180例哮喘病维医异常体液分型的量化诊断入选项专家咨询研究

 为了建立支气管哮喘维医异常体液分型诊断标准,以非疾病诊断临床相关信息为依据,对诊断明确的180例支气管哮喘急性发作期患者进行了量化诊断入选项专家咨询研究。入选的证候要素进行多分类Logistic回归分析、共线性诊断及主成分分析；使用主成分改进的多分类Logistic回归分析方法确立各证候要素对证候的贡献度,根据OR值分支气管哮喘各异常体液主症、次症。结果显示,哮喘异常黑胆质型主症为小便发青,舌质青紫,皮肤较凉,脉象细、硬；次症为面色晦暗,口味苦涩。哮喘异常血液质型主症为面色发红,结膜稍红,舌体短、胖,皮肤较热；次症为大便不干,尿色黄赤,痰黏色黄,脉象底粗上细、有力。哮喘异常黏液质型主症为口黏,舌苔白色厚腻,小便清长,痰黏色白,大便干结；次症为口淡无味,结膜发白。哮喘异常胆液质型主症为面色发黄,结膜发黄,皮肤热,小便偏黄,脉象细、浮；次症为舌体瘦、薄,口味甘苦,大便干燥。经过对量化诊断入选项专家咨询所得到的临床信息的统计分析,认为支气管哮喘异常体液分型的诊断要点与临床异常体液分型实际情况基本一致,可靠性高。由此得出结论,支气管哮喘异常体液分型诊断标准的建立为开展维医异常体液病证诊断规范的研究奠定了一定的基础。

Screening of Quantitative Diagnosis Indices of Typing Abnormal Hilit Syndrome in Uighur Medicine Using Delphi Method,A Survey of 180 Cases of Bronchial Asthma

To set up abnormal Hilit typing quantitative diagnostic criteria of uighur medicine for the bronchial asthma patients, in accordance with free disease clinical diagnostic information, 180 bronchial asthma patients were selected in the study of quantifying the diagnosis specialist counseling. The selected factors were analyzed by a modified multiple category logistic regression analysis to determine the contributions of the symptom-complex factors and the OR values and to identify the abnormal Hilit of the bronchial asthma. As a result, the meaningful symptoms were found in all abnormal Hilit syndromes according to the OR values. As a result, the chief symptoms of the abnormal savda type bronchial asthma are greenish urine, cyanotic tongue, cool skin, thready and hard pulse. Subsequent symptoms are dark and gloomy complexion, bitter taste.The chief symptoms of the abnormal kan type bronchial asthma are reddish complexion, reddish conjunctiva, short and fat tongue, and hotter skin. The second important symptoms are dry stools, deep-colored urine, yellow sticky sputum, thick and strong pulse. The chief symptoms of the abnormal balgham type bronchial asthma are sticky mouth, greasy, thick white fur, thick and low coloured urine, white and sticky tongue coating, and dry stool. Subsequent symptoms are metallic taste and pale conjunctiva. The chief symptoms of the abnormal sapra type bronchial asthma are yellowish complexion, yellowish conjunctiva, hot skin, yellowish urine, thready and floating pulse. Subsequent symptoms are thin tongue, bittersweet taste, dry and hard stool. The features of excess syndromes of the four abnormal Hilit syndromes are in line with the clinical practice. The symptom quantitative diagnosis of the abnormal Hilit excess syndromes provides an objective evidence for the clinical practice.