首页|期刊导航|中国中医急症|282例老年重症肺炎患者证素分布特点的因子分析研究

282例老年重症肺炎患者证素分布特点的因子分析研究OA

Factor Analysis of Syndrome Element Distribution Characteristics in 282 Elderly Patients with Severe Pneumonia

中文摘要英文摘要

目的 探寻老年重症肺炎患者的中医证素分布特点.方法 采用回顾性研究方法,采集282例老年重症肺炎的中医证素进行描述性统计.运用因子分析方法进行非线性降维研究,提取主要病性及病位证素并加以总结分析.结果 利用因子分析共提取公因子8个,累积方差贡献率为68.879%.病性证素分布结果显示,老年重症肺炎的主要病性证素是痰(100.0%)、热(100.0%)、瘀血(81.9%).病位证素分布结果显示,老年重症肺炎的主要病位证素为肺(100.0%)、脑(89.7%)、营分(81.9%).结论 老年重症肺炎患者最主要病性证素是痰、热、瘀血;老年重症肺炎最主要病位证素是肺、脑、营分,结果与临床老年重症肺炎的复杂病机相合.

Objective:To explore the distribution characteristics of traditional Chinese medicine(TCM)syndrome elements in elderly patients with severe pneumonia.Methods:A retrospective study was conducted to collect TCM syndrome elements of 282 elderly patients with severe pneumonia,and descriptive statistics were con-ducted.Factor analysis was used for nonlinear dimensionality reduction to extract the main syndrome elements of disease nature and disease location,which were then summarized and analyzed.Results:A total of 8 common factors were extracted by factor analysis,with a cumulative variance contribution rate of 68.879%.The distribution results of syndrome elements of disease nature showed that the main ones in elderly patients with severe pneumo-nia were phlegm(100.0%),heat(100.0%)and blood stasis(81.9%).The distribution results of syndrome elements of disease location indicated that the primary ones were lung(100.0%),brain(89.7%)and ying phase(81.9%).Conclusion:The most prominent syndrome elements of disease nature in elderly patients with severe pneumonia are phlegm,heat and blood stasis;the major syndrome elements of disease location are lung,brain and ying phase.These results are consistent with the complex pathogenesis of severe pneumonia in the elderly in clinical practice.

王永亮;杨丽娟;余云鹏;马洪皓;刘晴;刘凤仪;刘爱;王亚杰;徐红日

北京中医药大学第三附属医院,北京 100029||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||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||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北京中医药大学第三附属医院,北京 100029北京中医药大学第三附属医院,北京 100029||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北京中医药大学第三附属医院,北京 100029北京中医药大学第三附属医院,北京 100029

医药卫生

老年重症肺炎中医证素病性证素病位证素因子分析

Elderly severe pneumoniaTCM syndrome elementsSyndrome elements of disease natureSyndrome elements of disease locationFactor analysis

《中国中医急症》 2026 (1)

37-41,5

国家中医药管理局中医药创新团队及人才支持计划项目(ZYYCXTD-D-202208)中央高校基本科研业务费专项资金资助:新教师启动基金项目(2025-JYB-XJSJJ046)

10.3969/j.issn.1004-745X.2026.01.008

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