首页|基于四诊客观化评价泻南补北方治疗绝经后动脉粥样硬化疾病疗效

基于四诊客观化评价泻南补北方治疗绝经后动脉粥样硬化疾病疗效

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目的:基于中医四诊客观化探讨泻南补北方干预绝经后动脉粥样硬化的临床效果.方法:选取绝经后动脉粥样硬化患者96例(疾病组),采用泻南补北方治疗,38名健康人设为对照组.采用《中医四诊信息采集表》、分光测色仪、TDA-1舌诊仪、DDMX-100型单道脉象仪,收集对照组脉象和疾病组的四诊数据,进行统计分析.使用社会网络分析软件UCINET分析疾病组治疗前后症状、舌象、脉象特征变化.结果:疾病组脉诊指标t1、h3、h3/h1、h4/h1、S、w显著高于对照组(P<0.05);h5、h5/h1显著低于对照组(P<0.05).经泻南补北方治疗后,患者临床症状明显改善,患者面色的整体亮度和色度显著提升(P<0.05).患者弦脉Ⅳ、虚弦脉象明显减少,弦Ⅱ、弦滑脉象明显增加.治疗后,脉诊指标t1、t5、w、w/t、h1、h5、h3/h1、h5/h1与治疗前和治疗初期(0周、1周)有明显差异,7周脉诊指标h5、h5/h1显著高于0周(P<0.05).0-7周,红绛舌、白腻或黄腻苔明显减少,淡红舌、薄白苔明显增多;6周和7周舌象参数指标L、I值显著高于0周(P<0.05).结论:泻南补北方可以改善绝经后动脉粥样硬化患者的面色、舌象、脉象及临床症状,中医四诊客观化指标可以为中医临床病情演变及临床疗效评价提供有效依据.
Evaluation of the effects of reducing the south and reinforcing the north method on postmenopausal atherosclerosis disease based on four diagnostic objective information
Objective:To explore the clinical effect of reducing the south and reinforcing the north(RSRN)method on postmenopausal atherosclerosis based on modern traditional Chinese medicine(TCM)four diagnostic objective information.Methods:According to the inclusion criteria,96 patients with postmenopausal atherosclerosis(disease group)(treated by RSRN)and 38 healthy people(control group)were selected.The pulse conditions of control group were obtained.And the four diagnostic information of patients was collected by using the information collection form of four diagnosis of TCM,spectrophotometer CM-2600,TDA-1 small tongue image instrument,DDMX-100 single channel instrument.The information was then statistical analyzed.Social network analysis software UCINET was used to analyze the changes of patients'symptoms,tongue,and pulse characteristics before and after RSRN treatment.Results:The pulse indexes t1,h3,h3/h1,h4/h1,S,w in the disease group were significantly higher than those in the control group;h5,h5/h 1 were significantly lower than those in the control group(P<0.05).After the treatment of RSRN,the clinical symptom information of patients was reduced.The facial color indexes and the overall brightness and chroma of the patient's facial color were significantly improved.The string Ⅳ and virtual string pulse significantly decreased,while string Ⅱ and wiry slippery pulse increased.The pulse parameters of t1,t5,w,w/t,h1,h5,h3/h1,h5/h 1 at week 7 were different from those at week 0,1,h5,h5/h 1 at week 7 were higher than those at week 0(P<0.05).From 0 to 7 week,bright red tongue,white or yellow greasy coating of patients'tongue image were decreased,light red tongue with thin white coating were increased.The L value of tongue image at week 6 and 7 was higher than that at 0 and 1 week(P<0.05).Conclusion:The RSRN method can improve the complexion,tongue,pulse,and clinical symptoms of postmenopausal atherosclerosis patients.Objective indicators of the four diagnostic methods of TCM can be used to evaluate the clinical treatment effect,to guide the clinical treatment of TCM.

Reducing the south and reinforcing the north methodPostmenopausal atherosclerosisFour diagnostic informationObjectificationTraditional Chinese medicine compoundTherapeutic effective evaluation

吴宏进、戴薇薇、李深广、屠立平、许家佗、张志枫

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上海中医药大学附属龙华医院,上海 200032

上海市闵行区中西医结合医院,上海 201199

上海中医药大学,上海 201203

泻南补北法 绝经后动脉粥样硬化 四诊信息 客观化 中药复方 疗效评价

上海市闵行区中医特色品牌专科建设项目上海市闵行区名老中医工作室建设项目

ZYPP-03mhmlzy01

2024

中华中医药杂志
中华中医药学会

中华中医药杂志

CSTPCD北大核心
影响因子:1.135
ISSN:1673-1727
年,卷(期):2024.39(9)