430例高血压患者维医异常体液分型的量化诊断入选项专家咨询研究

 为建立高血压维医异常体液分型量化诊断标准，以非疾病诊断临床相关信息为依据，对诊断明确的430例高血压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值分高血压各异常体液主症、次症。研究结果显示，高血压异常黑胆质型主症为多梦、噩梦，心神不宁，脉象细、硬、沉，尿色发青，舌质青紫；次症为大便干燥，舌苔灰黑色，口味苦涩，面色偏黑，口唇暗红，肢体酸痛，盗汗。异常血液质型高血压主症为结膜稍红，舌尖红，脉象粗、短、有力，面色发红；次症为尿色黄赤，皮肤较热，舌苔光滑，出汗不多，口味微苦，皮肤细嫩，目光少神。异常黏液质型高血压主症为脉象沉、弱，口淡无味，出汗较多，便秘，肢体沉重；次症为疲乏，舌苔白腻，面色暗淡，睡眠较多，面色发白，边缘齿痕，口黏，皮肤较湿，口唇淡白。异常胆液质型高血压主症为皮肤较热，情绪紧张，脉象细、浮、硬，失眠、易醒，舌苔黄色，面色萎黄；次症为舌体瘦长，口味甘苦，结膜偏黄，尿色偏黄，尿每次量少。对量化诊断入选项专家咨询所得到的临床信息进行统计分析，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：高血压异常体液证候的量化诊断可为高血压临床辨证提供客观依据。

Screening of Quantitative Diagnosis Indices of Typing Abnormal Hilit Syndrome in Uighur Medicine Using Delphi Method in the Survey of 430 Cases of Hypertension

To set up abnormal Hilit typing quantization diagnostic criteria of Uighur medicine for the hypertension patients, according to the free disease clinical diagnostic information, 430 hypertension patients were selected in the study of quantifying diagnosis specialist counseling. Some selected factors were analyzed by a modified multi-categorization logistic regression analysis to determine the contribution degrees of the symptom-complex factors to the main symptoms and subsidiary symptoms of abnormal Hilit of hypertension from the OR values. As a result, the meaningful symptoms are found in all abnormal Hilit syndromes according to the OR values. The features of the four abnormal Hilit syndromes are complicated. The symptom quantitative diagnosis of the abnormal Hilit syndromes provides an objective evidence for clinical practice.