营养风险与中医证素相关性的初步研究  

Correlation Between Nutritional Risk and Basic Pattern of Traditional Chinese Medicine:APreliminary Study

作　　者：王新[1] 徐美蓉[1] 杨笑月[1] 权晓玲[1] 戴雪[1] 郑京玉[1] 郭敬媛[1] 黄允瑜[1] 

机构地区：[1]北京中医药大学东直门医院,北京100700

出　　处：《江西中医学院学报》2011年第5期29-31,共3页Journal of Jiangxi College of Traditional Chinese Medicine

摘　　要：目的:了解具有营养风险和无营养风险患者的中医证素特点。方法:对264名住院患者,采用营养筛查量表NRS2002作为营养风险筛查工具,收集中医证型,分拆成相关证素后进行分析。结果:有营养风险组(A组)89人,无营养风险组(B组)175人;A组BMI22.92±6.93,B组BMI25.32±3.61(P<0.05);A组出现气虚的比例35.2%,B组出现气虚的比例21.7%(P<0.05);A组出现气滞的比例14.8%,B组出现气滞的比例32%(P<0.05);A组出现血瘀的比例44.3%,B组出现血瘀的比例60%(P<0.05);A组出现湿邪的比例6.8%,B组出现湿邪的比例16%(P<0.05),差异均具有统计学意义。结论:营养风险与中医证素的分布存在一定的关联,有营养风险的患者出现更多的虚证证素,尤以气虚明显,相对较少的实证证素,尤以气滞、血瘀和湿邪三个证素明显。Objective： To explore the correlationbetween nutritional risk and traditional Chinese medicine（TCM） patterndiagnosis.Methods： 264 inpatients were recruited inthe study,nutritioanl risk screening was conducted with the rating scaleNRS2002,and all data about TCM pattern diagnosis were collected for further correlationanalysis.Results： 89 patients were classified into Agroup（with nutritioanl risk） and 175 in B group（without nutritional risk）.Body mass index（BMI） was 22.92 ± 6.93 in A group and 25.32 ± 3.61 in B group（P 0.05）.The proportion of Qi deficiency pattern in A and B group was 35.2%,21.7%,respectively（P 0.05）.In A and B group,the proportions of Qi stagnation pattern were 14.8% and 32% r,espectively（P 0.05）;blood stasis pattern were 44.3% and 60%,respectively（P 0.05）;dampness pattern were 6.8% and 16%,respectively（P 0.05）.There were significant differences in the incidences of there TCM patterns betweenA and B group.Conclusion： there existed some potential correlationbetween nutritional risk and TCM pattern diagnosis.In patents with nutritionalrisk,the deficiency pattern was more possibly diagnosedespecially for the Qidefi-cinecy pattern;and the excess pattern,especially Qi stagnation,bloodstasis and dampness,were diagnosed in a lower probability.

关 键 词：营养风险 NRS2002 中医证素 

分 类 号：R151.4[医药卫生—营养与食品卫生学]