贵州省黔南州布依族和苗族妇女围绝经期高血压患者体质类型分布状况及影响因素

Constitutional type distribution and influencing factors of Buyi and Miao female hypertension patients in perimenopausal period in Qiannan Buyi and Miao Autonomous Prefecture,Guizhou province

目的探讨贵州省黔南州布依族和苗族妇女围绝经期高血压患者体质类型状况及其影响因素。方法共收集429例围绝经期高血压妇女患者按民族分为布依族组213例和苗族组216例,分别进行问卷调查,采用9种体质分类表对患者进行体质调查,采用多元逐步Logistic回归分析筛选两民族妇女围经期原发性高血压有意义的主要体质影响因素。结果布依族组未绝经者气虚质、血瘀质及绝经者湿热质和血瘀质与苗族组比较差异有统计学意义(P<0.01),布依族组未绝经者阴虚质、痰湿质、湿热质与本组绝经者比较差异有统计学意义(P<0.01),苗族组未绝经者阴虚质、痰湿质与本组绝经者比较差异有统计学意义(P<0.01)。布依族组高血压Ⅰ期患者9种体质类型与苗族组比较差异无统计学意义(P>0.05),Ⅱ期患者阴虚质和血瘀质与苗族组比较差异有统计学意义(P<0.01),布依族组高血压Ⅰ期平和质、气虚质、阴虚质、痰湿质和气郁质与本组高血压Ⅱ期比较差异有统计学意义(P<0.01),苗族组高血压Ⅰ期平和质、气虚质、痰湿质、血瘀质和气郁质与本组高血压Ⅱ期比较差异也有统计学意义(P<0.01)。多因素Logistic回归分析结果表明,痰湿质(OR=3.765)和阴虚质(OR=3.863)是影响布依族围绝经期高血压的主要体质因素,痰湿质(OR=4.765)、阴虚质(OR=3.641)和血瘀质(OR=3.136)是影响苗族围绝经期高血压的主要体质因素。结论贵州省黔南州布依族和苗族妇女围绝经期原发性高血压患者体质类型分布存在差异。

Objective To explore the constitutional type distribution and influencing factors of Buyi and Miao female hypertension patients in perimenopausal period in Qiannan Buyi and Miao Autonomous Prefecture, Guizhou province. Methods A total of 429 female hypertension patients in perimenopausal period were collected and divided into Buyi nationality group （213 patients ） and Miao nationality group （216 patients） . A questionnaire survey was carried out, constitutional classification form for nine kinds of physique types was used to survey physique of the patients, multivariate stepwise logistic regression analysis was used to analyze and screen tile main meaningfill influencing factors of primary hypertension amoug Buyi and Miao women. Results There were statistically significant differences in the proportions of Qi-deficiency type and blood-stasis type of premenopausal women, wet-heat type and.blood-stasis type of postmenopausal women between Buyi nationality group and Miao nationality group （P〈0. 01 ） . In Bayi nationality group, there werc statistically significant differences ira the proportions of Yin-defieiency type, phlegm-wetness type, and wet-heat type between premenopausal women and postmenopausal women （P〈0. 0k ） . In Miao nationality group, there were statistically significant differences in the proportions of Yio-deficieney lype and phlegmwetness type between premenopausal women and postmenopausal women （P〈0. 01 ） . Among the women with hypertension of stage I , there was no statistically significant difference in the proportions of nine constitutional types between Buyi nationality group and Miao nationality group （ P〉0.05 ） . Among the women with hypertension of stage Ⅱ , there were statistically significant differences in the proportions of Yindeficiency type and blood-stasis type between Buyi nationality group and Miao nationality group （P〈0. 01 ） . In Buyi nationality group, there were statistically significant differences in the proportions of normal constitution type, Qi-deficiency type, Yin-deficiency type, phlegm-wetness type, and Qi-stagnation type between the women with hypertension of stage I and the women with hypertension of stageⅡ （P〈Ⅱ. 01 ） . In Miao nationality group, there were statistically significant differences in the proportions of normal constitution type, Qi-defieiency type, phlegm-wetness type, blood-stasis type, and Qi-stagnatinn type between the women with hypertension of stage I and the women with hypertension of stage Ⅱ（ P〈0. 01 ） . Multivariate logistic regression analysis showed that phlegm-wetness type （ OR = 3.765 ） and Yin-defieiency type （OR = 3. 863 ） were main influencing faetors of menopausal hypertension among Buyi women; phlegm-wetness type （ OR=4. 765）, Yin-deficiency type （ OR= 3. 641 ）, and hlood-stasis type （ OR = 3. 136） were main influencing factors of menopausal hypertension among Miao women. Conclusion There are differences in constitutional type distribution between Buyi and Miao women wilh menopausal hypertension in Qianuan Buyi and Miao Autonomous Prefecture, Guizhou province.