哺乳期乳腺炎与中医体质的相关性分析研究  

Correlation analysis of mastitis during lactation period and TCM constitution types

作　　者：孙晓颖 李欣[2] 李可心[2] 王晓敏 张莹[2] 周敏[2] 

机构地区：[1]上海中医药研究院皮肤研究所,上海200437 [2]上海中医药大学附属岳阳中西医结合医院,上海200437 [3]天津市宁河区中医院,天津301500

出　　处：《中华中医药杂志》2016年第12期5236-5239,共4页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金：国家中医药管理局资助"十二五"中医药重点学科--中医皮肤病学;国家中医药管理局资助"十二五"重点专科--皮肤科;上海市卫计委中医药事业发展三年行动计划项目(No.ZY3-CCCX-1-1008)~~

摘　　要：目的:通过对哺乳期乳腺炎患者体质类型的统计及危险因素分析,探索影响哺乳期乳腺炎发病的相关体质因素,为哺乳期乳腺炎的防治提供参考依据。方法:对287例哺乳期乳腺炎患者及287名哺乳期正常产妇完成中医体质用户数据记录表的填写,采用1∶1配对的病例对照研究方法,采用SPSS 18.0进行条件单因素及多因素Logistic回归分析,计算统计量。结果:574名哺乳期产妇中,平和体质调查者占总数的45.82%。偏颇体质分布以出现的频数由高至低顺序前3位为:阴虚质>阳虚质>气虚质;病例组与对照组的偏颇体质分布差异有统计学意义(P<0.01),病例组与对照组各体质的分布差异有统计学意义(P<0.01);通过单因素及多因素条件Logistic分析,结果显示气郁质是影响哺乳期乳腺炎发病的危险因素。结论:哺乳期乳腺炎的发生与中医体质类型有关,提示要综合防治哺乳期乳腺炎的发生。Objective： Through statistically analyzing the TCM constitution types of patients with mastitis during lactation period and their risk factors, to explore the correlation analysis of mastitis during lactation period and TCM constitution types, in order to provide references in the prevention of mastitis. Methods： Two hundred and eighty-seven cases of patients with mastitis during lactation period along with 287 cases of normal lactating women were included for 1：1 case-control analysis. The single factor analysis and Logistic regression analysis were conducted by SPSS 18.0 to calculate the statistics. Results： The balance constitution accounted for 45.82% of the total 574 cases. In descending orders, the top three biased constitutions were yin-deficiency constitution, yang-deficiency constitution and qi-deficiency constitution. There were statistical significance in the biased constitutions distribution between the observation group and the control group（P〈0.01）, and the constitution distributionwas also found significant difference（P〈0.01）. The results of single factor analysis and Logistic regression analysis showed that qi depression constitution was a risk factor for the mastitis during lactation period. Conclusion： The incidence of mastitis during lactation period was related to TCM constitution types, suggesting that comprehensive measures should be taken to protect from mastitis during lactation period.

关 键 词：哺乳期乳腺炎 中医体质类型 危险因素 1∶1病例对照分析 LOGISTIC回归分析 

分 类 号：R271.44[医药卫生—中医妇科学]