中国组织工程研究
中國組織工程研究
중국조직공정연구
Journal of Clinical Rehabilitative Tissue Engineering Research
2014年
11期
1799-1804
,共6页
胡彬%谢兴文%李宁%黄晋%秦林原
鬍彬%謝興文%李寧%黃晉%秦林原
호빈%사흥문%리저%황진%진림원
组织构建%组织工程%膝骨关节炎%对应分析%二步聚类分析%中医证型
組織構建%組織工程%膝骨關節炎%對應分析%二步聚類分析%中醫證型
조직구건%조직공정%슬골관절염%대응분석%이보취류분석%중의증형
osteoarthritis,knee%medicine,Chinese traditional%statistics%diagnosis
背景:对应分析和二步聚类分析属于高级统计分析,将其引入膝骨关节炎中医证型标准化研究,通过数学统计原理和中医证型结合,可为中医证型向标准化、规范化提供客观依据。<br> 目的:运用对应分析及二步聚类分析法探索膝骨关节炎中医证型分布特点。<br> 方法:运用膝骨关节炎症候调查表对200例膝骨关节炎患者的临床症候进行调查,结合《中医病证诊断疗效标准》所制定的3种证候类型为标准,分别采用二步聚类分析法及对应分析法确定各证型的辨证要点;确立膝骨关节炎的中医证型特点。<br> 结果与结论:对于找出《中医病证诊断疗效标准》症候群之外的证型,聚类分析无法完成。对应分析结果显示膝骨关节炎除了《中医病症临床诊断标准》规定的症候肾虚髓亏型(50.5%)、阳虚寒凝型(3.5%)、瘀血阻滞型(23%)之外,还存在兼夹证型,包括肾虚髓亏合并阳虚寒凝型(6.5%)、阳虚寒凝合并瘀血阻滞型(3%)、肾虚髓亏合并瘀血阻滞型(3.5%),因此课题尝试采用对应分析方法。综合粗分半径在0.5,1.0,1.1,1.2,1.3,1.4,1.5症候群分析后,认为对应分析取值半径为1.1时个体值归属的症候群证型最合理,说明对应分析法用于膝骨关节炎证型的分类研究具有一定科学性。
揹景:對應分析和二步聚類分析屬于高級統計分析,將其引入膝骨關節炎中醫證型標準化研究,通過數學統計原理和中醫證型結閤,可為中醫證型嚮標準化、規範化提供客觀依據。<br> 目的:運用對應分析及二步聚類分析法探索膝骨關節炎中醫證型分佈特點。<br> 方法:運用膝骨關節炎癥候調查錶對200例膝骨關節炎患者的臨床癥候進行調查,結閤《中醫病證診斷療效標準》所製定的3種證候類型為標準,分彆採用二步聚類分析法及對應分析法確定各證型的辨證要點;確立膝骨關節炎的中醫證型特點。<br> 結果與結論:對于找齣《中醫病證診斷療效標準》癥候群之外的證型,聚類分析無法完成。對應分析結果顯示膝骨關節炎除瞭《中醫病癥臨床診斷標準》規定的癥候腎虛髓虧型(50.5%)、暘虛寒凝型(3.5%)、瘀血阻滯型(23%)之外,還存在兼夾證型,包括腎虛髓虧閤併暘虛寒凝型(6.5%)、暘虛寒凝閤併瘀血阻滯型(3%)、腎虛髓虧閤併瘀血阻滯型(3.5%),因此課題嘗試採用對應分析方法。綜閤粗分半徑在0.5,1.0,1.1,1.2,1.3,1.4,1.5癥候群分析後,認為對應分析取值半徑為1.1時箇體值歸屬的癥候群證型最閤理,說明對應分析法用于膝骨關節炎證型的分類研究具有一定科學性。
배경:대응분석화이보취류분석속우고급통계분석,장기인입슬골관절염중의증형표준화연구,통과수학통계원리화중의증형결합,가위중의증형향표준화、규범화제공객관의거。<br> 목적:운용대응분석급이보취류분석법탐색슬골관절염중의증형분포특점。<br> 방법:운용슬골관절염증후조사표대200례슬골관절염환자적림상증후진행조사,결합《중의병증진단료효표준》소제정적3충증후류형위표준,분별채용이보취류분석법급대응분석법학정각증형적변증요점;학립슬골관절염적중의증형특점。<br> 결과여결론:대우조출《중의병증진단료효표준》증후군지외적증형,취류분석무법완성。대응분석결과현시슬골관절염제료《중의병증림상진단표준》규정적증후신허수우형(50.5%)、양허한응형(3.5%)、어혈조체형(23%)지외,환존재겸협증형,포괄신허수우합병양허한응형(6.5%)、양허한응합병어혈조체형(3%)、신허수우합병어혈조체형(3.5%),인차과제상시채용대응분석방법。종합조분반경재0.5,1.0,1.1,1.2,1.3,1.4,1.5증후군분석후,인위대응분석취치반경위1.1시개체치귀속적증후군증형최합리,설명대응분석법용우슬골관절염증형적분류연구구유일정과학성。
BACKGROUND:Both correspondence analysis and two-step cluster analysis are high-grade statistical analysis, the introduction of these analyses into the research on traditional Chinese medicine (TCM) syndrome type of knee osteoarthritis wil provide objective evidence for the standardization and normalization of TCM syndrome type, through the combination of mathematical statistical principle and TCM syndrome type. <br> OBJECTIVE:To explore distribution characteristics of knee osteoarthritis TCM syndrome type using correspondence analysis and two-step cluster analysis. <br> METHODS:The clinical symptoms of 200 patients with knees osteoarthritis were investigated through a knee osteoarthritis symptoms questionnaire. According to the criteria for three kinds of syndrome type issued in Diagnostic Criteria for TCM Syndrome, the characteristics of each syndrome were analyzed using two-step cluster analysis and corresponding analysis. Then knee osteoarthritis TCM syndrome type characteristics were defined. <br> RESULTS AND CONCLUSION:Cluster analysis is ineffective for the syndrome type, which is not present in the Diagnostic Criteria for TCM Syndrome. Corresponding analysis showed that, in addition to kidney marrow deficiency syndrome (50.5%), yang deficiency and congealing syndrome (13.5%), and blood stasis syndrome (23%), concurrent syndromes were also found, including kidney marrow deficiency combined yang deficiency and congealing syndrome (6.5%), yang deficiency and congealing combined blood stasis syndrome (3%), kidney marrow deficiency combined blood stasis syndrome (3.5%). Therefore we performed corresponding analysis. After analyzing the syndromes at 0.5, 1.0, 1.1, 1.2, 1.3, 1.4, 1.5 radius, the most reasonable syndrome was those at 1.1 radius by corresponding analysis. Corresponding analysis is a scientific method for the classification of knee osteoarthritis syndrome.