为了建立冠心病异常体液分型诊断标准,以非诊断疾病临床相关信息为依据,对诊断明确的180例冠心病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,据OR值分冠心病各异常体液主症、次症。研究结果显示,异常黑胆质型冠心病的主症为心神不宁,口唇青紫,舌体中等大小、舌苔灰黑色,皮肤较凉,尿色发青;次症为舌质青紫,尿每次量少,多梦、噩梦。异常血液质型冠心病的主症为面色发红,结膜稍红,口不干,口味微苦,脉象粗、有力,大便干结;次症为睡眠尚少,出汗不多,尿色黄赤。异常粘液质型冠心病的主症为少气懒言,口唇淡白,口黏,口淡无味,出汗较多,肢体麻木;次症为面色苍白,舌苔白腻、边缘齿痕,脉象弱、沉,睡眠较多,尿量较多。异常胆液质型冠心病的主症为面色暗淡,目光无神、结膜偏黄,舌苔黄腻,皮肤较热,脉象细、硬;次症为心急易怒,面色发黄,口味甘苦,皮肤粗糙,尿色偏黄。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,认为研究结果与临床实际比较符合,可靠性高。由此得出结论:将量化诊断入选项专家咨询研究应用于维医病证异常体液分型诊断的标准化、量化、科学化研究中,可以获得具有代表性和普适性的临床病证信息,故可为临床冠心病异常体液分型诊断提供客观依据。
To establish abnormal Hilit typing quantization diagnostic criteria of Uighur medicine for the Coronary heart disease patients,in accordance with free disease clinical diagnostic information,180 coronary heart disease patients were selected in the study of quantitative diagnosis specialist counseling.The selected factors were analyzed by modified multiple category logistic regression analysis to determine the contributions of the symptom-complex factors and the OR value to identify abnormal Hilit of coronary heart disease.It is shown that the chief symptoms of abnormal savda type coronary heart disease are heart-mind dysfunction,grey lips,grey and black fur of the tongue,cool skin,and pale colour of the urine.Among the second important symptoms are dark purple tongue,less urine,too many dreams,and nightmares.The chief symptoms of abnormal kan type coronary heart disease are red complexion,redish conjunctiva,no dried mouth,mildly bitter flavor in mouth,thick and wavelike pulse,dry and hard stool.Among the next important symptoms are sleepless,less sweating,yellow-red colour of the urine.The chief symptoms of abnormal balgham type coronary heart disease are lower spirit and speechless,pale labia,sticking mouth,insipidity of the mouth,too much sweating,numbness of the limbs.Among the next important symptoms are pale face,white and sticky tongue coating with indentation boundary,weak and heavy pulse,hyper-somnia,too much urine.The chief symptoms of abnormal saprah type coronary heart disease are dim complexion,lack of spirit of the oculus,yellowish conjunctive,the hotter skin,thin and hard pulse.Among the next important symptoms are acute mind and tantrum,yellowish complexion,sweet-bitter flavor mouth,rough skin and yellowish urine.As a result,the meaningful symptoms were found in all the abnormal Hilit syndromes according to the OR value.The features of excess syndromes of the four abnormal Hilit syndromes are complicated with deficiency.The symptom quantitative diagnosis of the abnormal Hilit excess syndromes provi