportions of simple syndrome, both syndromes and three syndromes .of primary hepatic carcinoma were respectively 46.7%,46.4%and 6.9%. The proportions of simple syndrome, both syndromes, three syndromes were respectively 78.1%, 18.8%, 3.1% in stage Ⅰ, and those were respectively 53.5%, 44.4% and 2.1% in stage Ⅱ , and those were respectively 40.5% ,48.8% and 10.7% in stage Ⅲ of primary hepatic carcinoma. Conclusions:The basic syndromes of primary hepatic carcinoma are Ganyu Qizhi,Ganxue Yuzu , Piqixu, Gandan Shire, Ganshen Yinxu,and their necessary variables of each syndrome are dominating variables of each syndrome.
出处 《山西中医学院学报》 2007年第2期21-23,共3页 Journal of Shanxi College of Traditional Chinese Medicine
关键词 原发性肝癌 中医证型分布 辨证标准 聚类 因子分析 主要变量 primary hepatic carcinoma distribution of TCM syndromes differentiation standards of symptoms-and signs clustering factor analysis dominating vaviable
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