1627例高校新生中医体质影响因素Logistic回归分析

Logistic Regression Analysis to Influential Factors of TCM Constitution of 1627 Freshmen

目的探讨和分析影响中医体质的相关因素。方法采用横断面调查方法对河南中医学院2010级新生1627例进行现场问卷调查。调查内容包括基本情况调查及中医体质量表两部分,调查资料建立数据库,采用《中医体质分类与判定》对受试者体质类别进行判定,并采用Logistic多元逐步回归分析对体质影响因素进行分析。结果睡眠规律与高校新生气虚体质呈负相关,性别、喜清淡、既往病史、过敏史与其呈正相关;喜冷喜凉、睡眠规律与阳虚体质呈负相关,性别、过敏史与其呈正相关;年龄与阴虚体质呈负相关,性别、嗜辛辣、既往病史、过敏史与其呈正相关;睡眠规律与痰湿体质呈负相关,喜甘甜、嗜酸、嗜烟、既往病史、过敏史与其呈正相关;年龄、睡眠规律与湿热体质呈负相关,喜甘甜、嗜辛辣、嗜烟与其呈正相关;地域分布区归属与血瘀体质呈负相关,性别、过敏史、家族史与其呈正相关;睡眠规律与气郁体质呈负相关,性别、过敏史与其呈正相关;喜咸、睡眠规律与特禀体质呈负相关,地域分布区归属、喜油腻、过敏史与其呈正相关(P均<0.05)。结论性别、居住地、饮食起居、既往病史、过敏史等均是高校新生中医体质的影响因素,其中嗜食辛辣是导致阴虚体质形成的危险因素,喜甘甜、嗜烟则是导致痰湿体质和湿热体质形成的危险因素。

Objective To investigate and analyze the influential factors of TCM constitution. Methods The researchers used a cross-sectional survey method to make on-site questionnaire survey on 1627 freshmen of 2010 class in Henan University of Traditional Chinese Medicine. Investigation included basic situation and scale of TCM constitution. Survey data were collected to establish a database. The researchers used Classification and Identification of Traditional Chinese Medicine Constitution to identify constitution category of subjects and used Logistic multiple regression to analyze influence factor of constitution. Results Regular sleep was negatively correlated,while gender,light taste,past medical history and allergic history were positively correlated with constitution of Qi deficiency.Cold food preference and regular sleep were negatively correlated,however,gender and allergic history were positively correlated with constitution of Yang deficiency. Age was negatively correlated,however gender,pungency taste preference,past medical history and allergic history were positively correlated with constitution of Yin deficiency.Regular sleep was negatively correlated,however,sweet taste preference,sour taste preference,tobacco,past medical history and allergic history were positively correlated with constitution of phlegm-damp deficiency. Age and regular sleep were negatively correlated,however sweet taste preference,pungency taste preference,tobacco were positively correlated with constitution of dampness-heat. Territory distribution area was negatively correlated,however gender,allergic history and family history were positively correlated with constitution of blood stasis. Regular sleep was negatively correlated,however,gender and allergic history were positively correlated with constitution of Qi depression.Salty taste preference and regular sleep were negatively correlated,however territory distribution area,greasy food preference and allergic history were positively correlated with constitution of specific endowment（ P〈0. 05）.Conclusion Gender,place of residence,diet and daily life,past medical history and allergic history are all the influence factors of TCM constitution of freshmen. Among theses,pungency taste preferenc is the risk factor leading to constitution of Yin deficiency,while sweet taste preference and tobacco are the risk factors leading to constitution of phlegm-damp and dampness-heat.