膝骨关节炎患者中医体质分布特点及相关性分析

Distribution Characteristics and Correlation Analysis of TCM Constitutions in Patients with Knee Osteoarthritis

目的:探讨膝骨关节炎患者中医体质的分布特点及其与体质量指数、年龄、性别的相关性。方法:收集84例膝骨关节炎患者的基本信息,判断体质类型,分析其与相关指标的相关性。结果:阳虚质、血瘀质、阴虚质患者最多;兼夹体质占总数的50.0%;百分比>2%的体质有9种;痰湿质的超重和肥胖患者多于偏瘦和正常体重者,气虚、血瘀质肥胖患者多于偏瘦者;偏颇质大龄患者多于年轻者;女性阳虚患者多于男性;平和质与年龄呈负相关(P<0.05),阳虚质与性别呈正相关(P<0.05),痰湿质与体质量指数呈正相关(P<0.05)。结论:膝骨关节炎患者的主要体质为阳虚、血瘀、阴虚质;随着年龄增加,患者逐渐倾向于兼夹体质;女性患者阳虚质比例多于男性患者;体质量增加,痰湿质的比例也增加。

Objective:To investigate the distribution characteristics of TCM constitution in patients with knee osteoarthritis and its correlation with human body mass index,age and sex.Methods:The basic information and TCM constitution information of 84 patients with knee osteoarthritis were collected to judge the constitution type and analyze the correlation.Results:The number of patients with Yang asthenia,blood stasis and Yin asthenia was the largest.Patients with multiple TCM constitution types for 50.0%of the total;A total of 45 TCM constitution conditions,percentage of>2%of the TCM constitution of 9;The overweight and obese patients with phlegm constitution were more than those with lean and normal body weight,and the obese patients with qi deficiency and blood stasis were more than those with lean.Older patients with abnormal TCM constitution type are more than younger ones.Female patients with Yang deficiency are more than male patients.There was a negative correlation between the gentler in constitution of TCM and age(P<0.05),positive correlation between Yang asthenia and sex(P<0.05),and positive correlation between phlegm constitution and body mass index(P<0.05).Conclusion:The main TCM constitutions of patients with knee osteoarthritis are Yang deficiency,blood stasis and Yin deficiency.With the increase of age,patients gradually tend to have multiple TCM constitution types;Female of Yang deficiency constitution is more than male;Weight gain also increases the risk of developing phlegm constitution.