青少年颈痛的中医证候分型研究
he study of Adolescent Neck Pain`s TCM syndromes
目的:初步拟订青少年颈痛中医证候分型。方法:制定青少年颈痛中医证候观察表,对1397名青少年颈痛患者进行问卷调查,建立青少年颈痛中医证候数据库,通过统计软件,采用描述性统计分析、聚类分析等方法对数据进行分析。结果:通过聚类分析,将60项中医症状共聚为4类,中医证候研究专家组按照中医理论及临床经验进行讨论,对聚类结果进行修订和证候分类,初步拟订出青少年颈痛的 4 个中医证型。结论:青少年颈痛属于中医筋伤的筋痹,外感六淫、五劳所伤或内伤引起颈部筋的营卫气血闭塞不通是其主要病机,根据统计分析结合专家意见,拟定青少年颈痛中医证型为:寒湿痹阻证、湿热痹阻证、肝郁脾虚证和心肾气阴两虚证。
Objective: Preliminary formulate the Adolescent Neck Pain TCM syndromes. Method: Formulate the Adolescent Neck Pain syndromes observed table, make an investigation of 1397 Adolescent Neck Pain patients, establish an Adolescent Neck Pain database. And make Descriptive Statistical Analysis and Hierarchical Cluster Analysis by statistical software. Results: Totally 60 TCM symptoms was clustered into 4 TCM syndromes by Hierarchical Cluster Analysis. TCM syndromes expert panel preliminary formulate 4 TCM syndromes of Adolescent Neck Pain by analyzing the result of Cluster Analysis and discussing their clinical experience. Conclusion: Adolescent Neck Pain is category of TCM Tendon Trauma`s Bi-syndrome. Exopathy, strains, and internal injury caused ying,wei,qi and blood block is considered as the main pathogenesis of Adolescent Neck Pain. Base on statistical result and expert`s opinions, formulate 4 Adolescent Neck Pain in TCM syndromes: Hanshibizu syndrome, Shirebizu syndrome,Ganyupixu syndrome, Xinshenqiyinliangxu syndrome.
吴忌、时宗庭、赵军、郎松、石鑫超、郑皓云、张栋、王庆甫、杨黎黎
中医学医学研究方法
青少年、颈痛、聚类分析、中医证候
dolescent, Neck Pain,Hierarchical Cluster Analysis,TCM Syndrome
吴忌,时宗庭,赵军,郎松,石鑫超,郑皓云,张栋,王庆甫,杨黎黎.青少年颈痛的中医证候分型研究[EB/OL].(2015-02-06)[2025-08-10].http://www.paper.edu.cn/releasepaper/content/201502-90.点此复制
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