腰椎间盘突出症的中医证候要素分类探究

Classification of TCM Syndromes in Protrusion of Lumbar Intervertebral Disc

目的:应用因子分析法探讨腰椎间盘突出症的中医证候要素分类。方法:采用回顾性分析方法,结合其中西医临床诊断及基本资料,分析腰椎间盘突出症患者176例,采用因子分析法探究腰椎间盘突出症的中医证候要素。结果:通过对176例腰椎间盘突出症患者的资料进行分析,归纳出腰椎间盘突出症症状类变量37个,舌象变量7个,脉象变量5个。其中影响腰椎间盘突出症的中医证候分类可分为4类,即肝肾亏虚、气滞血瘀、风寒湿滞和湿热蕴结型。结论:腰椎间盘突出症通过因子分析法可以进行证型分类,在客观程度上揭示本病发病的中医证候特点。

Objective:To explore the classification of TCM syndromes in lumbar disc hemiation by factor a- nalysis.Methods:By retrospective analysis,combined with clinical diagnosis and basic data of Western medicine,176cases of lumbar disc herniation were analyzed.The TCM syndrome dements of lumbar disc herniation were analyzed by factor analysis.Results:Based on 176cases of lumbar disc herniation patients with data analy- sis,summed up the symptoms of lumbar disc herniation in 37 kinds of variables,7 variables of tongue,pulse variable 5.The TCM syndrome classification of lumbar disc herniation can be divided into 4categories,namely, liver and kidney deficiency,qi stagnation and blood stasis cold,dampness and heat accumulation type.Conclu- sion:The lumbar disc herniation can be classified according to the factor analysis method,and objectively reveal the TCM syndrome characteristics of the disease.