北京市平谷区500例缺血性卒中急性期患者中医体质分布规律探究

Distribution regularities of TCM constitution among 500 patients with acute-stage ischemic stroke in Pinggu District

目的探讨北京市平谷区缺血性卒中急性期患者中医体质的分布规律。方法采用《中医体质分类与判定表》对北京市平谷区500例缺血性卒中急性期患者进行中医体质判断,并观察性别、不良生活习惯与患者体质类型的关系。结果 500例患者中单一体质者253例(50.6%),复合体质者247例(49.4%)。单一体质者,以痰湿质为最多(35.2%),其次为气虚质(19.0%)、阳虚质(15.8%)、湿热质(11.1%)、阴虚质(5.9%)、血瘀质(5.5%)、平和质(3.9%)、气郁质(3.2%)及特禀质(0.4%);复合体质者,以痰湿质为最多(62.3%),其次为血瘀质(41.7%)、气虚质(40.0%)、阳虚质(32.3%)、气郁质(27.9%)、湿热质(25.5%)、阴虚质(17.8%)及特禀质(3.2%)。不同性别缺血性卒中急性期患者体质分布情况,差异有统计学意义(P<0.01),且饮食肥甘厚味、吸烟、饮酒的生活习惯与缺血性卒中急性期患者体质分布均有一定的相关性(P<0.05)。结论缺血性卒中的发生与中医体质失衡关系密切。了解缺血性卒中急性期患者中医体质分布规律对"未病先防""病后防复"有一定的指导意义。

Objective To explore the distribution regularities of TCM constitution among patients with acute-stage ischemic stroke in Pinggu District of Beijing City. Methods By using Table for classification and assessment of TCM constitution, TCM constitution assessment was performed on 500 patients of acute-stage ischemic stroke in Pinggu District of Beijing City, and the relationship between gender, unhealthy living habit and constitution types was observed. Results Among 500 patients, 253 cases （50. 6% ） were considered as single constitution while 247 cases （49.4%） were considered as multiple constitutions. For patients with single constitution, the phlegm type was mostly seen （35.2%）, followed by qi-deficiency type （19. 0% ）, yang-deficicncy type （ 15.8% ）, dampness-heat type （ 11.1% ）, yineficiency type （5.9%）, blood-stasis type （5.5%）, moderate type （3.9%）, qiobstruction type （3.2%） and special type （0. 4% ）. For patients with multiple constitutions, the phlegm type was mostly seen （62. 3% ）, followed by blood-stasis type （41.7%）, qi-deficiency type （40. 0% ）, yang-deficiency type （32. 3% ）, qi-obstruction type （27.9%）, dampness-heat type （ 25.5% ）, yin-deficiency type （ 17.8% ） and special type （ 0. 4% ）. The distribution of different genders among patients of acute-stage ischemic stroke was significantly different （ P 〈 0. 01 ）, besides, there was certain correlation between unhealthy living habits and constitution distribution （ P 〈 0. 05 ）. Conclusion The ischemic stroke is closely related with imbalance of TCM constitution, and understanding the distribution regularities of TCM constitution among patients of acute-stage ischemie stroke has certain guiding significance for disease prevention and recurrence.