基于因子分析对血脂异常患者证素提炼

目的：探讨原发性血脂异常中医辨证规律及证素提取。方法：例原发性血脂异常住院患者临床资料,应用因子分析寻找中医辩证规律,证素分析。结果运用因子分析得到6个公因子,分别是：肝肾阴虚证、痰浊阻遏证、痰瘀互结证、脾气虚证、气滞血瘀证及火热证。6种证候分布情况：痰瘀互结证占20.9%,脾气虚证占18.8%,其余依次是痰浊阻遏证、肝肾阴虚证、气滞血瘀证及火热证,分别占17.8%、16.3%、13.8%和12.3%。原发性血脂异常的病位证素为脾、肝、肾,病性证素为痰、瘀、气滞、气虚、阴虚、火（热）结论老年原发性血脂异常的常见证候类型有6种,分别是肝肾阴虚证、痰浊阻遏证、痰瘀互结证、脾气虚证、气滞血瘀证及火热证,其中痰瘀互结证与脾气虚证所占比重最大。原发性血脂异常的证素为脾、肝、肾,痰、瘀、气滞、气虚、阴虚、火（热）。

TCM Syndrome Distribution of Old Patients with Primary Dyslipidemia

Objective：study the TCM syndrome distribution of patients with primary dyslipidemia and extract the syndrome factors.Methods：collect the clinical data of the patients,use Factor Analysis to find the distribution of TCM syndromes and extra the syndrome factors.Results：find 6 Factor Analysis：deficiency of the liver and kidney-Yin,stagnation of phlegm,stagnation of phlegm and blood stasis,deficiency of spleen qi,qi stagnation and blood stasis and fire and hear syndrome.Stagnation of phlegm and blood stasis are proportion of 20.9%.deficiency of spleen qi accounts for 1 8.8%,other stagnation of phlegm,deficiency of the liver and kidney-Yin,qi stagnation and blood stasis,fire and heat syndrome accountg for 1 7.8%,1 6.3%,13.8%,12.3%.Syndrome factors of primary dyslipdemia are spleen,liver,kidney,phlegm,stasis,qi stagnation,deficiency of qi,deficiency of yin,fire and heat.Conclusion：The primary dyslipidemia syndromes have 6 kinds：deficiency of the liver and kidney-Yin,stagnation of phlegm,stagnation of phlegm and blood stasis,deficiency of spleen qi,qi stagnation and blood stasis and fire and hear syndrome.Stagnation of phlegm and blood stasis and deficiency of spleen qi accounts for the proportion to be biggest.Syndrome factors of primary dyslipdemia are spleen,liver,kidney,phlegm,stasis,qi stagnation,deficiency of qi,deficiency of yin,fire and heat.