青海东部地区中医脾虚证检出率及症状特点的增龄变化规律研究  

Prevalence and Symptom Characters of Traditional Chinese Medicine Spleen Deficiency Syndromes with Aging in East of Qinghai Province:A Cross Sectional Study

作　　者：刘玥[1] 田润平[2] 汪旸[2] 张寅[3] 韩向博 英孝[2] 石鑫超[4] 金树英[2] 张冬爽[2] 肖雄[2] 吴佳妮[2] 朱晓燃 

机构地区：[1]北京中医药大学东方医院,北京100078 [2]北京中医药大学,北京100029 [3]北京中医药大学东直门医院,北京100700 [4]北京中医药大学第三附属医院,北京100029

出　　处：《辽宁中医药大学学报》2015年第6期106-108,共3页Journal of Liaoning University of Traditional Chinese Medicine

基　　金：北京中医药大学2014年研究生社会实践校级资助项目;北京中医药大学自主选题项目(2014-JYBZZ-XS-134)

摘　　要：目的：分析青海东部地区不同年龄阶段人群中医脾虚证检出率及其症状严重程度、持续时间的特点。方法：对20-79岁固定人群进行中医脾虚证症状严重程度、持续时间等资料进行观察记录,采用SPSS 21.0软件包进行统计学处理,检出率采用χ2检验,症状评分值采用秩和检验;对脾虚证的诊断、症状及其相关因素进行统计分析,用非条件Logistic多元逐步回归方法筛选变量获得回归方程数学模型,对不同年龄组患者脾虚证的症状分布,采用临床流行病学研究方法进行资料统计分析。结果：伴随增龄,中医脾虚证的检出率增加（P〈0.05）,症状严重程度、症状持续时间无明显变化（P〉0.05）;大便溏泻、面色萎黄症状伴随增龄出现频次增加（P〈0.05）;年龄、性别、民族不是影响中医脾虚证发生的直接因素（P〉0.05）;脾虚证各症状随年龄增长出现频次递增,40-59岁、60-79岁年龄段尤为明显。结论：伴随年龄增长,青海东部地区人群脾虚证检出率总体呈上升趋势;大便溏泻、面色萎黄是伴随增龄脾虚证最典型的症状,具有重要的临床提示意义;脾虚证的各症状出现频次呈逐年递增趋势;40-59岁、60-79岁年龄组人群各种脾虚的症状表现均有较高的发生率。Objective：To analyze detection rate, symptom severity, symptom duration of TCM spleen deficiency syndrome at different ages in east of Qinghai province. Methods ： Observe and record symptom severity, duration and other relevant information of TCM spleen deficiency syndrome in fixed population aged 20-79. Data processing executed with statistical package SPSS21.0, the detection rate using X 2 test, symptom score values using the Wilcoxon test. Analyze symptom severity, duration and other relevant information of TCM spleen deficiency syndrome, with non-conditional logistic stepwise regression to screen variables and ultimately find the regression equation mathematical model. Analyze distribution of symptom on TCM spleen deficiency syndrome at different ages statistically with methods of clinical epidemiology. Results： Detection rate show an upward trend with aging generally （P〈0.05）, with aging, there is no difference between symptom severity and symptom duration of TCM spleen deficiency syndrome （ P〉0.05 ）, The frequency of Loose stools, Sallow complexion symptom has increased gradually （ P〈0.05 ）. Age, gender, ethnicity is not the direct factor, which affects TCM spleen deficiency syndrome （P〉0.05）. Characters of TCM spleen deficiency syndrome symptom distribution have certain regularities, especially for middle-aged and aged people. Conclusion ： The incidence and symptom characteristics of spleen deficiency regularly increase with increasing age. With aging Loose stools, Sallow complexion symptom play an important role in spleen deficiency. The frequency of all spleen deficiency symptoms burgeons with aging, especially for middle-aged and aged people.

关 键 词：青海东部地区 中医 脾虚 增龄 

分 类 号：R256.3[医药卫生—中医内科学]