109例慢性肾脏病患者中医体质学研究

A study on 109 cases of chronic kidney disease based on TCM constitutionology

目的:探讨中医体质与慢性肾脏病的相关性。方法:根据《中医体质分类与判定》标准设计调查问卷,对109例慢性肾脏病患者和80例健康老年人进行系统调查,运用统计学方法分析慢性肾脏病患者的易感体质。结果:体质量指数(Body Mass Index,BMI)、家族史、偏嗜肥腻、气虚以及阳虚体质的影响回归系数分别为0.714、1.301、1.365、1.254和0.865,为本病的独立影响因素(P <0.05)。其中气虚体质发生本病的风险是平和体质2.652倍,阳虚体质发生风险是平和体质3.954倍。结论:气虚和阳虚体质为本病的独立危险因素,改善饮食习惯、减轻体重可能会降低本病发病率。

Objective: To explore the correlation between TCM constitutions and chronic kidney disease. Methods: According to Classification and Determination of Constitution in TCM, a questionnaire was designed to investigate 109 cases of chronic kidney disease and 80 healthy elderly people. Statistical methods were applied in analyzing the susceptible constitutions of chronic kidney disease. Results: The regression coefficients of BMI index, family history, fatty food preference, the Qixu constitution(气虚体质) and Yangxu constitution(阳虚体质) were respectively 0.714, 1.301, 1.365, 1.254 and 0.865, which were the independent contributing factors to this disease(P<0.05). The risk of this disease in the Qixu constitution is 2.652 times in the Pinghe constitution(平和体质), and the risk of this disease in Yangxu constitution is 3.954 times in the Pinghe constitution. Conclusion: The Qixu constitution and Yangxu constitution are independent risk factors to this disease. Improving eating habits and losing weight may reduce the morbidity of this disease.