豫东农村地区脑梗死患者中医体质分布特点及与BMI、情绪、睡眠质量相关性分析

Analysis of the Distribution Characteristics of Traditional Chinese Medicine Constitution in Patients with Cerebral Infarction in Rural Areas of Eastern Henan Province and Its Correlation with BMI,Mood,and Sleep Quality

目的:调查豫东农村地区脑梗死患者中医体质分布情况,并分析不同性别、年龄脑卒中患者中医体质分布特点,分析中医体质与BMI、焦虑抑郁状态及睡眠质量的相关性。方法:对2020年8—9月于河南省商丘市睢县地区所收集的888名脑梗死患者进行问卷调查,收集一般资料(性别、年龄、BMI等)、汉密尔顿抑郁量表(HAMD)、汉密尔顿焦虑量表(HAMA)、匹兹堡睡眠质量量表(PSQI)及中医体质量表信息,分析其中医体质分布情况,并对中医体质分布与BMI分级、焦虑程度、抑郁程度及与PSQI分值差异进行相关性检验。结果:气虚质是豫东农村地区888例脑梗死患者最常见的中医体质类型;不同性别的脑梗死患者体质分布在平和质、气郁质、气虚质、阴虚质、阳虚质方面差异有统计学意义(P<0.05);9种体质在年龄分布人数差异均无统计学意义(P>0.05);仅阳虚质BMI等级分布人数差异有统计学意义(P<0.05);平和质、阴虚质、阳虚质、气郁质、气虚质、血瘀质、特禀质焦虑程度等级分布人数差异有统计学意义(P<0.05);平和质、气虚质、气郁质、血瘀质抑郁程度等级分布人数差异有统计学意义(P<0.05);平和质、阴虚质、阳虚质、气郁质、气虚质的PSQI分值差异有统计学意义(P<0.05)。结论:豫东农村地区脑梗死患者最常见的中医体质类型是气虚质。多种偏颇体质与脑梗死患者性别、BMI分级、焦虑抑郁程度及睡眠质量具相关性,应重视对脑梗死患者偏颇体质的纠正。

Objective:To investigate the distribution of traditional Chinese medicine(TCM)constitution in patients with cerebral infarction in the rural areas in eastern Henan Province,and analyze the distribution characteristics of TCM constitution in stroke patients of different genders and ages,and analyze the correlation between TCM constitution and BMI,anxiety and depression status,and sleep quality.Method:A questionnaire survey was conducted on 888 patients with cerebral infarction collected in Sui County,Shangqiu City,Henan Province from August to September 2020.General information(gender,age,BMI,etc.),Hamilton Depression Scale(HAMD),Hamilton Anxiety Scale(HAMA),Pittsburgh Sleep Quality Scale(PSQI),and Constitution in Chinese Medicine Questionnaire(CCMQ)information were collected,and the distribution of TCM constitution was analyzed.The correlation between the distribution of TCM constitution and BMI grading,anxiety level,depression level and PSQI score was tested.Results:Qi deficiency constitution was the most common traditional Chinese medicine constitution type among 888 patients with cerebral infarction in rural areas of eastern Henan.There was a statistically significant difference in the constitution distribution of patients with cerebral infarction of different genders in terms of gentleness constitution,Qi stagnation constitution,Qi deficiency constitution,Yin deficiency constitution,and Yang deficiency constitution(P<0.05).There was no statistically significant difference in age distribution among the 9 constitutions(P>0.05).There was a statistically significant difference in the distribution of BMI levels among individuals only with Yang deficiency constitution(P<0.05).The gentleness constitution,Yin deficiency constitution,Yang deficiency constitution,Qi stagnation constitution,Qi deficiency constitution,blood stasis constitution,and special diathesis constitution with the difference between the number of levels of anxiety level was statistically significant(P<0.05).The difference in the distribution of depression levels of gentleness constitution,Qi deficiency constitution,Qi stagnation constitution,blood stasis constitution levels were statistically significant(P<0.05).The difference in PSQI scores of gentleness constitution,Yin deficiency constitution,Yang deficiency constitution,Qi stagnation constitution and Qi deficiency constitution was statistically significant(P<0.05).Conclusion:Qi deficiency constitution was the most common TCM constitution type in patients with cerebral infarction in rural areas of eastern Henan.Multiple biased constitutions were correlated with gender,BMI grading,anxiety and depression levels,and sleep quality in patients with cerebral infarction.Therefore,it is important to pay attention to correcting biased constitutions in patients with cerebral infarction.