中医体质与健康相关生命质量的相关性  

Correlation between constitution in Chinese medicine and health-related quality of life

作　　者：王琦[1] 朱燕波[2] 吴承玉[3] 邓棋卫[4] 沈世林[5] 崔正植[6] 夏仲元[7] 折笠秀树[8] 

机构地区：[1]北京中医药大学基础医学院,北京市100029 [2]北京中医药大学管理学院,北京市100029 [3]南京中医药大学基础医学院,江苏省南京市210029 [4]江西中医药高等专科学校中医系,江西省抚州市344000 [5]兰州大学中西医结合研究所,甘肃省兰州市730000 [6]延边朝鲜族自治州民族医药研究所,吉林省延吉市133001 [7]中日友好医院中医外科,北京市100029 [8]日本富山大学医学部

出　　处：《中国组织工程研究与临床康复》2007年第49期9946-9950,共5页Journal of Clinical Rehabilitative Tissue Engineering Research

基　　金：国家重点基础研究发展计划(2005CB523501)资助~~

摘　　要：目的:人体体质与生命质量有密切的相关性,探索中医体质与健康相关生命质量的关系,可为中医调整体质偏颇、增进人群生命质量提供参考依据。方法:①调查对象:2005-12/2006-03采用中医体质量表和简明健康调查问卷SF-36对国内东、西、南、北、中5个地域的社区自然人群和体检中心15岁以上、获得知情同意的2230人(包括健康者和患病者)进行调查。②调查方法:实施横断面现场调查。共发放问卷2330份,回收问卷2239份,回收率96.1%;有效问卷占发放问卷数的95.7%。③评估:进行中医体质量表的信度评价及中医体质的评分;进行健康相关生命质量评分与中医体质评分的相关分析;以SF-36各维度得分以及生理和心理两个综合领域得分为因变量,中医体质量表9个亚量表(平和质、气虚质、阳虚质、阴虚质、痰湿质、湿热质、瘀血质、气郁质、特禀质)测评的体质得分为自变量,应用多元逐步回归分析法探讨它们之间的关系。结果:①中医体质量表9个亚量表的内部一致性Cronbach’sα系数为0.72～0.80,再现性相关系数(Spearman相关系数)为0.77～0.92。②根据中医体质量表的得分计算方法,平和质、气虚质、阳虚质、阴虚质、痰湿质、湿热质、瘀血质、气郁质、特禀质9种中医体质类型评分结果分别为(67.99±14.44),(29.15±15.02),(27.28±17.32),(26.49±15.41),(21.22±14.13),(24.03±14.91),(24.88±15.75),(24.44±15.50),(14.82±14.01)分。③SF-36评分与9种中医体质评分的Spearman相关分析显示:SF-36的8个方面以及生理、心理两个领域与平和质得分呈显著正相关,与其余8种偏颇体质类型呈不同程度的负相关,且均有显著意义。④生命质量与中医体质关系的多元逐步回归分析结果显示:平和质是对SF-36各个方面和生理、心理领域起促进作用的因素;痰湿质、瘀血质是降低生理领域生命质量的主要因素;气郁质、瘀血质,特别是AIM： Human constitution is closely correlated with quality of life. In this study, the relation between constitution in Chinese medicine and health-related quality of life was explored so as to provide reference for traditional Chinese medicine to adjust biased constitution and enhance people＇s quality of life. METHODS： By using the Constitution in Chinese Medicine Questionnaire （CCMQ） and the Medical Outcomes Study Short Form Health Survey （MOS SF-36）, 2 230 people （including health people and patients） were surveyed with cross-section locale investigation from December 2005 to March 2006 with the informed consent. They were all over 15 years old and from the communities and medical examination center of five orientation areas in China （East, West, South, North and Center）. 2 330 questionnaires were sent out, and 2 239 were retrieved with the efficiency of 96.1%, and the validity of 95.7%. The reliability of CCMQ and scores of constitution in traditional Chinese medicine were evaluated. The scores of SF-36 and integration scores in Physical Component Summary （PCS） and Mental Component Summary （MCS） were regarded as dependent variable respectively, and the test scores of 9 sub-scales of CCMQ as independent variable （Gentleness type, Qi-deficiency type, Yang-deflciency type, Yin-deficiency type, Phlegm-wetness type, Wet-heat type, Blood-stasis type, Qi-depression type and Special diathesis type）. The multiple stepwise regression analysis was used to explore their relationship. RESULTS： （1）Internal consistency for each of the 9 sub-scales was achieved with 0.72 to 0.80 of Cronbach＇s alpha coefficient, and the reproducibility of the correlation coefficient （Spearman correlation coefficient） ranged from 0.77 to 0.92. （2）According to the scoring method of calculation in CCMQ, the results of 9 types of constitution in Chinese Medicine were as follows： Gentleness type （67.99±14.44）, Qi-deficiency type （29.15±15.02）, Yang-deficiency type （27.28±17.32）, Yi

关 键 词：体质 生命质量 回归分析 康复工程 

分 类 号：R496[医药卫生—康复医学]