超重和肥胖人群的中医兼夹体质分析  

Mixed Traditional Chinese Medicine Constitutions of Overweight and Obesity Populations

作　　者：朱丽冰[1] 王济[1] 李玲孺[1] 李英帅[1] 郑燕飞[1] 王琦[1] 

机构地区：[1]北京中医药大学基础医学院中医体质与生殖医学研究中心,北京100029

出　　处：《中华中医药学刊》2017年第1期161-165,共5页Chinese Archives of Traditional Chinese Medicine

基　　金：国家中医药管理局王琦名老中医药专家传承工作室建设项目(2011);北京市自然科学基金面上项目(7132125);北京中医药薪火传承"3+3"工程王琦名医传承工作站建设项目(2008);北京中医药大学名医工程王琦学术传承工作室建设项目

摘　　要：目的:探析超重和肥胖人群的中医兼夹体质类型分布特点,掌握超重、肥胖人群的体质兼夹规律。方法:从我国9省市横断面调查的21 948例中医体质分类与健康调查数据库中,筛选出符合超重、肥胖诊断的人群4726例作为研究对象,其中超重者3877例、肥胖者849例。并通过相关的统计方法来分析超重、肥胖人群的兼夹体质分布特点。结果超重人群中被辨识为单一体质的占71.75%,肥胖人群占72.32%。超重人群中出现两种偏颇体质相兼的占9.98%,其中排名前3的兼夹体质类型分别是气虚质+阳虚质、气虚质+气郁质、阴虚质+血瘀质;肥胖人群中兼夹两种偏颇体质的占8.83%,其中排名前3的兼夹体质分别是:气虚质+气郁质、痰湿质+湿热质、阴虚质+血瘀质。超重人群中兼夹三种偏颇体质的占5.96%,排名前3的分别是:气虚质+阳虚质+气郁质、气虚质+痰湿质+湿热质、气虚质+阳虚质+阴虚质;肥胖人群中兼夹三种偏颇体质的占6.71%,排名前3的分别是:气虚质+阳虚质+气郁质、气虚质+阴虚质+血瘀质、气虚质+阳虚质+阴虚质。超重人群中兼夹4种及以上偏颇体质的占12.30%,肥胖人群占12.13%。结论:接近一半的超重、肥胖人群被辨识为偏颇体质,其中单一偏颇体质以气虚的偏颇所占比例最高;而对于超重、肥胖人群的兼夹体质分析亦不难发现超重、肥胖人群均以气虚质的兼夹最为普遍,气虚质与超重、肥胖的发生、发展密切相关。Objective ： To explore and analyze the characteristics of mixed Traditional Chinese Medicine Constitutions （TCMCs） of overweight and obesity populations and then further master the mixed rule of TCMC among overweight and o- besity populations. Methods： A total of 4726 cases who met the overweight and obesity diagnosed criteria were screened from a data base which was formed by a TCMC cross - sectional survey of 21 948 natural populations from nine provinces in China. A total of 3877 were overweight and 849 were obesity. Statistical analysis was conducted in order to analyze the characteristics of mixed TCMCs of overweight and obesity populations. Result： The rate of overweight populations who were diagnosed as single TCMC was 71.75% and that of the obesity populations was 72.32%. 9.98% of the overweight populations had two types of TCMCs at the same time and the top three TCMC types were Qi - deficiency constitution combined with Oi -stagnation constitution, phlegm -dampness constitution combined with dampness -heat constitution and Yin - deficiency constitution combined with blood - stasis constitution. 8.83% of the obesity populations had two types of TCMCs at the same time and the top three TCMC types were Qi - deficiency constitution combined with Yang - deficiency constitution, Qi - deficiency constitution combined with Oi - stagnation constitution, Yin - deficiency constitu- tion combined with blood - stasis constitution. 5.96% of the overweight populations had three types of TCMCs at the same time and the top three TCMC types were Qi - deficiency constitution combined with Yang - deficiency constitution and Oi - stagnation constitution, Qi - deficiency constitution combined with phlegm - dampness constitution and dampness - heat constitution, Qi - deficiency constitution combined with Yang - deficiency constitution and Yin - deficiency consti- tution. 6.71% of obesity populations had three types of TCMCs at the same time and the top three TCMC types were Qi - deficiency constitution combined with

关 键 词：超重 肥胖 中医 兼夹体质 

分 类 号：R589.2[医药卫生—内分泌]