休克病人陰陽辨證與預後的臨床觀察

The Clinical Observations of Yin-Yang Pattern Identifications and Prognoses in Shock Patients

經由休克病人的臨床觀察，歸納提出陽證和陰證在現代重症病人可用的診斷指標，並統計分析該診斷指標和預後的相關性。採前瞻性觀察型研究。收集亞東紀念醫院內科加護病房休克病人，仍處於休克狀態或因休克使用升壓劑，發病一週以內者，共116人。記錄中醫陰陽辨證及追蹤病人是否穩定轉出加護病房或死亡，統計分析中醫辨證及預後的相關性。結果顯示休克陰陽辨證的預後由好到差依序為偏陽證、陰陽混合、偏陰證，其中主要的差異在偏陽證和偏陰證。偏陰證預後差的機率是偏陽證的5.6倍（95%信賴區間2.4-13.3）。我們得到休克陰陽辨證與預後有相關性存在的結論。

To propose a diagnostic criterion based on yang and yin patterns in shock patients and to compare these patterns with the prognoses. The study group comprised 116 shock patients recruited from the medical intensive care unit of the Far Eastern Memorial Hospital in Taiwan. The yin-yang patterns and prognoses were followed in order to analyze their correlation. The results showed that good prognoses corresponded with a yang pattern; moderate prognoses correlated with the yin-yang mixed pattern; and poor prognoses were associated with a yin pattern. There exists a significant difference between yin and yang patterns. The poor prognoses in yin pattern is 5.6 times than yang pattern (95% confidence interval, 2.4-13.3). We concluded that the ying-yang pattern correspond with the prognoses.