原发性高尿酸血症人群的中医体质类型调查

Identification of TCM constitutional category of primarily hyperuricemia

目的通过对原发性高尿酸血症人群的中医体质类型进行分析，探讨不同体质类型人群该病的发病趋势，并为后续针对该病高发体质类型的人群的中医药防治方案的研究打下基础。方法采用中华中医药学会颁布的《中医体质分类与判定自测表》对健康对照组518、原发性高尿酸血症组525例进行中医体质类型辨识，比较健康人群和高尿酸血症人群的体质类型分布差异，分析高尿酸血症的高发体质类型。结果高尿酸血症人群的体质类型比重最高的三种体质类型为湿热质（24．57％）、痰湿质（22．86％）、瘀血质（11．05％）三种体质类型的人群高尿酸血症的发生风险显著高于其他体质类型，而平和质（8．57％）、气虚质（6．29％）类型的人群发生高尿酸血症的风险显著低于其他体质类型人群，以上差异均具有统计学意义。结论湿热质、痰湿质、瘀血质人群作为原发性高尿酸血症的高危人群，应作为本病防治方面研究的重点。

Objective To discuss the incidence trends of hyperuricemia in people of different TCM constitutional types by analyzing the constitutional types of patients with hyperuricemia, and to lay a foundation for follow-up study in preventive and therapeutic measures for hyperuricemia. Methods 518 healthy people and 525 people of hyperuricemia were included in our research by identifying their TCM constitutional types by the self testing table of constitutional classification and determination of TCM promulgated by China Association of Chinese Medicine. Hyperuricemia＇s high-risk constitutional types were analyzed. Results People of dampness-heat constitution （24.57%） , phlegm-dampness constitution （22.86%） and static-blood constitution （ 11.05% ） were top 3 groups in occurrence rate of hyperuricemia, the risk of hyperuricemia in these three groups above were significantly higher than the other constitutional types. On the contrary, the risk of hypenaricemia in the group of the mildly constitution （8.57%） and the group of qi-asthenia constitution （6.29%） were significantly lower than the other groups. Conclusion People of dampness-heat constitution, phlegm-dampness constitution and static-blood constitution were high risk groups of hyperuricemia, which deserved our attention in research of preventive and therapeutic measures for hyperuricemia.