出生时间五运六气与高血压的数据挖掘研究

Data mining research on innate constitution of Wuyun Liuqi Theory based on birth time and hypertension

[目的]研究出生时间五运六气与高血压的相关性。[方法]选取山东省中医院电子病历系统2012年1月1日—2017年12月30日住院治疗高血压患者33 669例作为病例组,同期不患高血压的住院患者103 106例作为对照组。根据出生时间对应的五运六气进行分组,分别统计不同岁运、司天、运气相合中病例组与对照组的人数,采用Pearson卡方检验和二元Logistics回归进行统计分析。[结果]出生时对应的岁运、司天、运气相合在病例组和对照组中的分布均存在差异(P<0.05)。出生时对应的司天为太阴湿土(P<0.05,OR=1.07)的人群患高血压的可能性较高,出生时对应的岁运与是否患高血压无相关性(P>0.05)。[结论]出生在太阴湿土司天的人群更容易患高血压,其中医病机与寒湿交迫有密切关系。根据五运六气学说中对病因病机的认识进行人群预警和保健治疗可能获得较大益处。

[Objective]Study on relationship between innate constitution of Wuyun Liuqi Theory based on birth time and hypertension.[Methods]According to the electronic medical record of Hospital of Traditional Chinese Medicine of Shandong Province,33 669 casee of hypertensive patients who were hospitalized from January 1,2012 to December 30,2017 were selected as case group.For the same period,103 106 hospitalized patients who did not suffer from hypertension were used as controls.According to the innate constitution of Wuyun Liuqi Theory based on birth time they were divided into different groups.Separately count the number of case groups and control groups in different Suiyun and Sitian groups.Pearson chi-square test and logistic regression were used for statistical analysis.[Results]There were differences in the distribution of hypertension in Suiyun and Sitian(P<0.05).There is no correlation between the corresponding Suiyun at birth and whether or not there is hypertension.The Sitian that may cause a decrease in the prevalence of hypertension are Taiyin Shitu(P<0.05,OR=1.07).[Conclusion]People born in the Taiyin Shitu of Si-tian are more likely to suffer from hypertension,and the cause is closely related to the cold and wet.According to the understanding of the etiology and pathogenesis in the Wuyun Liuqi Theory,it is possible to obtain greater benefits for crowd warning and health care treatment.