新疆哈萨克族过敏性鼻炎患者中医体质类型的流行病学研究  

Epidemiological studies of TCM constitutions of Xinjiang Kazakh people with allergic rhinitis

作　　者：胡浩[1] 沙塔娜提.穆罕默德 毕肯.阿不得克木 阿达力.别克[2] 邓宁[1] 王志中[3] 李杰[1] 陈玉萍[1] 刘佩珍[1] 

机构地区：[1]新疆医科大学中医学院,乌鲁木齐830011 [2]新疆医科大学公共卫生学院,乌鲁木齐830011 [3]解放军第474医院中医康复科,乌鲁木齐830000

出　　处：《新疆医科大学学报》2013年第5期681-684,共4页Journal of Xinjiang Medical University

基　　金：国家自然科学基金(30960468)

摘　　要：目的探讨新疆哈萨克族(哈族)过敏性鼻炎(allergic rhinitis,AR)患者的中医体质类型分布状态,为防治AR提供依据。方法采用按地区整群随机抽样方法,选取哈族聚居区的阿勒泰、塔城、昌吉、吐鲁番地区的哈族人群为调查对象,分别进行中医体质量表流行病学问卷调查和过敏性鼻炎诊断与检测,共收集325例,分析哈族AR患者的中医体质分布特点。结果哈族AR患者与非AR人群间阳虚质(C)、气虚质(B)、痰湿质(E)及血瘀质(G)型比较差异无统计学意义(P>0.05);阴虚质(D)、湿热质(F)、特禀质(I)、气郁质(H)及平和质(A)比较差异有统计学意义(P<0.05)。中医体质类型与哈族AR及非AR间相关性分析显示:D、F、I及H型与哈族AR发病呈显著正相关(P<0.05),而A型呈显著负相关(P<0.05);按相关系数大小排序,依次为I型(0.472)>H型(0.179)>F型(0.170)>D型(0.163),而A型相关系数为-0.152。结论哈族人群中C型、B型、E型、G型等体质不是AR的易感体质;I型、H型、F型、D型的人群容易罹患AR;A型是AR的保护性体质。Objective To investigate the Xinjiang Kazak allergic rhinitis （AR） in patients with taditional Chinese medicine （TCM） constitutions distribution status and ment of AR. Methods Regional cluster random sampling met pro hod vide the basis for prevention and treat was used to select Kazak people in A1 tay, Tacheng, Changji and Turpan regions for the survey. TCM constitutions scale epidemiological survey and allergic rhinitis diagnosis and detection were used and 325 cases were collected to analyze the distribution characteristics of TCM constitutions of the Kazak AR patients. Results The differences between Kazakh AR patients and non-AR people with Qi deficiency constitution （B）, Phlegm and dampness constitution （E）, blood stasis constitution （G） and Yang deficiency Constitution （C） types of TCM constitutions were not statistically significant （P）0.05） ;The differences between Kazakh people with Yin deficiency constitution （D）, Damp-heat constitution （F）, Special intrinsic constitution （I）, Qi stagnation constitution （H） and A （Moderate constitution） types of TCM constitutions were statistically significant （P〈0.05）. Correlation analysis between Kazak AR, non-AR and TCM Constitutions show that Kazak AR with D, F, I and H types incidence was significantly positive related （P 〈0. 05）, while Kazak AR with Atype was significant negative related （P 〈0.05） ; by the size of the correlation coefficient order, followed byI（0. 472）〉H（0. 179）〉F（0. 170）〉D（0. 163）, while the correlation coefficient is of the type A -0. 152. Conclusion Kazakh people with C, B, E, G types of TCM constitutions are not predisposition of AR; Kazakh people with I, H, F, D types of TCM constitutions are easily to suffer from AR; A type of TCM constitution is a protective constitution of AR.

关 键 词：哈萨克族 过敏性鼻炎 中医体质 流行病学 

分 类 号：R181[医药卫生—流行病学]