轻度认知障碍老年患者中医体质分布特征及其与证候的关系

Distribution Characteristics of TCM Constitution and Its Relationship with Syndrome in Elderly Patients in Mild Cognitive Impairment of Discuss

目的:探讨轻度认知障碍(MCI)老年患者中医体质分布特征及其与证候的关系。方法:选取2017年2月~2017年6月广东省佛山市顺德区均安镇三华社区确诊为MCI老年患者109例作为研究对象,采用《轻度认知障碍中医体质分型量表》和《轻度认知障碍中医证候分型量表》对研究对象进行评价。结果:MCI老年患者以湿热质和气虚质2种体质为主;MCI老年患者以心脾两虚、肾精亏虚、痰浊蒙窍和瘀血阻窍4种证候为主;湿热质与痰浊蒙窍呈显著正相关(P<0.05);气虚质与心脾两虚及肾精亏虚呈显著正相关(P<0.05)。结论:MCI老年患者的中医体质分布存在特征;湿热质老年人罹患MCI痰浊蒙窍证具有倾向性;气虚质老年人罹患MCI心脾两虚及肾精亏虚证具有倾向性。

Objective:To discuss the distribution characteristics of TCM constitution and its relationship with syndrome in elderly patients in mild cognitive impairment of discuss.Methods:109 newly diagnosed elderly patients in mild cognitive impairment from February 2017 to June 2017 were selected from Jun’an Hospital affiliated to Shunde Hospital of Guangzhou University of Traditional Chinese Medicine.The subjects were evaluated with mild cognitive impairment TCM Constitution Classification Scale and mild cognitive impairment TCM Syndrome Classification Scale.Results:MCI elderly patients with dampness-heat and spleen-qi deficiency of the two major constitutions.The main syndromes of senile patients in mild cognitive impairment were deficiency of heart and spleen,deficiency of kidney essence,turbid phlegm and obstruction of blood stasis.There was a significant positive correlation in dampness-heat quality,deficiency of heart and spleen and phlegm-turbid obstruction(P<0.05).There was a significant positive correlation between deficiency of spleen-qi and deficiency of spleen-kidney(P<0.05).Conclusions:Characteristics of TCM Constitution Distribution of Elderly Patients in mild cognitive impairment;The syndrome of phlegm-turbid and obscuration of orifices in the elderly with damp-heat is tendentious in mild cognitive impairment.Spleen-kidney deficiency syndrome of mild cognitive impairment in the elderly with deficiency of spleen-qi is tendentious.