无锡地区63700例冠心病患者五运六气体质禀赋与后天发病关联性分析

Analysis of the correlation between the five evolutive phases and six climatic factors quality endowments and acquired onset of 63700 coronary heart disease patients in Wuxi area

目的:基于无锡地区冠心病患者出生时间的五运六气特点分析,探讨不同出生年的运气体质禀赋与后天罹患冠心病的相关性。方法:收集无锡市疾病预防控制中心2010年1月1日至2016年12月31日第一诊断符合冠心病诊断的全部病例63700例,将纳入病例出生日期换算成干支甲子纪年,分别根据五运六气理论中运及司天的不同归纳整理,统计不同时段发病人数。采用SPSS 21.0软件对病例资料和运气要素进行描述性统计分析,运用卡方检验统计学意义。结果:不同中运出生年罹患冠心病人数:乙年(金运不及)>戊年(火运太过)>甲年(土运太过)>癸年(火运不及)>己年(土运不及)>壬年(木运太过)>丁年(木运不及)>丙年(水运太过)>庚年(金运太过)>辛年(水运不及),差异有统计学意义(P<0.01)。不同司天出生年罹患冠心病人数:厥阴风木司天(巳、亥)>太阳寒水司天(辰、戌)>阳明燥金司天(卯、酉)>少阳相火司天(寅、申)>少阴君火司天(子、午)>太阴湿土司天(丑、未),差异有统计学意义(P<0.01)。结论:不同出生年的运气体质禀赋与后天罹患冠心病有相关性。从五运论,乙年出生人,即中运为金运不及年,患病率最高;从六气论,厥阴风木司天年出生人,患病率最高。

Objective:Based on the analysis of the characteristics of five evolutive phases and six climatic factors at birth time of coronary heart disease patients in Wuxi area,to explore the correlation between the endowment of five evolutive phases and six climatic factors in different birth years and the acquired coronary heart disease.Methods:A total of 63700 cases with the first diagnosis of coronary heart disease from January 1,2010 to December 31,2016 by the Wuxi Center for Disease Control and Prevention were collected,and the birth dates of the included cases into the years of Ganzhijiazi were converted.Theoretically,Zhongyun and Sitian’s different induction and sorting,and statistics of the number of cases in different periods.SPSS 21.0 software was used for descriptive statistical analysis of case data and factors of movement,and chi-square test was used for statistical significance.Results:The number of patients with coronary heart disease in different birth years of Zhongyun:Yi year(Jin movement is not enough)>Wu year(Huo movement is too much)>Jia year(Tu movement is too much)>Gui year(Huo movement is not enough)>Ji year(Tu movement is too much)>Ren year(too much movement in Mu)>Ding year(inadequate movement with wood)>Bing year(too much movement in Shui)>Geng year(too much movement in Jin)>Xin year(inadequate movement in Shui),the difference was statistics significance(P<0.01).The number of patients with coronary heart disease in different Sitian birth years:Jueyin Fengmu Sitian(Si,Hai)>Taiyang Hanshui Sitian(Chen,Xu)>Yangming Zaojin Sitian(Mao,You)>Shaoyang Xianghuo Sitian(Yin,Shen)>Shaoyin Junhuo Sitian(Zi,Wu)>Taiyin Shitu Sitian(Chou,Wei),the difference was statistics significance(P<0.01).Conclusion:Movement quality endowment in different birth years is associated with acquired coronary heart disease.From the five movements theory,people born in the Yi year,that is,Zhongyun is less than Jinyun years,and the prevalence rate is the highest;from the six qi theory,those born in the Jueyin Fengmu Sitian year have the highest prevalence.