目的:通过研究关节置换术后非感染性发热患者的症状体征、舌苔脉象,探讨术后发热的中医证候特点,为临床治疗提供参考.方法:对关节置换术后发热患者进行中医四诊,获得患者的症状及舌脉象等信息,经筛选后进行聚类分析.结果:所有证候要素可归纳为气虚、阴虚、气(郁)滞、血瘀、血虚和湿热6类,其中以阴虚、气虚出现频率较高,绝大多数患者的发热表现为单一证候或者两证相兼出现,证候合并中则以气虚合并血虚、阴虚及血瘀较多见.结论:关节置换术后非感染性发热以气、阴、血等亏虚为主,血瘀、湿热、气(郁)滞等病理因素兼见.本病的发病特点既可表现为单纯的虚证,也可表现为虚实夹杂的发病特点.%Objective:By studying the symptoms,signs,tongue and pulse condition of the non infective fever patients after joint arthroplasty,explore the characteristics of TCM syndromes of non infective fever after joint arthroplasty and provide reference for clinical treatment.Method:Collect the information of the postoperative fever patients' symptoms,signs,tongue and pulse condition by TCM four diagnostics.Cluster analysis was performed after screening.Results:All syndrome elements were classified into 6 classes including deficiency of Qi,deficiency of Yin,stagnation of Qi,blood stasis,deficiency of blood and damp-heat.The deficiency of Yin and Qi were more common.Fever of most patients performed one single syndrome or two syndromes.Deficiency of Qi usually combined with deficiency of blood,deficiency of Yin and blood stasis.Conclusion:Non infective fever patients after joint arthroplasty characterizes by the deficiency of Qi,Yin and blood and other pathological factors such as blood stasis,damp-heat stagnation of Qi concurrently appears.The characteristics of the disease can be manifested as a simple deficiency and also may featured by intermingled deficiency and excess.
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