慢性病高危风险因素与中医体质的相关性研究

Correlations between High-Risk Factors of Chronic Diseases and Traditional Chinese Medicine Constitution

目的探究慢性病高危因素人群的中医体质分布情况,以期通过调理中医体质预防慢性病的发生。方法针对当地群众的一般人口学特征、一般检查资料、慢性病高危风险因素及中医体质情况,采用横断面研究方法共收集1018份有效数据,并采用SpssStistics 20.0软件进行频数统计分析和卡方检验分析。结果经统计分析发现,具有高血压高危因素的人群居多,约占总数的66.9%,而具有糖尿病及肿瘤高危因素的人群则分别占总数的39.9%、36.0%。中医体质分布中则以平和质、阳虚质、痰湿质人群居多,分别占30.5%、22.8%、14.7%,且经卡方检验分析验证,慢病高危人群及9种体质在不同年龄段人群的分布构成比较,差异有统计学意义(P<0.05)。无高危因素人群中的平和质占比明显高于有高危因素人群,差异有统计学意义(P<0.05),湿热质及气郁质占比则明显低于高危因素人群,差异有统计学意义(P<0.05)。高血压高危人群中以痰湿质居多,占总数的8.1%;糖尿病高危人群多倾向于阳虚质及阴虚质,分别占总数的2.8%及2.1%,而肿瘤高危人群则以阳虚质多见,占总数的4.5%。结论综合各项分析结果,高血压高危人群倾向于痰湿质;糖尿病高危人群倾向于阴虚质及阳虚质;肿瘤高危人群倾向于阳虚质。

Objective To explore the correlations between high-risk factors of chronic diseases and traditional Chinese medicine(TCM)constitution,so as to prevent the occurrence of chronic diseases by regulating TCM constitution.Method According to the general demographic characteristics,general examination data,high-risk factors of chronic diseases,and the TCM constitutions of local people,a total of 1018 valid data questionnaires were collected by a cross-sectional survey.SPSS Statistics 20.0 was used for the frequency statistical analysis and chi square test.Results The majority of participants had high risk factors of hypertension,accounting for 66.9%of the total,while those with high risk factors of diabetes and cancer accounted for 39.9%and 36.0%,respectively.In the distribution of TCM constitution,the participants with plain constitution,yang deficiency constitution,and phlegm dampness constitution accounted for 30.5%,22.8%,and 14.7%,respectively.The results of chi square test showed significant differences in the distribution of high-risk populations of chronic diseases and the nine TCM constitutions among different age groups(P<0.05).The proportion of the participants with plain constitution in the population without high-risk factors was higher than that in the population with high-risk factors(P<0.05),while the proportion of the participants with dampness-heat constitution or qi depression constitution in the population without high-risk factors was lower than that in the population with high-risk factors(P<0.05).Phlegm dampness was the main factor in the high-risk population of hypertension,accounting for 8.1%.Yang deficiency and yin deficiency mainly existed in the high-risk population of diabetes,accounting for 2.8%and 2.1%,respectively.In the high-risk population of cancer,the participants with yang deficiency were common,accounting for 4.5%of the total.Conclusion The high-risk population of hypertension tends to have phlegm dampness;the high-risk population of diabetes tend to have yin deficiency and yang deficiency;the high-risk population of tumors tends to have yang deficiency.