基于文献研究的肝郁证现代医学诊断规律探析

目的探析肝郁证现代医学临床研究诊断规律。方法制定检索标准,对1992～2012年期间符合检索标准的肝郁证临床研究文献收集、整理,应用SPSS17.0统计分析肝郁证的相关疾病、疾病类别、阳性指标频率分布。结果检索到40篇文献中涉及疾病16种,病例总频次2013,归为8大种类,泌尿生殖系统疾病占42.50%,居第一位,消化系统疾病占27.50%,居第二位,更年期综合征、乳腺增生病例频次分别为706、388,居疾病第一、第二位;相关阳性指标总频次6354,共69类,肝郁积分频次840,居第一位,雌二醇频次825,居第二位。结论泌尿生殖系统疾病是肝郁证主要相关病种,更年期综合征、乳腺增生是其主要相关疾病,肝郁积分、雌二醇是其现代临床辨证的主要相关因子。

Analysis of the Diagnostic Law of Modern Medicine on Liver Qi Stagnation Based on Literature Research

Objective To analyze the diagnostic law of modern medicine on liver qi stagnation based on clinical research.Methods The retrieval standard was implemented.The literatures of clinical research on liver qi stagnation from 1992 to 2012 that were in compliance with the standard were collected.SPSS17.0 statistical measure was adopted to analyze the frequency distributions of the relevant disorders,disease category and positive indexes of liver qi stagnation pattern/syndrome.Results Of 40 literatures retrieved,16 sorts of diseases were involved,the total case frequency was 2013,8 categories were classified;the diseases in the urogenital system accounted for 42.50% on the first top of the list,the diseases in the digestive system for 27.50% on the second top;the case frequencies were 706 and 388 for climacteric syndrome and breast hyperplasia respectively,occupying the first and second tops;the total frequency of the relevant positive indexes was 6354,including 69 categories,in which,the frequency of liver qi stagnation integral was 840,occupying the first top and that of estradiol was 825,occupying the second top.Conclusion The diseases in the urogenital system form the main disease category of liver qi stagnation.Climacteric syndrome and breast hyperplasia are the main relevant diseases.The liver qi stagnation integral and estradiol are the main relevant factors of modern clinical pattern/syndrome differentiation.