中老年女性膝骨关节炎患者中医体质类型特点的初步探讨  

A pilot study on feature of type of physical constitution (TCM) in elderly female with knee osteoarthritis

作　　者：何栩[1] 罗小兵[1] 虞亚明[1] 周文琪[1] 高丕明 蒋晴[1] 

机构地区：[1]四川省骨科医院,四川成都610041

出　　处：《中医正骨》2016年第1期14-16,共3页The Journal of Traditional Chinese Orthopedics and Traumatology

基　　金：四川省中医药管理局重大疑难疾病攻关项目(2012-A-090);四川省中医药管理局项目(2014SZZ023);四川省科技厅科技支撑项目(2014SZ0003)

摘　　要：目的:探讨中老年女性膝骨关节炎(knee osteoarthritis,KOA)患者中医体质类型特点。方法:选取97例在四川省骨科医院就诊的中老年女性KOA患者,评定其中医体质类型、体质积分、病程、西安大略和麦克马斯特大学(Western Ontario and McMaster Universities,WOMAC)骨关节炎指数及人体质量指数(body mass index,BMI)。分析其中医体质类型特点及中医体质类型、体质积分与WOMAC骨关节炎指数、BMI的相关性。结果:纳入研究的97例患者中,平和质23例,其余74例均为偏颇体质,其中阳虚质(31例)、血瘀质(12例)、气虚质(10例)所占比例较高,阴虚质(7例)、气郁质(5例)、痰湿质(4例)、特禀质(3例)、湿热质(2例)所占比例较小。Pearson相关分析结果显示,阳虚质与BMI呈负相关(r=-0.298,P=0.001)、气郁质与病程呈正相关(r=0.150,P=0.041),气郁质患者的体质积分与其病程呈正相关(r=0.714,P=0.042)。结论:中老年女性KOA患者中医体质类型以阳虚质、血瘀质、气虚质等偏颇体质为主,临床治疗中应注意偏颇体质和情志的调理。Objective ： To explore the feature of type of physical constitution （TCM） in elderly female with knee osteoarthritis （KOA）. Methods ： Ninty 7 seven elderly female patients with KOA were recruited from Siehuan Orthopaedic Hospital. The types and scores of physical constitution（TCM）, course of disease, Western Ontario and McMaster Universities （WOMAC）osteoarthritis index and body mass index （BMI）were evaluated. The feature of different types of physical constitution（TCM） and the correlation between the, types and scores of phySical constitution（TCM） and WOMAC osteoarthritis index and BMI were analyzed. Results：The physical constitution（ TCM ）of the 97 patients included mild constitution （ 23 ） and biased constitution （ 74 ）, in which yang - deficiency constitution （ 31 ）, blood - stasis constitution （12） and qi - deficiency constitution （ 10 ） took a high proportion, and yin - deficiency constitution （ 7 ）, qi - depression constitution （ 5 ）, phlegm - dampness constitution （4）, special diathesis constitution （ 3 ） and dampness - heat constitution （2） took a small proportion. The re- sults of Pearson correlation analysis showed that yang - deficiency constitution was negatively correlated with BMI （ r = - 0. 298, P = 0. 001 ）, and qi -depression constitution was positively correlated with course of disease（ r = 0. 150, P = 0. 041 ）, and constitution scores of patients with qi - depression constitution was positively correlated with course of disease （r = 0. 714, P = 0. 042 ）. Conclusion：The types of physical constitution（TCM）of elderly female patients with KOA present mainly with biased constitution such as yang -deficiency constitution, blood -stasis constitution and qi -deficiency constitution, so biased constitution and emotions should be regulated in the clinical treatment.

关 键 词：骨关节炎 膝 体质学说 人体质量指数 相关分析 

分 类 号：R274.9[医药卫生—中西医结合]