ABSTRACT
Objective:In view of the complexity of the "Prescription-Formula-Dosage-Property" relationship of Tibetan medicine and the outstanding common relationship，it is difficult to reveal the hidden and specific rules of clinical medication of Tibetan medicine. Method:Based on the attribute partial order structure and the vector structure model of "Ro-Nus-Zhu-Rjes"（Taste，Post-Digestive Tastes and Potency），clustering analysis and other methods and software，this study analyzed the "Prescription-Formula-Dosage-Property" relationship of 184 commonly used prescriptions in the 1995 edition of the standards issued by the Ministry of Tibetan medicine（SIMTM）. Result:Among them，the analysis of the relationship between prescription and formula found that 11 prescriptions with the largest common attribute，such as Chebulae Fructus and Carthami Flos，were the key components of classification and compatibility，which could effectively classify the 8 kinds of prescriptions for the treatment of lung disease，tripa disease and blood fever. Among them，the san Yin and auxiliary viscera function prescriptions，such as Sanguotang powder and Liuwei Liangyao powder，had the strongest commonality. According to the analysis of relationship between formula and dosage ，the dosage of Chebulae Fructus，Carthami Flos，pomegranate seed，Phyllanthi Fructus was the highest，which suggested that these drugs were often used as primary drugs，while the Liuwei Liangyao powder，such as Amomi Fructus Rotundus and Tsaoko Fructus，had a higher frequency but a lower dose，which mainly played a role in regulating the overall drug property of the prescription and protecting the viscera. The Tibetan medicine-specific drugs including Moschus，Bovis Calculus，and Zhaxun，which were used in a high frequency but very low dose，had the effect of enhancing the drug property and guiding the affected part. According to the analysis of the relationship between dosage and property，there were many prescriptions belonging to cool nature，accounting for 75.6%. It was found that 67 prescriptions did not conform to the efficacy due to their different dosage. Conclusion:There are many common components and common usages in Tibetan medicine prescriptions. If these common associations are not treated，it will lead to the result that all diseases take these common associations as the core，but the hidden key factors cannot be solved. Therefore，it is necessary to pay attention to sensitivity and specificity at the multi-dimensional level of "prescription-formula-dosage-property"，so as to reveal the clinical medication thought of Tibetan medicine more effectively.
ABSTRACT
PURPOSE: The outcome after laparoscopic surgery is dependent on self-care behaviors. Whether or not the patients after laparoscopic abdominal surgery in China are care-dependent is still unclear. Thus, the studies try to analyze influence factors of care dependence on patients with laparoscopic abdominal surgery, to provide reference for personalized care for the patient. METHODS: In our study, two hundreds and forty-two cases were selected and investigated by using the exercise of self-care agency scale and care dependency scale. And correlation analyses between care dependency and self-care agency, age or hospital stay duration was made by Spearman correlation analysis. The analysis of associated factors was made by multivariable linear regression model. RESULTS: The mean age of participants is 42.12±12.67 (ranged from 18 to 73years), and 134 patients (55.37%) in the study were older than 50years. Among the 242 participants, 59.09% is male. Our data found that the average self-care agency score was 115.72±30.13. And 64.88% participates are in the median level of self-care agency. Care dependency correlated with self-care agency (r=-0.85, P=0.009), age (r=-0.71, P=0.001) and hospital stay duration (r=-0.69, P=0.003) negatively. The linear regression was found between gender, age, educational level, days of hospital stay and care dependency. The model is care dependency=99.533+5.02×(gender)-0.795×(age)+0.512×(educational level)-0.239×(days of hospital stay). CONCLUSION: Patients after laparoscopic surgery take notice of self-care. Gender, age, educational level and days of hospital stay affect care dependence.
