脾虚证症状规律的文献研究

Literature Research of Splenasthenic Syndrome Symptoms Regularity

目的:探讨脾虚证症状表现规律。方法:利用期刊网数据库收集、整理脾虚证资料,提取不同疾病脾虚证症状和体征发生频次,应用聚类分析、因子分析脾虚证症状和体征分布特点和组合规律,比较其在不同疾病中的发生异同。结果:胃肠道疾病占所有病种的28.57%。症状频次出现最高的11个症状:面色萎黄、少华等明显为脾气虚的表现。聚类分析显示:一些相关的症状能够聚为一类,相似的疾病可以聚为一类。因子分析显示:16个主要成分可以涵盖41个频率大于0.5%的症状,贡献率为69.13%。消化性疾病和非消化性疾病间症状比较发现,消化性疾病中腹胀、腹痛、形体消瘦、便溏、完谷不化、便秘、舌淡等症状发生率明显多于非消化性疾病(P<0.05);非消化性疾病中舌淡胖、齿痕发生率多于消化性疾病(P<0.05)。结论:脾虚证在不同疾病中症状表现有一定差异,但有共同表现;脾虚证在疾病症状组成特点为虚性症状、胃肠道症状、疾病特殊症状。

Objective：To study the syndrome symptoms regularity of splenasthenic syndrome.Methods：Geted out symptoms and signs occurrence frequency of splenasthenic syndrome from collection and sorting of the journal net database.Compare their similarities and differences in different diseases through the application of clustering analysis and principal component analysis of splenasthenic syndrome symptoms and signs distribution characteristics and combination rule.Results：Gastrointestinal disease accounted for 28.57% of all disease.11 highest frequency symptoms：sallow complexion,without colour etc apparently performance of spleen qi deficiency.Cluster analysis showed that some related symptoms to gather for category and similar disease can get for a class.Factor analysis showed that 16 major bases can cover 41 symptoms with more than 0.5% frequency,accounted for 69.13%.Compared the digestive diseases and non digestive diseases,the incidence rate of abdominal distension,stomachache,figure emaciated,loose stool,indesting,constipation and pale tongue was more in digestive diseases（P0.05）.Pale tongue and indentation incidence were more in non digestive diseases（P0.05）.Conclusion：Splenasthenic syndrome has certain differences but common performance in different disease symptoms.The symptoms characteristics of splenasthenic syndrome are virtual symptoms,gastrointestinal symptoms and disease specific symptoms.