新疆地区114例类风湿性关节炎患者中医证候分布规律的回顾性研究

Studying regularity of TCM syndromes in 114 RA patients in Xinjiang through retrospective research

目的:探讨类风湿性关节炎患者中医证候分布特征,为临床辨证论治提供依据。方法:运用描述性分析和聚类分析的方法,对114例患者的证候和辨证分型进行分析。结果:对相关证候进行聚类分析后归为5类,分别为:虚实夹杂(43.9%)、肝肾亏虚(19.3%)、寒湿阻络(16.7%)、湿热阻络(9.6%)、痰瘀阻络(8.8%)。结论:聚类分析得出的辨证分型与文献报道相近,临床辨证与聚类分析后的证型分布符合率为92.9%。

Objective： To investigate the characteristics of TCM syndrome of Rheumatoid Arthritis（RA） by the method of retrospective research,and to guide the clinical application.Methods： Collect the information from the TCM four diagnostic methods of patients suffering RA and analyze the summarized syndrome of TCM through method of hierarchical cluster and statement mathematical statistics.Results： Screening and summarizing the information from the TCM four diagnostic methods,decide 5 syndromes through the method of hierarchical cluster：bi-syndrome with concurrence of deficience and excess（43.9%）;deficiency of the liver and kidney（19.3%）;cold and dampness blocking the meridians（16.7%）;heat and dampness blocking the meridians（9.6%）;bi-syndrome with phlegm stagnation and blood stasis（8.8%）.Conclusion： The syndrome about RA on TCM summarized through method of hierarchical cluster in our study is consistent with the result covered by literature,the according rate is 92.9% among the syndromes we collected from the clinic and summarized through the method of hierarchical cluster.