低体重老年人中医体质类型与慢性病的关系  

The relationship between constitution type of traditional Chinese medicine and chronic diseases in the elderly with lower weight

作　　者：石劢[1] 石学峰[2] 王丹[2] 陈禹[1] 白倩 王溪 郭艺玮 金江丽[3] SHI Mai;SHI Xuefeng;WANG Dan;CHEN Yu;BAI Qian;WANG Xi;GUO Yiwei;JIN Jiangli(Department of Nutrition,China-Japan Friendship Hospital,Beijing,100029,China;School of Management,Beijing Traditional Chinese Medicine University,Beijing,100029,China;Cadre Ward of China-Japan Friendship Hospital,Beijing,100029,China)

机构地区：[1]中日友好医院营养科,北京100029 [2]北京中医药大学管理学院,北京100029 [3]中日友好医院高干医疗科,北京100029

出　　处：《中国医药导报》2018年第31期87-89,共3页China Medical Herald

基　　金：国家卫生计生委保健局保健科研课题(W2013B J25)

摘　　要：目的调查低体重老年人(体重指数<18.5 kg/m2)的中医体质类型、慢性病及骨骼肌质量与力量情况,分析老年人中医体质、慢性病、体重之间的关系。方法选取2014年1～12月中日友好医院慢性病防治门诊初次接诊的低体重老年人229名,采用中医体质量表结合四诊法综合辨识体质,查阅医疗机构相关病历记录以明确其慢性病诊断,采用体成分仪和握力测量进行肌少症判断。结果低体重老年人中医体质类型排序为气郁质、阳虚质、气虚质、血瘀质、平和质、湿热质、特禀质、阴虚质。其中178名老人患有慢性病,占77.73%,患有慢性病与中医体质类型分布之间存在相关性(P <0.001);168名老人诊断为肌少症,占73.36%,肌少症与中医体质类型分布之间存在相关性(P <0.001);同时诊断慢性病与肌少症的老年人有161名,占70.31%,低体重老年人的慢性病与肌少症之间存在相关性(P <0.001)。结论低体重老年人的慢性病防治要兼顾其中医体质特征进行调养防护,应关注老年人的肌肉质量和机能。Objective To investigate the relationship among the traditional Chinese medicine constitution type, chronic disease and skeletal muscle quality and strength of elderly people with low weight （body mass index 〈 18.5 kg/m2）. Methods A total of 229 elderly with low weight who had first visit to outpatient of China-Japan Friendship Hospital from October to December 2014 were enrolled in this study. Constitution type of traditional Chinese medicine scale combined with four diagnosis were used to confirm the constitution type, related medical records were looked up to confirm the diagnosis, and body composition analyzer, grip test were used to judge the sarcopenia. Results The sequence of traditional Chinese medicine constitution type of low weight elderly were Qi-depression, Yang-deficiency, Qi-deficiency, blood stasis, gentleness, Wet-heat, special diathesis, Yin-deficiency type. There were 178 elderly people suffered from chronic disease （77.73%）, and there were relationships between chronic disease and the distribution of traditional Chinese medicine constitution type （P 〈 0.001）. There were 168 elderly people were diagnosed with sarcopenia （73.36%）, and there was relationship between sarcopenia and the distribution of traditional Chinese medicine （P 〈 0.001）. There were 161 elderly people were diagnosed with chronic disease and sarcopenia （70.31%）, and there was correlation between chronic disease and sarcopenia in low weight elderly people （P 〈 0.001）. Conclusion Physical characteristics of traditional Chinese medicine should be taken into account of prevention and treatment of chronic diseases in low weight elderly people and the muscle quality and function should be concerned with.

关 键 词：中医体质 老年人 生物电阻抗 肌少症 

分 类 号：R259[医药卫生—中西医结合]