社区老年居民慢性病患者的体质分布研究  

Distribution of TCM constitution types of community residents aged over 60 years with chronic diseases

作　　者：陈孟炼 钱会南[2] 孙鑫[2] 张标[2] 

机构地区：[1]北京市朝阳区香河园社区卫生服务中心,北京100028 [2]北京中医药大学基础医学院

出　　处：《现代中医临床》2016年第3期23-27,共5页Modern Chinese Clinical Medicine

基　　金：国家自然科学基金资助项目(No.30772685)

摘　　要：目的研究社区老年居民慢性病患者体质类型与慢性病的关系。方法对到北京市朝阳区香河园社区卫生服务中心中医门诊就诊的社区居民,运用中医体质辨识调查量表进行问卷调查,建立数据库并进行相关分析。结果 306例中,男性84例,占27.45%,女性222例,占72.55%。平和质者30例,占9.80%,偏颇体质者276例,占90.20%。男性平和质、痰湿质所占比例均高于女性(P<0.05),女性阳虚质所占比例高于男性(P<0.05)。不同年龄阶段者9种体质类型分布情况比较差异有统计学意义(P<0.05)。60岁以下、60岁及以上者在阳虚质、阴虚质、痰湿质、湿热质、气郁质、特禀质的人数分布中比较差异有统计学意义(P<0.05)。306例中有慢性病者250例,其中平和体质者20例(8.00%),偏颇体质者230例(92.00%);无慢性病的56例中,平和质者10例(17.86%),偏颇体质者46例(82.14%)。偏颇体质在有慢性病者中所占比例高于无慢性病者,两者比较差异有统计学意义(P<0.05)。对不同体质者患慢性病情况进行统计,痰湿质者患慢性病的比例最高,其次分别为气郁质、气虚质、阴虚质和阳虚质。被调查者中各类慢性病中,患有高血压病者比例最多,其次为骨关节病、心脑血管病、慢性胃炎、高脂血症、失眠、糖尿病等。不同慢性病患者偏颇体质的分布情况各有不同。结论社区老年居民慢性病患者偏颇体质居多,其体质分布与年龄、性别,以及所患疾病具有一定关系。Objective To study the correlation of TCM constitution types and chronic diseases of elderly community residents. Methods After investigate the community residents who went to the Xiangheyuan Community Health Service Centre using TCM Constitution Identification Questionnaire,the database was established and the data were analyzed. Results A total 306 residents included, 84 of male（ 27. 45 %） and 222 of female（ 72. 55 %）,30 of constitution of yin- yang harmony（ 9. 80 %） and 276 of biased constitution（ 90. 20 %）. Compared with female,the percentage of harmony constitution and that of phlegm-dampness constitution in male were more（ P〈0. 05）,while that of yang deficiency constitution was lower（ P〈0. 05）. There were differences of distribution of nine constitution types in different age grades（ P〈0. 05）. There were significant differences of distribution of constitutions of yang deficiency,yin deficiency,phlegm-dampness,damp-heat,qi stagnation,or allergy between the residents below60 years old and the residents aged 60 and over（ P〈0. 05）. There were 20 of harmony constitution（ 8.00 %） and 230 biased constitution（ 92. 00%） in 250 residents with chronic diseases; 10 of harmony constitution（ 17. 86 %） and 46 biased constitution（ 82. 14%） in 56 residents with no chronic diseases.The biased constitution ratio of residents with chronic diseases was higher than that of residents with no chronic diseases（ P〈0. 05）. Within the residents with chronic diseases,the five leading constitutions were,arranging from high to low,phlegm-dampness,qi stagnation,yin deficiency and yang deficiency.The leading chronic diseases were listed as hypertension,followed by osteoarthrosis,cardio-cerebrovascular disease,chronic gastritis,hyperlipidemia,diabetes,insomnia. There were also differences distribution of TCM constitutions in different chronic diseases. Conclusion Biased constitution had higher proportion in community elderly residents with chronic diseases,the physical distributi

关 键 词：中医体质 慢性病 老年人群 年龄 

分 类 号：R24[医药卫生—中医临床基础]