基于流行病学调查的中医体质分布及慢病相关性分析

Correlation analysis of TCM physique distribution and chronic disease based on epidemiological investigation

目的基于我院健康体检中心体检人群的中医体质类型分布情况及既往史,来探讨中医体质与慢病的相关性。方法收集我院健康体检中心体检一般人群样本10381例,填写标准化的“中医体质量表”,采用判别分析法判定个体体质类型,并记录既往史,以10种慢性病种分组,采用χ^2检验分析比较各亚组构成比的差异。结果我院体检的慢性病患者以平和质为多。偏颇体质中,高血压病患者主要是气虚质(10.3%)、阳虚质(8.7%)、湿热质(8.5%)、痰湿质(8.2%);糖尿病患者是阳虚质(9.4%)、痰湿质及湿热质(9.1%)、气虚质(8.5%);高脂血症患者是痰湿质(12.7%)、气虚质(10.1%)、湿热质(10.0%)、阳虚质(9.4%);脂肪肝患者是湿热质(13.5%)、阳虚质(13.1%)、痰湿质(12.1%);肿瘤患者是气虚质及阳虚质(13.8%)、湿热质(10.1%)、气郁质及阴虚质(7.3%);冠心病患者是气虚质(14.8%)、痰湿质(10.2%)、阳虚质(7.8%);胃及十二指肠溃疡患者是阳虚质(21.0%)、湿热质(11.9%)、痰湿质(9.5%);肥胖症患者是痰湿质(18.4%)、气虚质(12.2%)、湿热质(11.6%);骨质疏松患者是阳虚质(23.4%)、气虚质(16.4%)、痰湿质(8.8%);支气管哮喘是阳虚质(20.5%)、气虚质(12.2%)、痰湿质(10.9%)。不同慢性病中医体质构成比例不同,组间比较差异具有显著统计学意义(P<0.01)。结论不同慢病中医体质分布不同,偏颇体质与慢病存在相关性。

Objective To explore the correlation between TCM physique and chronic disease based on the distribution of TCM physique types and past history of medical examination population in the physical examination center of our hospital. Methods 10381 samples of general population in the physical examination center of our hospital were collected, and the standardized "TCM physique scale" was filled out. The discriminant analysis method was used to determine the individual physique type, and the past history was recorded. The patients were grouped according to 10 chronic diseases and the differences in the composition ratios of the subgroups were compared and analyzed by χ^2 test. Results The patients with chronic diseases undergoing physical examination in our hospital were more likely to have pinghe physique. Among the biased physiques, hypertensive patients mainly had qi deficiency physique(10.3%), yang deficiency physique(8.7%), moist heat physique(8.5%),and phlegm moist physique(8.2%);diabetic patients had yang deficiency physique(9.4%), phlegm moist and moist heat physique(9.1%), qi deficiency physique(8.5%);hyperlipidemia patients had phlegm moist physique(12.7%), qi deficiency physique(10.1%), moist heat physique(10.0%), yang deficiency physique(9.4%);patients with fatty liver had moist heat physique(13.5%), yang deficiency physique(13.1%), and phlegm moist physique(12.1%);tumor patients were qi deficiency and yang deficiency physique(13.8%), moist heat physique(10.1)%, qi stagnation and yin deficiency physique(7.3%);patients with coronary heart disease were qi deficiency physique(14.8%), phlegm moist physique(10.2%),yang deficiency physique(7.8%);patients with stomach and duodenal ulcer were yang deficiency physique(21.0%), moist heat physique(11.9%), and phlegm moist physique(9.5%);obesity patients were phlegm moist physique(18.4%), qi-deficiency phlegm moist physique(10.9%). The proportions of TCM physiques in different chronic diseases were different, and the differences between groups were significant(P<0.01). Conclusion The distribution of TCM physique in different chronic diseases is different, and there is a correlation between biased physique and chronic disease.