慢性功能性便秘患者年龄、性别、中医证型与中医体质相关性及其意义

Correlation and Significance of Age,Sex,Traditional Chinese Medicine Syndrome Types and Constitutions of Patients with Chronic Functional Constipation

目的:探讨慢性功能性便秘患者年龄、性别、中医证型与中医体质的相关性,并分析该相关性的临床意义。方法:选取2014年1月至2017年1月湖北省中医院收治的慢性功能性便秘患者242例为研究对象,开展问卷调查包括患者年龄、性别、中医证型、中医体质,然后进行统计分析。结果:纳入患者男89例,女153例,平均年龄(47. 7±12. 4)岁。男性患者中医体质以平和质为主,占25例(28. 1%),女性患者以阳虚质为主,占57例(37. 3%)。年龄、中医证型均与中医体质存在明显的对应关系(P <0. 05)。按年龄划分,老年患者主要对应阳虚质,中年患者主要对应气郁质,青年患者主要对应平和质,未成年患者则欠缺明显的对应关系。按中医证型划分,肠道实热证主要与平和质对应,肠道气滞证主要与气郁质对应,脾虚气弱证主要与气虚质对应,脾肾阳虚证主要与阳虚质对应,阴虚肠燥证主要与血瘀质对应。结论:慢性功能性便秘患者中医体质与年龄、性别、中医证候均有一定相关性,这对指导通过"治未病"理念防治疾病有一定价值。

Objective To investigate the correlations between age,sex,traditional Chinese medicine（TCM）syndrome types and constitutions of TCM in patients with chronic functional constipation,and to analyze the clinical significance of the correlations. Methods： A total of 242 cases who were diagnosed as chronic functional constipation and received and cured by Hubei Provincial Hospital of TCM,were selected as the subjects and were included in a questionnaire survey.Their age,sex,TCM syndrome types and constitutions of TCM were statistically analyzed. Results： There were 89 males and 153 females in this study,and the average age was（47.7±12.4）years old.The male TCM constitution was mainly gentle type,with 25 cases（28.1%）,while female TCM constitution was mainly yang deficiency type,with 57 cases（37.3%）.Age,TCM syndrome types were corresponding with TCM constitution（ P 〈0.05）.According to the age,the elderly patients were mainly yang deficiency Type,and middle-aged patients mainly qi constraint type,while the young patients were mainly gentle type.However,the minor patients did not show obvious relations with TCM constitutions.According to the classification of TCM syndromes,intestinal excess heat syndrome mainly corresponded to gentle type.Intestinal qi stagnation syndrome mainly corresponded to qi deficiency type.Spleen and kidney yang deficiency syndrome mainly corresponded to yang deficiency type.Intestinal dryness mainly corresponded to blood stasis type. Conclusion： For patients with chronic functional constipation,their TCM constitution,age,sex and TCM syndrome types were related,which is of certain value to guide preventive treatment of disease by the idea of “preventive treatment of disease”.