基于Logistic回归分析600例广西壮族、汉族原发性高血压患者中医体质分布规律  

Logistic regression analysis of TCM constitution distribution rule of 600 Patients with essential hypertension of Zhuang and Han nationalities in Guangxi

作　　者：陈春玲[1] 蔡涛[1] 李玉华[1] 尹胡海 黄婕 岳桂华[1] CHEN Chunling;CAI Tao;LI Yuhua(2016-Grade Master of Guangxi University of Traditional Chinese Medicine, Nanning,Guangxi 530001)

机构地区：[1]广西中医药大学

出　　处：《河北中医》2019年第5期679-683,共5页Hebei Journal of Traditional Chinese Medicine

基　　金：国家自然科学基金项目(编号:81560757);广西壮族自治区卫生和计划生育委员会中医药民族医药传承创新专项课题(编号:GZLC16-28);广西中医药大学2018年研究生教育计划创新项目立项课题(编号:YCSY2018033)

摘　　要：目的基于Logistic回归分析,探讨广西壮族、汉族原发性高血压患者中医体质分布特点。方法收集并筛选广西壮族、汉族原发性高血压患者各300例为研究对象,对研究对象进行中医体质测评,观察壮族、汉族原发性高血压人群体质的分布规律。结果 600例壮族、汉族原发性高血压患者中医体质总体分布规律依次为痰湿质>阴虚质>阳虚质>湿热质>血瘀质>气郁质>平和质、气虚质>特禀质,其中痰湿质、阴虚质、阳虚质较为多见,占81.33%。300例壮族原发性高血压患者中医体质分布:平和质5例(1.67%)、气虚质8例(2.67%)、阴虚质109例(36.33%)、阳虚质40例(13.33%)、湿热质14例(4.67%)、气郁质9例(3.0%)、血瘀质6例(2.0%)、痰湿质109例(36.33%)、特禀质0例,其中以阴虚质、痰湿质为主;300例汉族原发性高血压患者中医体质分布:平和质5例(1.67%)、气虚质2例(0.67%)、阴虚质76例(25.33%)、阳虚质39例(13.00%)、湿热质27例(9.00%)、气郁质2例(0.67%)、血瘀质20例(6.67%)、痰湿质129例(43.00%),其中以痰湿质为主。经χ~2检验分析,体质类型在不同民族之间差异有统计学意义(P<0.05)。经Logistic回归分析,痰湿质、湿热质、血瘀质3种体质体现出原发性高血压患者的民族差异性,有统计学意义(P<0.05)。壮族、汉族原发性高血压患者比较中,壮族原发性高血压患者饮食偏咸的多于汉族,但比较差异无统计学意义(P>0.05)。壮族缺乏运动人数明显高于汉族(P<0.05),说明不同民族的饮食习惯、运动情况一定程度上影响原发性高血压患者体质类型。结论广西壮族、汉族原发性高血压患者中医体质分布有一定差异性。不同民族患者的运动情况一定程度上影响体质类型。Objective Based on logistic regression analysis, the TCM constitution distribution characteristics of essential hypertension patients of Zhuang and Han nationalities in Guangxi were discussed. Methods 300 patients with essential hypertension of Zhuang and Han nationalities in Guangxi were collected and screened for the study. The subjects was assessed by physical fitness evaluation of TCM, and the distribution of constitution of Zhuang and Han nationalities with essential hypertension was observed. Results The general distribution rule of TCM constitution in 600 patients with essential hypertension of Zhuang and Han nationality was phlegm dampness constitution > Yin deficiency constitution > Yang deficiency constitution > dampness heat constitution > blood stasis constitution > qi stagnation constitution> harmony constitution and qi deficiency constitution > special constitution, among which phlegm dampness constitution, Yin deficiency constitution and Yang deficiency constitution were more common, accounting for 81.33%. The distribution of TCM constitution in 300 patients with essential hypertension of Zhuang nationality: 5 cases(1.67%) of harmony constitution, 8 cases(2.67%) of qi deficiency constitution, 109 cases(36.33%) of Yin deficiency constitution, and 40 cases(13.33%) of Yang deficiency constitution, 14 cases(4.67%) of dampness heat constitution, 9 cases(3.0%) of qi stagnation constitution, 6 cases(2.0%) of blood stasis constitution, 109 cases(36.33%) of phlegm dampness constitution, and 0 cases of special constitution. Among them, Yin deficiency constitution and phlegm dampness constitution were the main constitution. The distribution of TCM constitution in 300 patients with essential hypertension of Han nationality: 5 cases(1.67%) of harmony constitution, 2 cases(0.67%) of qi deficiency constitution, 76 cases(25.33%) of Yin deficiency constitution, and 39 cases(13.00%) of Yang deficiency constitution, 27 cases(9.00%) of dampness heat constitution, 2 cases(0.67%) of qi stagnation constitution, 20 cases(

关 键 词：原发性高血压 中医体质 壮族 汉族 

分 类 号：R544.11[医药卫生—心血管疾病] R544.110.25[医药卫生—内科学]