老年患者轻度认知功能障碍与中医体质的相关性

Correlation of mild cognitive impairment and TCM constitution in elderly patients

目的:通过调查轻度认知功能障碍老年患者的中医体质,探索中医体质类型与老年患者认知功能障碍的关系。方法:选取行手术治疗的年龄≥60岁的老年患者为观察对象,术前根据《中医体质分类与判定》表判定患者体质类型。采用蒙特利尔认知评估量表,进行认知功能的评估,对比Mo CA分值,若分值≥25分,则归入对照组(C组);否则归入MCI组(M组)。结果:共收集了166例患者,C组119例,M组47例。MCI总的检出率为28.3%,其中男性9.64%,女性18.7%。M组与C组比较,患者偏颇体质的比例较高(76.6%VS 59.7%P=0.048)。M组的平均年龄(71.44±5.87)大于C组(67.99±5.57,P<0.001)。M组的患者的受教育程度普遍较低,差异有统计学意义(P<0.05)。结论:认为MCI的患者多合并偏颇体质,尤其是瘀血质、痰湿质、阳虚质等体质,为中医药的治疗提供了依据。另外,本研究表明高龄,低教育程度是MCI的危险因素。

Objective：Applying Constitution in Chinese Medicine Questionnaire to survey the TCM body constitutions of elderly patients with Mild Cognitive Impairment（ MCI） ,to explore the correlation of MCI and TCM constitutional types. Methods： One hundred and Sixty-six cases of elderly patients were enrolled. Montreal Cognitive Assessment （ MoCA） was used to detect patients with MCI or not. If MoCA score≥25,the patient was allocated into group C,If MoCA score〈25,the patient was allocated into group M. Results： The MCI detection rate was 28 %. Compared with group C,average age was older in group M （67.99±5.57,P〈0.001）,and the proportion of the ＇Unbalanced Constitution＇ was higher in group M （76.6% VS 59.7% P=0.048）,The main＇Unbalanced Constitution＇ in group M were Stagnant Blood Constitution,Phlegm-dampness Constitution,Yang-deficient Constitution, Stagnant Qi Constitution. Conclusion： The incidence of MCI was related to TCM constitutional types,Low education level and age were risk factor of MCI.