中医体质与绝经后骨质疏松症的相关性分析

Correlation Analysis Between TCM Constitution and Postmenopausal Osteoporosis

目的:探讨绝经后骨质疏松症患者的体质类型分布及体质与绝经后骨质疏松症的相关性。方法:在河南中医学院第一附属医院采用医院为基础的病例对照方法研究,使用中医体质量表对被调查的对照组(287例)和病例组(273例)进行调查,收集调查得到的数据资料,观察绝经后骨质疏松症患者的体质分布情况,继而采用logistic回归分析数据,来探索体质类型和绝经后骨质疏松症的关联。结果:绝经后骨质疏松症的体质类型单因素非条件逻辑回归分析结果表明,阳虚体质、阴虚体质、血瘀体质、平和体质分别对应的P值均低于0.05,阳虚体质的OR值为2.223,阴虚体质的OR值为1.968,血瘀体质的OR值为2.568,平和体质的OR值为0.326。结论:绝经后骨质疏松症的易患病体质有阴虚体质、阳虚体质、血瘀体质,保护性体质是平和体质。

Objective： To explore the correlation between the patients with postmenopausal osteoporosis （PMOP） physical types distribution and constitution. Methods： A hospital based case-control study method research has been used in the First Affiliated Hospital of Henan University of Traditional Chinese Medicine, the use of Chinese medicine quality table group surveyed （287 cases） and the case group （273 cases） were investigated, collected the survey obtained data, observation of physical distribution in patients with PMOP, then logistic regression was used to analyze the data, related to to explore the constitution types and PMOP. Results：Non conditional logistic regression analysis showed that PMOP physical types of single factor： Yang deficiency constitution, yin deficiency, blood stasis constitution, and constitution are the corresponding P values were less than 0.05, the OR value is 2. 223, Yang deficiency constitution, yin deficiency constitution and blood stasis constitution value of OR is 1. 968, OR value is 2. 568, OR value and physical is equal to 0. 326. Conclusion ： Postmenopausal predisposition of osteoporosis have Yin deficiency constitution, blood stasis constitution, Yang deficiency constitution, protective constition is harmony.