摘要
目的：运用流行病学调查方法结合现代统计学手段探讨中老年腰腿痛的临床证型。方法：采用临床流行病学调查的方法，对2013年4月至2014年2月在本院就诊的185例45～85岁确诊为中老年腰腿痛的患者进行前瞻性研究。收集其四诊信息，并采用SPSS22．0软件对其进行聚类分析。结果：对四诊信息经聚类分析后认为可以分为肝肾亏虚证（92例）、寒湿证（56例）、热证（40例）以及血瘀证（19例），并且存在兼证。结论：以聚类分析为研究方法可以将临床上45～85岁中老年腰腿痛的中医证型以肝肾亏虚证、寒湿证、热证以及血瘀证为主证进行划分，其中肝肾亏虚证最多，其次是寒湿证和热证以及血瘀证。同时，要注意兼证的存在，而热证应当引起重视。
Objective：Investigate the traditional Chinese medicine syndrome types of low back pain in elderly people. Methods： Ac cording to the ways of clinical epidemiology, 185 patients of 45~85 years old who were diagnosed to be low back pain were stud- ied prospectively in Shuguang Hospital in Shanghai. The four diagnostic information were collected and analyzed for the clustering analysis by SPSS22.0 software. Results.. Diagnostic information by clustering analysis can be divided into 4 patterns,the type of liver and kidney deficiency（92 cases） ,the type of wind cold damp impediment（56 cases） ,the type of heat（40 cases）and the type of blood stasis（19 cases）. And it has complex patterns. Conclusion：The traditional Chinese medicine syndrome types of low back pain patients between 45~85 years old were divided into 4 types in conformity with clinical practice. Among all the cases,the type of liver and kidney deficiency was the most, followed by the type of wind cold damp impediment, the type of heat and the type of blood stasis. We should also pay attention to the complex patterns.
出处
《中国中医骨伤科杂志》
CAS
2015年第12期12-14,19,共4页
Chinese Journal of Traditional Medical Traumatology & Orthopedics
基金
"中医骨伤科学"国家重点学科项目(100508)
上海市中医药领军人才建设项目(2012-63-15)
上海领军人才项目(041)
"海派中医流派传承研究基地"项目(ZYSNXD-CCHPGC-JD-001
ZY3-CCCX-1-1003)
上海市科学技术委员会引导项目(14401933700)
关键词
腰腿痛
中医证型
聚类分析
low back pain
pattern
cluster analysis
