北京地区出生日期/胎孕期运气禀赋-易患疾病(群)数据库的建立  

Database of birthday/five yun and six qi endowment in embryonic period-related diseases(group) in Beijing district

作　　者：菅庆林 张洪钧[1] 周冬卉 张旭[1] 刘伟[1] 彭莉[2] 乔彤彤 孙宁[1] 于树森[1] 董霞[1] 

机构地区：[1]北京中医药大学东直门医院,北京100700 [2]中国中医科学院中医药信息研究所,北京100700

出　　处：《中华中医药杂志》2018年第1期100-123,共24页China Journal of Traditional Chinese Medicine and Pharmacy

摘　　要：目的:展示各出生时段人群/各种胎孕期运气禀赋的易患疾病,为疾病各级预防与根治、为胎孕期运气禀赋-体质-疾病关系研究、为五运六气理论的验证、理解及开发应用等,提供临床数据支持。方法:采用回顾性病例对照研究方法,病例组为2010年4月至2016年4月就诊于北京中医药大学东直门医院门诊的全部北京市医保患者,男性212 790例,女性334 221例,对照组为2012年北京市常住人口,男性6 469 103例,女性6 409 200例。男女分开,据出生日期划分人群,每3个月(1个季度)为一个出生时段(同一出生时段具有相同运气禀赋);据疾病解剖部位或病因划分疾病(群),统计不同出生时段人群不同疾病的患病人数,建立出生日期/胎孕期运气禀赋-疾病(群)数据库(即一级数据库),因数据量大,本文未呈现,再借助常住人口为对照组,得出不同疾病(群)的易患人群,建立出生日期/胎孕期运气禀赋-易患疾病(群)数据库(即二级数据库)。结果:据疾病划分原则将疾病划分为53个疾病(群),其中男性45个疾病,女性50个疾病;一级数据库展示了出生在1924年-2013年的356个不同出生时段人群(男女分开)各病的患病人数;二级数据库展示了出生在1926年-2010年的340个出生时段人群(男女分开)的易患疾病(群)。结论:此数据库资料来源明确、可靠,抽样具有代表性,数据分类及统计分析方法合理、规范,较全面展示了北京地区各出生日期/胎孕期五运六气禀赋人的易患病,结果可信,有助于指导各年龄段人群的疾病预防与诊疗,并具有进一步的临床和科研开发应用价值。Objective： Establish the susceptible diseases of different people who have different five yun and six qi endowments in Beijing district, to provide clinical data support for the prevention and curation of diseases. Methods： This was a retrospective case-control study. The experimental group was all the outpatient of Dongzhimen Hospital who visits the doctors from April 2010 to April 2016. There were 212 790 m_ales and 334 221 females in the experimental group. The control group had 6 469 103 males and 6 409 200 females. They were divided into different groups by sex and birth season （people with same birth season had the same endowment of five yun and six qi which was definitedin the time of embryonic period）. Dieases were classified by their location. Finally collect the statistics of different crowd with different diseases. Build the date base of birthday/five yun and six qi endowment-susceptible diseases （secondary data base） by chi square test. Results： The diseases were divided into 53 groups, and there were 45 diseases in the male group, and 50 diseases in the female group. The primary and secondary data base were established. The primary database shown the statistics of different diseases of 356 populations born from 1924-2012 （male and female separately）; the secondary data base shown 340 populations＇ susceptible disease who born in 1926-2010 （male and female separately）. Conclusion： The sources of the statistics is clear and reliable, and the method of analysisis reasonable and standard. The finding is reliable, can provide some information to the prevention and treatment of disease.

关 键 词：出生日期 五运六气禀赋 易患疾病(群) 数据库 

分 类 号：R226[医药卫生—中医基础理论]