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目的:探讨小儿慢性咳嗽中医证型分布规律。方法:通过在太原地区收集的170例3-14岁慢性咳嗽患儿的四诊资料(包括症状、舌脉象),运用聚类分析法对结果进行证型分布研究。结果:将整理后的四诊指标进行样本聚类。使用SPSS 18.0对170例样本进行2-7类的聚类分析。聚类后删除每类构成比<30%的指标,由专家组根据聚类后每一类剩余的四诊条目分布情况结合临床实际情况,参照中医辨证分型标准,赋予适当证型名称。其中聚为7类较为恰当,能够运用中医知识进行合理解释。结论:痰湿内阻证和痰热壅肺证居多,纯虚证较少。复合证型占相当比例,是客观存在的,应引起足够重视。
Objective: To investigate the distribution of TCM syndromes of chronic cough in children. Methods: Based on four diagnostic data (including symptoms and tongue pulse) of 170 children aged 3-14 years with chronic cough collected in Taiyuan, the results were analyzed by cluster analysis. Results: The four diagnostic indicators after the sample cluster. Cluster analysis of category 2-7 was performed on 170 samples using SPSS 18.0. After the clustering, the index of each category <30% is deleted, and the expert group will give the appropriate name of the syndrome according to the distribution of the four remaining categories of each category after the clustering according to the clinical situation and referring to the standard of TCM syndrome differentiation. Which is more appropriate for the seven categories, can use traditional Chinese medicine to explain reasonably. Conclusion: There are many phlegm-damp internal resistance syndromes and phlegm-damp lung syndromes, and pure deficiency syndromes are few. Compound syndrome accounts for a considerable proportion, is an objective reality, should cause enough attention.