首页|艾滋病患者舌象与中医证候的多重对应分析

艾滋病患者舌象与中医证候的多重对应分析

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目的:应用多重对应分析的方法,探讨艾滋病患者中医证候与舌象的关系.方法:采用多阶段整群随机抽样的方法,从某中部省份抽取艾滋病患者641例进行问卷调杏,使用多重对应分析探讨舌象与中医实证/虚证问的关系.结果:艾滋病患者舌象与基本实证在两个维度的Cronbach系数分别是0.653,0.515;在两个维度的特征根分别是2.610和1.948;湿热内蕴与舌红、舌胖大、舌苔腻等有联系;湿热蕴毒与舌暗、舌苔厚有联系;邪结皮肤与舌疱疹、舌抓痕、舌瘦薄等有联系;肝郁气滞与舌淡红、舌苔薄有联系.艾滋病患者舌象与基本虚证在两个维度的Cmnbach系数分别是0.633,0.513;在两个维度的特征根分别是2.484和1.942.脾气虚弱与舌苔薄、舌苔腻、舌淡红有联系;气阴两虚与舌瘦薄、舌疱疹有联系;气血亏虚、肺脾气虚与舌胖大、舌齿痕、舌苔厚等有联系.结论:多重对应分析较好地展现了多个证候与舌象之间的关系,在艾滋病中医证候研究中有较好的应用前景.
Multiple correspondence analysis of association between traditional Chinese medical syndromes and tongue manifestation of AIDS patients
AIM: To explore the correlation between the traditional Chinese medical syndromes and tongue manifestation in AIDS patients by multiple correspondence analysis. METHODS: Totally, 641 AIDS patients were investigated using multi-stage cluster random sampling from one province of China. The questionnaires from 641 AIDS patients were analyzed by multiple correspondence analysis. RESULTS: Cronbach's Alphas were 0.653 and 0.515 and eigen values were 2.610 and 1.948 respectively in two dimensions in the correspondence analysis of tongue manifestation and excessive syndrome. Syndrome of dampness-heat and accumulated interior was related with red tongue, plump tongue and tongue greasy fur. Syndrome of dampness-heat and accumulated-toxin was related with dark tongue and tongue thick fur. Syndrome of accumulated-pathogen skin was related with tongue bleb and thin tongue. Syndrome of liver depression and qi stagnation was related with light red tongue and tongue thin fur. Cronbach's Alphas were 0. 633 and 0.513 and eigen values were 2.484 and 1. 942 respectively in two dimensions in the correspondence analysis of tongue manifestation and deficiency syndrome. Syndrome of deficiency of spleen qi was related with tongue thin fur, tongue greasy fur and light red tongue. Syndrome of deficiency of both qi and yin was related with thin tongue and tongue bleb. Syndrome of deficiency of both qi and blood and syndrome of deficiency of lung and spleen qi were related with plump tongue and teeth-printed tongue. CONCLUSION: Multiple correspon- dence analysis shows the relationship between traditional Chinese medical symptoms and tongue manifestation, which has good perspective in the study of traditional Chinese medical syndromes of AIDS.

multiple correspondence analysissymptom complexacquired immunodeficiency syndrometongue presentations

施学忠、杨永利、时松和、谢世平、段广才

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郑州大学公共卫生学院卫生统计学教研室,河南郑州,450001

河南中医学院研究生处,河南郑州,450008

多重对应分析 证候 获得性免疫缺陷综合征 舌象

国家科技攻关项目

2004BA719A13

2009

第四军医大学学报
第四军医大学

第四军医大学学报

CSTPCDCSCD北大核心
影响因子:0.599
ISSN:1000-2790
年,卷(期):2009.30(2)
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