基于六气理论的丙申年无锡地区项痹病发病与气象的相关性研究  

Study on the correlation between cervical spondylosis theory and weather in Wuxi district in 2016 based on six qi

作　　者：蒋涛[1] 陈剑峰[2] 朱蕙霞[3] 陶国水[2] JIANG Tao;CHEN Jian-feng;ZHU Hui-xia;TAO Guo-shui(Nanjing University of Chinese Medicine,Nanjing 210000,China;Wuxi Hospital of Traditional Chinese Medicine,Wuxi 214000,China;Nantong University,Nantong 226000,China)

机构地区：[1]南京中医药大学,南京210000 [2]江苏省无锡市中医医院,无锡214000 [3]南通大学,南通226000

出　　处：《中华中医药杂志》2020年第7期3670-3674,共5页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金：江苏省无锡市卫生和计划生育委员会科研项目(No.Z201703)。

摘　　要：目的:研究无锡地区项痹病发病与六气及气象的相关性,探讨影响项痹病发病的气候因素。方法:收集2016年1月20日至2017年1月19日无锡市中医医院、宜兴市中医医院、江阴市中医院收治的中医第一诊断为项痹病(寒湿痹阻)、西医第一诊断为颈椎病的符合研究要求的全部住院病例,共计1608例。气象资料由中国气象数据资料网提供,六气资料按中医理论推演计算。将病例数按六气分段进行描述性分析;并将风速、气温、相对湿度、降水量4项数据作为自变量,将中医各段节气的总项痹病病例数作为因变量,利用散点图分析、单因素相关分析、关联度分析以及重要气象因素特征描述来分析气象因素与项痹病发病的关系。结果:项痹病的病例数在初之气、二之气、终之气的阶段较多,符合中医六气致病的特点。项痹病的发生与平均气温呈负相关(P<0.01),与平均降水量呈正相关(P<0.05)。平均气温关联度r11=0.944,平均降水量关联度r12=0.783,从而可以看出项痹病的发生与气象因子有较大的关联性,气温相比降水量对项痹病的发病影响更大。具体分析主要气象因素特征,当平均温度低于10℃时项痹病发病率较高,发病通常集中在每年的1、12月份;同时当降水量≥400mm时项痹病的发病例数呈升高趋势。结论:项痹病的发生在六气各段中有一定的规律,主要受气温和降水量的影响,并与中医对六气致病特点的认识一致。可以根据气候变化、季节变化对项痹病进行预防,以减少项痹病的发生,为该病的气象预防方面提供参考。Objective:To study the relationship between the incidence of cervical spondylosis and the six qi and meteorology in Wuxi district.Methods:A total of 1608 cases from 2016-1-20 to 2017-1-19 in Wuxi Traditional Chinese Medicine Hospital,Yixing Traditional chinese Medicine Hospital and Jiangyin Traditional Chinese Medicine Hospital which were diagnosed with cervical spondylosis were collected.Meteorological data were provided by China Meteorological data network.The five factors of wind speed,temperature,relative humidity,precipitation and cervical spondylosis cases were carefully studied by scatter plot analysis,single factor correlation analysis,correlation analysis and significant description of meteorological factor,in order to analyze the relationship between meteorological factors and cervical spondylosis.Results:Distribution of cases conform to the characteristics of TCM six qi causes disease.The occurrence of cervical spondylosis is negatively correlated with average temperature(P<0.01),and it is positively correlated with average precipitation(P<0.05).The average temperature correlation degree r11=0.944 and the average precipitation correlation degree r12=0.783,which shows that the occurrence of cervical spondylosis has a greater correlation with meteorological factors.Compared with precipitation,temperature has a greater influence on the occurrence of cervical spondylosis.The main meteorological factors are analyzed in detail,when the average temperature is lower than 10℃,the incidence of cervical spondylosis is relatively high.The incidence is usually concentrated in January and December of each year.The number of cervical spondylosis cases showed an increasing trend when the precipitation≥400mm.Conclusion:The occurrences of cervical spondylosis in six qi have some certain rules,which mainly affected by temperature and precipitation,and these rules are in accordance with six qi pathogenic characteristics in TCM.In this way,some preventions of cervical spondylosis can be madeto reduce the occurrence of

关 键 词：项痹病 六气 气象 相关性 

分 类 号：R226[医药卫生—中医基础理论] R255.6[医药卫生—中医学]