自然村落人群中医体质自然转归的队列研究

Cohort study on the natural outcome of TCM constitution in natural villages

目的:研究自然村落人群中医体质的自然转归。方法:收集2018年5月至2020年12月,佛山市南海区两个自然村落村民的健康信息。共调查村民2789人,其中2年及以上均有跟踪随访的369人。通过前瞻性队列研究,观察自然村落人群中医体质的自然转归。结果:3年随访中,中医体质类型没有发生变化者177人(47.97%),从平和质转化为偏颇质87人(23.58%),从偏颇质转化为平和质者65人(17.62%),从偏颇质转化为另外一种或两种偏颇质35人(10.84%)。其中,气虚质是平和转化偏颇质中最常见的体质(26.44%),该体质也是偏颇质中最容易转为平和质的体质(36.92%)。中医体质类型没有发生变化的村民中平和质143人(80.79%)。3年体质均属于偏颇质村民人数占比23.31%,新发疾病占比18.6%明显高于其他村民组。结论:3年追踪结果表明中医体质类型的具有相对稳定性,而气虚质可能是平和质与偏颇质转化的过渡体质,持续偏颇体质状态人群新发疾病机率高。

Objective: To study the natural outcome of TCM Constitution in natural villages. Methods: The health information of residents in two natural villages in Nanhai District of Foshan city was collected from May 2018 to December 2020.A total of 2 789 villagers were investigated in three years, of which 369 were followed up in three years. A prospective cohort study was conducted to observe the natural outcome of TCM Constitution in natural villages. Results: During the three-year follow-up, there was no change in the constitution type of traditional Chinese medicine, accounting for 177 cases(47.97%) of the total number, accounting for 87 cases(23.58%) of the total number. The transformation from biased quality to peaceful quality accounted for 65 cases(17.62%) of the total number, and the transformation from biased quality to another or two biased qualities accounted for 35 cases(10.84%) of the total number. During the three-year follow-up, qi deficiency accounted for the most common constitution(26.44%) that transformed from peaceful to biased, and this constitution was also the constitution that most easily transformed into peaceful among biased(36.92%). During the three-year follow-up, 143(80.79%) residents had no change in traditional Chinese medicine constitution type. The number of residents in the biased group accounted for 23.31%, and the number of new diseases accounted for 18.6%, which was significantly higher than that in other residents. Conclusion: The three-year follow-up results show that the constitution types of traditional Chinese medicine are relatively stable, and qi deficiency may be a transitional constitution transformed from peaceful and biased constitution. People with persistent biased constitution have higher probability of new diseases.