世界中西医结合杂志
世界中西醫結閤雜誌
세계중서의결합잡지
World Journal of Integrated Traditional and Western Medicine
2015年
8期
1143-1146,1149
,共5页
龙子弋%梁子钰%李俊德%田金洲
龍子弋%樑子鈺%李俊德%田金洲
룡자익%량자옥%리준덕%전금주
痴呆%证候要素%合并疾病%关联规则
癡呆%證候要素%閤併疾病%關聯規則
치태%증후요소%합병질병%관련규칙
Dementia%Syndrome Factors%Complicated Diseases%Association Rules
目的：明确痴呆患者合并疾病的状况及合并疾病与证候要素的关系，为痴呆患者的综合治疗提供指导依据。方法从医院门诊、病房及社区纳入痴呆患者，收集人口学资料、合并疾病、治疗药物、证候要素等数据，采用均数、频率描述患者合并疾病、治疗药物的分布，使用关联规则的数据挖掘方法分析合并疾病的组合及合并疾病与证候要素的相关性。结果研究共纳入171例痴呆患者，合并1种疾病的患者47例（27.5％），合并1种以上疾病的患者89例（52％）。高血压病（40.9％）、卒中（40.4％）、冠心病（24.6％）、糖尿病（19.9％）是最常见的合并疾病；合并使用抗精神病类药物的患者比例最高（29.8％）。痴呆患者合并高血压病、卒中、糖尿病、冠心病是更易出证肾阴虚、血瘀、痰浊。结论痴呆患者最常的见合并疾病高血压病、卒中、冠心病、糖尿病单独或共同作用促进了痴呆的共性病机，对痴呆证候的形成演变产生影响，但这些疾病并未得到良好控制。
目的：明確癡呆患者閤併疾病的狀況及閤併疾病與證候要素的關繫，為癡呆患者的綜閤治療提供指導依據。方法從醫院門診、病房及社區納入癡呆患者，收集人口學資料、閤併疾病、治療藥物、證候要素等數據，採用均數、頻率描述患者閤併疾病、治療藥物的分佈，使用關聯規則的數據挖掘方法分析閤併疾病的組閤及閤併疾病與證候要素的相關性。結果研究共納入171例癡呆患者，閤併1種疾病的患者47例（27.5％），閤併1種以上疾病的患者89例（52％）。高血壓病（40.9％）、卒中（40.4％）、冠心病（24.6％）、糖尿病（19.9％）是最常見的閤併疾病；閤併使用抗精神病類藥物的患者比例最高（29.8％）。癡呆患者閤併高血壓病、卒中、糖尿病、冠心病是更易齣證腎陰虛、血瘀、痰濁。結論癡呆患者最常的見閤併疾病高血壓病、卒中、冠心病、糖尿病單獨或共同作用促進瞭癡呆的共性病機，對癡呆證候的形成縯變產生影響，但這些疾病併未得到良好控製。
목적：명학치태환자합병질병적상황급합병질병여증후요소적관계，위치태환자적종합치료제공지도의거。방법종의원문진、병방급사구납입치태환자，수집인구학자료、합병질병、치료약물、증후요소등수거，채용균수、빈솔묘술환자합병질병、치료약물적분포，사용관련규칙적수거알굴방법분석합병질병적조합급합병질병여증후요소적상관성。결과연구공납입171례치태환자，합병1충질병적환자47례（27.5％），합병1충이상질병적환자89례（52％）。고혈압병（40.9％）、졸중（40.4％）、관심병（24.6％）、당뇨병（19.9％）시최상견적합병질병；합병사용항정신병류약물적환자비례최고（29.8％）。치태환자합병고혈압병、졸중、당뇨병、관심병시경역출증신음허、혈어、담탁。결론치태환자최상적견합병질병고혈압병、졸중、관심병、당뇨병단독혹공동작용촉진료치태적공성병궤，대치태증후적형성연변산생영향，단저사질병병미득도량호공제。
Objective To determine the condition of the complicated diseases in dementia patients and the relationship between the complicated diseases and syndrome factors so as to provide the guide evi-dence for the comprehensive treatment of dementia in the patients. Methods The dementia patients were en-rolled from the clinic,ward and community. The demographic data,complicated diseases,medicines for treat-ment and syndrome factors of the patients were collected. The mean and frequency were adopted to describe the distribution of the complicated diseases and medications in the patients. The data mining of association rules was used to analyze the combination of complicated diseases and the correlation between the complicat-ed diseases and syndrome factors. Results One hundred and seventy one dementia patients were included, in which,47 cases(27. 5% )were complicated with 1 disease and 89 cases(52% )were with over one dis-ease. Hypertension(40. 9% ),stroke(40. 4% ),coronary heart disease(24. 6% )and diabetes(19. 9% )were the most common complicated diseases. The proportion of the patients combined with the medication of antip-sychotic drugs was the highest(29. 8% ). Dementia patients complicated with hypertension,stroke,diabetes and coronary heart disease commonly had kidney yin deficiency,blood stagnation and phlegm. Conclusion Dementia patients are the most commonly complicated with hypertension,stroke,coronary heart disease and diabetes. These complicated diseases promote the common pathogenesis of dementia individually or mutually and impact the formation and evolution of dementia syndromes. These complicated diseases have not been well controlled yet.
