甲型流感中医证候与体质类型的相关性分析  

Correlation Analysis of Chinese Medicine Syndrome and Constitution Types of Influenza A

作　　者：王晓才[1] 赵洪杰[1] 董晓根[2] 李安德[1] 陈燕力[1] 孙利红[1] 崔宁[1] 苌华颖[1] 郭子宁[1] 荣伟[1] 

机构地区：[1]北京中医药大学东方医院,北京市丰台区芳星园一区6号100078 [2]北京市丰台区疾病预防控制中心

出　　处：《中医杂志》2016年第2期149-153,共5页Journal of Traditional Chinese Medicine

基　　金：北京中医药大学自主选题项目(2014-JYBZZ-JS-061)

摘　　要：目的探讨甲型流感患者中医证候与体质类型的相关性。方法收集甲型流感确诊病例151例,分别进行中医四诊资料的中医证候学调查和中医体质类型问卷调查,进而作出中医证候分析和中医体质类型判定。以各证候为因变量,9种中医体质类型为自变量,进行多元线性回归分析。结果 151例患者中卫分证136例(占90.1%),气分证91例(占60.3%),无营分证、血分证。在气分证中,阳明证52例(占34.4%),肺热证30例(占19.9%),少阳证40例(占26.5%),胸膈证10例(占6.6)%,湿阻证28例(占18.5%)。体质类型分布由高到低依次为痰湿质>湿热质>气虚质>阳虚质>气郁质>阴虚质>血瘀质>平和质>特禀质。回归分析显示,甲型流感气分证与平和质、特禀质呈负相关,与阴虚质呈正相关;阳明证与阴虚质呈正相关;少阳证与气郁质呈正相关;肺热证与痰湿质呈正相关;湿阻证与痰湿质呈正相关,与特禀质呈负相关;卫气合病证与阴虚质呈正相关,与特禀质呈负相关;单卫分证与平和质、特禀质呈正相关,与阴虚质呈负相关(P<0.05)。结论阴虚质、痰湿质、气郁质、平和质、特禀质是影响甲型流感患者中医证候的5种主要中医体质类型,发病时的中医证候与患者中医体质密切相关。Objective To explore the relevance between Chinese medicine syndromes and constitution types in patients with influenza A. Methods Totally 151 confirmed cases of influenza A were collected. Chinese medicine syndromes information was investigation by physicians with the four diagnosis methods,and data on constitution types were gathered by a questionnaire survey. Then Chinese medicine syndromes were analyzed and constitution types were identified. The syndromes were took as dependent variable and 9 types of constitution as independent variable,multivariate linear regression analysis was conducted. Results Among 151 patients,there were 136 cases with Wei-fen syndrome（ 90. 1%）,91 cases with Qi-fen syndrome（ 60. 3%）,but no any cases with Ying-fen syndrome and Xue-fen syndrome. Among patients with Qi-fen syndrome,there were 52 cases with Yangming syndrome（ 34. 4%）,30 cases with lung-heat syndrome（ 19. 9%）,40 cases with Shaoyang syndrome（ 26. 5%）,10 cases with chestdiaphragm syndrome（ 6. 6%）,and 28 cases with damp obstruction syndrome（ 18. 5%）. The distribution of different constitution types in 151 cases in a descending order was that the most common one was phlegm-dampness constitution,followed by dampness-heat constitution,Qi deficiency constitution,Yang deficiency constitution,Qi stagnation constitution,Yin deficiency constitution,blood stasis constitution,normal constitution,and specific diathesis constitution. Regression analysis demonstrated that there was a negative correlation between influenza A with Qi-fen syndrome and normal,or specific diathesis constitution,and a positive correlation between influenza A with Qi-fen syndrome and Yin deficiency constitution. There was a positive correlation between Yangming syndrome and Yin deficiency constitution,a positive correlation between Shaoyang syndrome and Qi stagnation constitution,a positive correlation between lung heat syndrome and phlegm-dampness constitution,a positive correlation between damp obstruction syndrome and phlegm-dampn

关 键 词：甲型流感 证候 体质类型 回归分析 

分 类 号：R259[医药卫生—中西医结合]