CAJ | 학술논문

目的：采用系统聚类的研究方法，分析较大样本慢性萎缩性胃炎（ CAG）病例的临床表现，以规范地探讨CAG证候学特点。方法选取符合诊断标准的371例CAG患者资料，经过阳性排序，保留包括中医症状、体征、舌象和脉象等在内的56个指标，对原始数据进行变量聚类分析，归纳CAG证候学特点。结果根据聚类分析结果及各指标的权重，结合专家意见和以往的临床经验，初步认为CAG患者聚5类较为适宜，将此5类证候命名为浊毒内蕴、肝胃不和、胃络瘀阻、脾胃虚弱、胃阴不足。结论采用聚类分析法将CAG的临床症状进行归类，用现代数理统计方法规范了其临床证候特点，为临床辨证提供了客观依据。
목적：채용계통취류적연구방법，분석교대양본만성위축성위염（ CAG）병례적림상표현，이규범지탐토CAG증후학특점。방법선취부합진단표준적371례CAG환자자료，경과양성배서，보류포괄중의증상、체정、설상화맥상등재내적56개지표，대원시수거진행변량취류분석，귀납CAG증후학특점。결과근거취류분석결과급각지표적권중，결합전가의견화이왕적림상경험，초보인위CAG환자취5류교위괄의，장차5류증후명명위탁독내온、간위불화、위락어조、비위허약、위음불족。결론채용취류분석법장CAG적림상증상진행귀류，용현대수리통계방법규범료기림상증후특점，위림상변증제공료객관의거。
objective To analyze clinical manifestation of comparatively large sample of chronic atrophic gastritis cases,and discuss symptomatology characteristic of chronic atrophic gastritis (CAG),using cluster analysis. Methods 371 standards-compliant patients'data were selected ,and 56 indicators which included symptoms ,signs, tongue presentations ,pulse presentations of Chinese medical science were reserved after positive precedence ordering . Initial data were analyzed by cluster analysis ,and symptomatology characteristic of CAG were concluded .Results The symptomatology of CAG was divided into 5 kinds preliminary ,which were named of turbidity -toxin brewing inter-nally syndrome ,liver-stomach disharmony syndrome ,stasis obstructing the network vessels of the stomach syndrome , spleen-stomach deficiency syndrome ,insufficiency of stomach yin syndrome ,and to summarize the main syndromes and secondary syndromes ,according to results of the SAS cluster analysis and Weight of indicators and combine spe -cialists'opinions with departed clinical experience .Conclusion The clinical symptoms of CAG were classified by cluster analysis .It regulated the Chinese medical science clinical symptomatology characteristic of CAG by modern mathematical statistics ,and provided objective foundation for differentiation .