| 青少年颈痛的中医证候分型研究 |
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投稿时间：2015-01-03
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| 作者 | Author | 单位 | Address | E-Mail |
| 张栋 |
ZHANG Dong |
北京中医药大学, 北京 100029 |
Beijing University of Chinese Medicine, Beijing 100029, China |
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| 王庆甫 |
WANG Qing-fu |
北京中医药大学, 北京 100029
北京中医药大学第三附属医院, 北京 100029 |
Beijing University of Chinese Medicine, Beijing 100029, China |
qingpu-wang@sohu.com |
| 吴忌 |
WU Ji |
北京中医药大学, 北京 100029
四川省骨科医院, 四川 成都 610041 |
Beijing University of Chinese Medicine, Beijing 100029, China |
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| 郑皓云 |
ZHENG Hao-yun |
北京中医药大学, 北京 100029 |
Beijing University of Chinese Medicine, Beijing 100029, China |
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| 时宗庭 |
SHI Zong-ting |
北京中医药大学, 北京 100029
北京中医药大学第三附属医院, 北京 100029 |
Beijing University of Chinese Medicine, Beijing 100029, China |
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| 石鑫超 |
SHI Xin-chao |
北京中医药大学, 北京 100029 |
Beijing University of Chinese Medicine, Beijing 100029, China |
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| 杨黎黎 |
YANG Li-li |
北京中医药大学, 北京 100029 |
Beijing University of Chinese Medicine, Beijing 100029, China |
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| 赵军 |
ZHAO Jun |
北京中医药大学, 北京 100029 |
Beijing University of Chinese Medicine, Beijing 100029, China |
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| 郎松 |
LANG Song |
北京中医药大学, 北京 100029 |
Beijing University of Chinese Medicine, Beijing 100029, China |
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| 期刊信息：《中国骨伤》2015年，第28卷，第7期，第628-632页 |
| DOI：10.3969/j.issn.1003-0034.2015.07.011 |
| 基金项目:教育部高等学校博士学科点专项科研基金(编号:20110013110013);首都医学发展基金项目(编号:SF-2007-Ⅲ-05);国家级临床重点专科“十二五”建设项目;国家中医药管理局“十二五”重点学科建设项目 |
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中文摘要:
目的:研究青少年颈痛的中医证候特征,初步拟订青少年颈痛的中医证候分型。
方法:制定青少年颈痛中医证候观察表,对1 397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。 |
| 【关键词】青少年 颈痛 聚类分析 中医证候 |
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| Study about Traditional Chinese Medicine syndrome of adolescent neck pain |
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ABSTRACT
Objective: To preliminarily research the formular about the Traditional Chinese Medicine(TCM) syndrome of adolescent neck pain.
Methods: An observation table of adolescent neck pain syndromes was formulated,and 1 397 patients with adolescent neck pain were investigated to establish a database of adolescent neck pain. The Descriptive Statistical Analysis and Hierarchical Cluster Analysis were performed by statistical software.
Results: Totally 60 TCM symptoms was clustered into 4 TCM syndromes by Hierarchical Cluster Analysis. The expert panel of TCM syndromes preliminarily 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 a category of Tendon Trauma`s Bi-syndrome of TCM. Ying(营),Wei(卫),Qi(气) and blood block caused by exopathy,strains,and internal injury is considered as the main pathogenesis of adolescent neck pain. Base on statistical result and expert's opinions,4 TCM syndromes about adolescent neck pain were formulated:cold-dampness syndrome,dampness-heat blockage syndrome,liver-stagnation and spleen-deficiency syndrome,Qi(气) and Yin(阴) deficiency of both heart and kidney syndrome. |
| KEY WORDS Adolescent Neck pain Hierarchical cluster analysis TCM syndrome |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 张栋,王庆甫,吴忌,郑皓云,时宗庭,石鑫超,杨黎黎,赵军,郎松.青少年颈痛的中医证候分型研究[J].中国骨伤,2015,28(7):628~632 |
| 英文格式: | ZHANG Dong,WANG Qing-fu,WU Ji,ZHENG Hao-yun,SHI Zong-ting,SHI Xin-chao,YANG Li-li,ZHAO Jun,LANG Song.Study about Traditional Chinese Medicine syndrome of adolescent neck pain[J].zhongguo gu shang / China J Orthop Trauma ,2015,28(7):628~632 |
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