2144例河南高血压病中医证候分类研究

The Classification study of TCM syndrome in 2144 hypertension cases of Henan Province

目的:探索河南地区高血压病中医证候分型,为其中医临床治疗提供参考,使中医证型规范化。方法:依据流行病学调查要求,结合专业知识及相关文献,制定高血压中医证候信息量表。筛选频率>10%的症状,通过两步聚类法对数据进行归类分析处理,进而归纳出高血压患者中医证型。结果:2144例河南高血压病例分为8类证型,分别为阴虚阳亢型、肝肾阴虚型、肝阳上亢型、气虚血瘀型、肝阳上亢兼肝肾阴虚型、阴阳两虚型、痰浊壅盛型、气虚血瘀兼肝肾阴虚型8种证型。结论:运用聚类分析统计方法研究中医证型,对于促进中医证型研究规范化具有一定参考价值,并可指导临床辨证施治。

Objective To explore the TCM syndrome classification of hypertension in Henan region,providing a reference for the clinical treatment,making the type of syndrome standardization. Methods In accordance with the requirements of epidemiological investigation,combined with professional knowledge and related literature,to establish hypertension syndromes scale. Screening frequency 10% of the symptoms and using the two step clustering method to classify the data,and then TCM syndrome types of hypertension were induced. Results 2144 cases of hypertension were divided into eight groups. respectively,hypertension with yin-deficiency of and excessive yang; the liver-kidney yin deficiency; excessive of the liver-yang; qi deficiency and blood stasis; excessive of the liver-yang and the liver-kidney yin deficiency; yin-yang deficiency; retention-of-phlegm; Qi asthenia blood stasis and the liver-kidney yin deficiency.Conclusions Using the clustering analysis method to study the TCM syndrome types,having certain reference value for promoting TCM syndrome type standardization,and can guide the clinical dialectical treats.