非疾病人群体质状态随生命周期变化的规律研究

Changes of Constitution Over the Life Cycle in General Population

目的：描述并分析非疾病人群的体质状态随生命周期而变化的规律,为中医生命周期理论和临床预防保健提供客观的数据参考。方法：采用随机抽样的方法对2008年5月至2009年5月来自华东、华北、华南、西南9家合作医院的18岁~60岁的3000例体检人员,运用中医体质量表进行中医体质状态随生命周期而变化的横断面调查。结果：男性平和体质的比例随生命周期呈先上升后下降的趋势,最高峰出现在＂三八＂时点,在下降趋势的时间段里,偏颇体质主要为阳虚质和气虚质。女性平和体质的比例呈先下降后上升再下降的趋势,最低谷出现在＂四七＂＂五七＂时点,在下降趋势的时间段里,偏颇体质主要为阳虚质。结论：男性女性的体质状态随生命周期而出现特有的变化规律,今后在疾病的预防保健过程中,要善于运用中医治未病理念对平和体质处于下降阶段的人群进行早期筛查及健康干预,同时注意顾护人体阳气以防衰老。

Objects： To describe and analysis the changes of constitution over the life cycle in general population and to provide data support for the concept of life cyclical change in Chinese Medicine and the strategies adjustment of health management such as diagnosis and treatment,prevention and health care. Methods： Using the constitution in Chinese Medicine Questionnaire（ CCMQ） to study 3000 physical examinations above 18 to 60 years old which selected in nine hospitals of China,from May 2008 to May 2009. Results： Data showed that the proportion of gentleness type constitution increased at first and then decreased in male,while the proportion of gentleness type constitution decreased at first and then increased and at last decreased again in female. Conclusion： The changes of the constitution of people appear a unique regularity over the life cycle both in male and female,so we should screen people whose gentleness type constitution are in decrease stage and take steps to prevent disease in advance,meanwhile we should also protect Yangqi to avoid aging.