摘要
目的:对恶性胸腔积液患者的中医证候进行分析。方法:选取确诊为恶性胸腔积液的102例患者的临床资料进行分析,录入证候四诊信息,采用描述性统计分析计算中医证候四诊指标频数及聚类分析(指标聚类及病例聚类)对患者的中医证候进行分析。结果:102例恶性胸腔积液患者聚类结果显示主要有以下四种证型:肺脾两虚,痰瘀互结证、脾肾两虚,痰饮犯肺证、气阴两虚,痰热犯肺证及阴虚内热,瘀毒内生证。四种证型分别占52.94%、28.43%、9.80%、8.82%。结论:恶性胸腔积液的患者多表现为虚实夹杂的证候,以单独实证或虚证难以概括整个证型。
Objective:To observe the distributing rule and diagnosis criterion of TCM syndrome of MPE, to providing basis of standardization of syndrome differentiation of MPE. Methods : Adopt the prospect method, to collect the clinic data of MPE in our hospital,setting up databases,to analyze the TCM syndrome based on the description covariance and clustering analysis method. Results :102 cases of MPE were observed,there are four TCM syndromes ,which are Asthenia of both lung and spleen,Accumulation of phlegm and stagnation (n =54,52.94% ) ; Asthenia of both kidney and spleen,attack on the lung by retained fluid( n = 29,9. 80% ) ; Yin asthenia and heat,stagnation of virulent heat (n = 10,9. 80% ), Asthenia of both qi and yin, Accumulation of phlegm and heat in lung (n =9,8.82% ). Conclusion:In this data,TCM syndrome of MPE have certain regulation,often mixing up Asthenia and asthenia syndrome, which is different from pleural effusion caused by infection. The research result can provide a certain basis of standardization of TCM syndrome differentiation of MPE.
出处
《辽宁中医杂志》
CAS
北大核心
2009年第6期870-872,共3页
Liaoning Journal of Traditional Chinese Medicine
关键词
恶性胸腔积液
中医证候
聚类分析
Malignant pleural effusion
TCM Syndrome Patterns
Clustering analysis