围绝经期女性颈椎病患者中医体质特点研究

Analysis of Cervical Spondylopathy Patient's of Perimenopausal Women Constitution of Traditional Chinese Medicine Characteristics

目的:探讨围绝经期女性颈椎病患者的中医体质特点及相关影响因素。方法:选择广东省第二中医院体检中心被诊断为颈椎病的围绝经期女性患者200例为病例组及围绝经期健康女性96例为对照组,采用中华中医药学会2009年4月颁布实施的《中医体质分类与判定》标准对研究对象进行体质判定,采用多因素的Logistic回归模型分析中医体质类型与围绝经期女性颈椎病患者之间的关系。结果:196例颈椎病患者中,平和质51例,偏颇体质145例,其中,单纯偏颇体质(只有一种偏颇体质)91例,兼夹偏颇体质(有两种或两种以上偏颇体质)54例。96例围绝经期健康女性中,平和质35例,偏颇体质61例(全部为单纯偏颇质)。围绝经期女性颈椎病患者平和体质的构成比例低于健康女性,而颈椎病女性偏颇体质所占比例较高,两组中医体质分布之间比较差异有统计学意义(P=0.004)。Logistic回归分析显示:与平和质相比,阳虚体质的围绝经期女性患颈椎病的危险度显著增高,OR值为1.329。结论:围绝经期颈椎病患者中,偏颇体质占绝大多数,其中,以阳虚体质患者最多;阳虚体质是与围绝经期女性颈椎病具有正向关联的体质类型。

Objective：To explore TCM physique characteristics and related effects of perimenopausal female patients with cervical vertebra disease factors.Method：Cervical spondylopathy of perimenopausal women of 200 cases and healthy control women of 96 cases were randomly selected from Guangdong second traditional Chinese medical hospital, the research objects were determined by the institute of Chinese medicine in April 2009 promulgation of the Chinese constitution classification and determination of standard’s constitution,multi factor Logistic regression model was used to analyze the relationship between TCM constitutional types and perimenopausal women with cervical spondylopathy. Result：196 cases of cervical spondylosis patients, peace constitution of 51 cases, the biased constitution of 145 cases, among them, only the biased constitution （only one biased constitution）of 91 cases, and clip the biased constitution （two or more than two kinds of biased constitution）of 54 cases.96 cases of healthy perimenopausal women, peace constitution of 35 cases, the biased constitution of 61 cases （all simple biased matter）.The peace constitution proportion of perimenopausal women with cervical spondylopathy was lower than physical health women, and cervical vertebra disease of female biased physique proportion was higher than physical health women, compared two groups’ TCM constitution distribution,the difference was statistically significant（P=0.004）.Logistic regression analysis showed that：compared with the peace constitution, yang deficiency constitution of perimenopausal women suffering from cervical vertebra disease risk increased significantly, the OR value was 1.329.Conclusion：Perimenopausal patients with cervical spondylosis, biased constitution accounted for the vast majority,and from that the yang deficiency constitution in most patients; yang deficiency constitution is positively associated with menopausal women with physical type of cervical spondylosis.