[1]陈元川 董婷婷 庞坚 郭海玲 赵咏芳 詹红生 石印玉△.基于聚类分析的185例中老年人腰腿痛证型研究[J].中国中医骨伤科杂志,2015,23(12):12-14.
　CHEN Yuanchuan DONG Tingting PANG Jian GUO Hailing ZHAO Yongfang ZHAN Hongsheng SHI Yinyu.Traditional Chinese Medicine Syndrome Types of 185 Patients with Low Back Pain Based on Cluster Analysis[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2015,23(12):12-14.
点击复制

基于聚类分析的185例中老年人腰腿痛证型研究
分享到：

《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第23卷
期数:
2015年12期
页码:
12-14
栏目:
临床研究
出版日期:
2015-12-08

文章信息/Info

Title:
Traditional Chinese Medicine Syndrome Types of 185 Patients with Low Back Pain Based on Cluster Analysis
文章编号:
1005-0205(2015)12-0012-03
作者:
陈元川1; 2 董婷婷1; 2 庞坚1; 2 郭海玲1; 2 赵咏芳1; 2 詹红生1; 2 石印玉1; 2△
1.上海中医药大学附属曙光医院石氏伤科医学中心(上海,201203)
2.上海市中医药研究院骨伤科研究所
△.通信作者 E-mail:shiyinyu@126.com
Author(s):
CHEN Yuanchuan1; 2 DONG Tingting1; 2 PANG Jian1; 2 GUO Hailing1; 2 ZHAO Yongfang1; 2 ZHAN Hongsheng1; 2 SHI Yinyu1; 2△
1.Shi's Center of Orthopedics and Traumatology,Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine,Shanghai 201203,China;
2.Institute of Traumatology & Orthopedics,Shanghai Academy of Traditional Chinese Medicine,Shanghai 201203,China.
关键词:
腰腿痛;  中医证型;  聚类分析
Keywords:
low back pain;  pattern;  cluster analysis
分类号:
R274.39
文献标志码:
A
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。
Abstract:
Objective:Investigate the traditional Chinese medicine syndrome types of low back pain in elderly people.Methods:According to the ways of clinical epidemiology,185 patients of 45～85 years old who were diagnosed to be low back pain were studied 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.

参考文献/References:

[1] Mcbeth J,Jones K.Epidemiology of chronic musculoskeletal pain[J].Best Practice & Research Clinical Rheumatology,2007,21(3):403-525.
[2] 中华中医药学会中医诊断学分会.中医常见证诊断标准(上)[J].湖南中医药大学学报,2008,28(5):3-10.
[3] 中华中医药学会中医诊断学分会.中医常见证诊断标准(下)[J].湖南中医药大学学报,2008,28(6):3-10.
[4] 国家食品药品监督管理局.中药新药治疗临床研究指导原则(试行)[M].北京:中国医药科技出版社,2002.
[5] 国家中医药管理局.中医病证疗效诊断标准[M].2版.北京:中国医药科技出版社,2012:151-228.
[6] 孟魏魏,蔡秀水,口锁堂,等.上海长宁社区腰椎间盘突出症患者中医证型的调查研究[J].中医药杂志,2012,24(10):991-993.
[7] 方俊华,陈家红,龚娅玲,等.腰椎间盘突出症CT影像指标与中医证型关系分析[J].亚太传统医药,2015,11(3):78-79.
[8] 黄宏兴,邓伟民,万雷,等.原发性骨质疏松症辨证分型的聚类分析研究[J].世界中西医结合杂志,2014,9(9):959-964.
[9] 周宾宾,李玉文,蔡乐乐,等.腰椎管狭窄症中医证型规范化的探讨[J].时珍国医国药,2009,20(12):3176-3177.
[10] 陈镜锋,余庆阳,李杰,等.盘龙七片治疗腰椎间盘突出症临床疗效与中医症候关系的临床观察[J].中国中医骨伤科杂志,2012,20(6):40-41.
[11] 邱德华,蔡奇文,张建伟,等.石氏伤科兼邪论及其临床应用 [J].中国中医骨伤科杂志,2013,21(1):65-66.
[12] 谢雁鸣,宇文亚,董福慧,等.原发性骨质疏松症中医临床实践指南(摘录)[J].中华中医药杂志,2012,27(7):1886-1890.
[13] 唐汉武.腰椎管狭窄症的中医治疗进展[J].广西中医药,2014,37(1):8-11.
[14] 陈选宁,杨欢,甘宁,等.中医优化诊疗方案治疗腰椎间盘突出症临床疗效验证[J].中国中医骨伤科杂志,2012,20(9):20-24.
[15] 李兵,王忠,张莹莹,等.中医症候分类研究常用方法与应用概述[J].中国中医基础医学杂志,2014,20(1):30-33,36.

备注/Memo

备注/Memo:
收稿日期:2015-04-16
基金项目:“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-CC-HPGC-JD-001,ZY3-CCCX-1-1003)
上海市科学技术委员会引导项目(14401933700)
更新日期/Last Update: 2015-12-15