摘要
目的探讨科学、合理的中医辨证分型诊断方法。方法用临床流行病学调查方法,对广西壮族自治区内4所三级甲等医院的328例门诊或住院的高血压病病人进行问卷调查,收集病人的临床症状和体征,并对其进行量化。以证型作为因变量(Y),以病情程度、症状、体征作为自变量(X),运用SPSS 11.5统计软件对所收集的病例调查表数据分别进行多元回归分析及判别分析。结果依据聚类分析所划分的4个证型,各个证型的回归方程均表明症状体征与该证型的关系有非常显著意义,经检验,各个证型与临床辨证诊断的符合率均达到93.00%以上。结论各证型回归方程中的症状体征指标与该证型均具有相关性,可作为该证型的辨证诊断依据。
Objective To explore a scientific and reliable diagnostic method for syndrome differentiation of essential hypertension （EH） in TCM. Methods Total of 328 patients with （EH） from four hospitals were investigated by the method of the clinical epidemiology. The symptoms and physical signs of all pts were collected, checked and quantified. All information of the questionnaires in pts was analyzed by multiple linear regression analysis. Results In the four types classified as the cluster analysis, the regression equations were related symptoms and physical signs closely, they was significant in statistics. With the statistical test, the exact rates of all type corresponding to the clinical diagnosis were more than 93 %. Conclusion The regression equations and indexes of symptoms and physical signs in all type were useful and could be used as the diagnosis standard for the syndrome differentiation in EH.
出处
《中西医结合心脑血管病杂志》
2008年第5期518-520,共3页
Chinese Journal of Integrative Medicine on Cardio-Cerebrovascular Disease
基金
广西壮族自治区卫生厅重点基金课题(No.桂卫重200414)
关键词
高血压病
辨证分型
多元回归分析
essential hypertension
syndrome differentiation
diagnosis standard
multiple linear regression analysis
