体检人群中子宫肌瘤患者的脉象图特征研究

A Study about Hysteromyoma Patients' Parameters of Pulse Manifestation Graph and Pulse Wave Graph

目的:探讨体检人群中子宫肌瘤患者脉象的共性特征。方法:采用病例对照研究(1∶1)的方法,运用中医脉象仪采集病例组与对照组的脉搏波,运用t检验、非参数秩和检验、卡方检验、比值比进行统计分析。结果:与非子宫肌瘤组比较,子宫肌瘤组的abc脉形出现率增高,取脉最佳压力、h4、h4/h1均值降低,h5、h5/h1均值增高。结论:脉象仪软件自动判别脉象,显示子宫肌瘤组中弦脉类脉象的出现率占79.28%,但从脉形特征和脉搏波参数来看,子宫肌瘤组的脉位略浮,脉象略滑,外周阻力低于非子宫肌瘤组。提示对脉象仪提供的脉名诊断、脉波图形和脉搏波参数进行综合分析,有助于更全面地获取子宫肌瘤组的共性脉象特征。

This study was aimed to find normal characteristics of hysteromyoma patients＇ pulse wave. The casecontrol method （1：1） was used in the research about the pulse wave difference between hysteromyoma patients and non-uterine myoma people with data obtained by the pulse manifestation graph of Chinese medicine. T test, non-parametric rank sum test, analysis of variance, chi-square test and odds ratio were used in the statistical analysis. The results showed that comparing to non-uterine myoma people, the incidence of the ＂ABC＂ pulse shape increased in hysteromyoma patients. The means of ＂Best Pressure＂, h4, h4/h1, rAI and rAP are lower and the means of h5 and h5/h1 were higher in the hysteromyoma patients than non-uterine myoma people. It was concluded that although the pulse manifestation graph＇s automatic recognition of pulse showed that 79.28% of the hysteromyoma patients had presented with wiry pulse, yet from their pulse characteristics and pulse wave parameters appeared that the pulse position of hysteromyoma patients is superficial, with a rather slippery characteristic,. And their artery compliance is also better than the non-uterine myoma people. This revealed that combining both the comprehensive analysis of pulse analysis factor and pulse wave parameters, is useful in obtaining the normal characteristics of hysteromyoma patients＇ pulse.