沈阳地区48811例冠心病患者发病与五运六气及气象的相关性研究

Correlation between Incidence of Coronary Heart Disease and Five Movements and Six Qi Theory and Meteorological Factors in 48811 Patients in Shenyang Area

目的基于《黄帝内经》五运六气理论及各气象指标数据,调查分析冠状动脉粥样硬化性心脏病(冠心病)发病与五运六气及气象的相关规律,以期为临床工作中冠心病的预防提供理论依据与新思路。方法回顾性收集2013年1月—2021年12月住院于辽宁中医药大学附属医院的第一诊断为冠心病的患者,于沈阳市气象局收集同期7项气象指标数据,即:日平均气压、日平均气温、日最高气温、日最低气温、降雨量、平均相对湿度、风速,并整理气象数据获得气温日较差。对病例资料和气象资料进行描述性统计分析、Pearson卡方检验、相关性检验等统计分析。结果不同主气之间的发病情况:终之气>五之气>初之气>二之气>四之气>三之气;不同客气之间的发病情况:少阴君火>阳明燥金>太阳寒水>太阴湿土>厥阴风木>少阳相火(P<0.01);发病人数与平均气压呈正相关,与平均气温、最高气温、最低气温、平均相对湿度呈负相关(P<0.05),与气温日较差、降雨量无显著相关性(P>0.05);二之气、三之气、终之气的平均气压,终之气平均气温及终之气最低温度与冠心病发病人数的相关系数绝对值均>0.5且P<0.01,呈显著相关。结论沈阳地区冠心病发病人数与五运六气变化及气象变化之间存在相关性,太阳寒水主气、少阴君火客气时冠心病发病人数增加,平均气压升高、平均气温、最高气温、最低气温、平均相对湿度降低时冠心病发病人数增加。

Objective Based on the theory of the five movements and six Qi of Huangdi Neijing and the data of each meteorological index,it investigated and analyzed the correlation between the onset of coronary heart disease and the doctrine of five movements and six Qi and meteorology,in order to provide theoretical basis and new ideas for the prevention of coronary heart disease in clinical work.Methods The patients with first diagnosis of coronary heart disease who were hospitalized in the affiliated hospital of liaoning university of traditional chinese medicine from January 2013 to December 2021 were collected retrospectively,and the data of 7 meteorological indicators was collected in Shenyang Meteorological Bureau during the same period,namely,daily mean atmospheric pressure,daily mean temperature,daily maximum temperature,daily minimum temperature,rainfall,average relative humidity and wind speed,and the daily temperature range was obtained by collating the meteorological data.Descriptive statistical analysis,Pearson Chi-square test,Pearson correlation test and other statistical analysis were performed on case data and meteorological data.Results The incidence of different dominant Qi was as follows:last Qi>the fifth Qi>initial Qi>the second Qi>the fourth Qi>the third Qi.The incidence of Shaoyin Junhuo>Yangming Zaojin>Taiyang Hanshui>Taiyin Shitu>Jueyin Fengmu>Shaoyang Xianhuo(P<0.01).The number of cases was positively correlated with average air pressure,negatively correlated with average air temperature,maximum air temperature,minimum air temperature and average relative humidity(P<0.05),but had no significant correlation with daily temperature range or rainfall(P>0.05).The absolute correlation coefficients between the mean air pressure,the mean air temperature and the minimum air temperature of the second Qi,the third Qi,the last Qi and the number of coronary heart disease patients were all more than 0.5 and P<0.01,which were significantly correlated.Conclusion There is a strong correlation between coronary heart disease incidence and five movements and six Qi and actual meteorological data in Shenyang area.When there was the dominant Qi of Taiyang Hanhui and the guest Qi of Shaoyin Junhuo,the number of coronary heart disease increased.The number of coronary heart disease increased when mean air pressure increased,mean temperature,maximum temperature,minimum temperature and mean relative humidity decreased.