肺结核患者中医体质分布特征及相关因素研究  

Study on Chinese Medicine distribution characteristics and related factors of newly diagnosed tuberculosis patients

作　　者：王进 张雪芳[2] WANG Jin;ZHANG Xuefang(NanJing Second Hospital Tangshan Branch,NanJing,210024,Jiangsu,China;NanJing Hospital of Traditional Chinese Medicine,NanJing,210024,Jiangsu,China)

机构地区：[1]南京市第二医院汤山分院,江苏南京210024 [2]南京市中医院,江苏南京210024

出　　处：《湖南中医杂志》2020年第12期115-118,共4页Hunan Journal of Traditional Chinese Medicine

基　　金：江苏省结核病重点项目(ZKX14040)。

摘　　要：目的:研究初诊肺结核患者中医体质分布特征,分析常见体质与危险因素的相关性。方法:选择南京市第二医院(公共卫生医疗中心)结核科住院治疗的初诊肺结核患者359例作为研究对象,完成一般人口学资料和《中医体质判定表》的问卷调查,采用SPSS22.0软件对调查数据进行统计学分析,分析常见病理体质与危险因素的相关性,并进行多因素回归分析。结果:①在被调查的359例初诊肺结核患者中,平和质占3.80%,偏颇体质占96.20%,偏颇体质中尤以阴虚质、气虚质和阳虚质为主。②阴虚质在肺结核合并糖尿病患者中所占比例为42.70%(P<0.05);在多因素回归分析中得出合并糖尿病是气虚质肺结核患者的危险因素。③阴虚质肺结核患者在吸烟患者中所占比例为45.60%,结果有统计学意义(P<0.05);气虚质、阴虚质患者在接触粉尘或化学气雾的工作环境中所占比例分别为52.84%、57.30%,结果均有统计学意义(P<0.05);多因素回归分析得出接触化学气雾或粉尘是阳虚质肺结核的危险因素。结论:初诊肺结核的发生与中医体质类型有关,提示要调节体质综合防治肺结核的发生。Objective:To study the distribution characteristics of TCM constitution of newly diagnosed pulmonary tuberculosis patients and analyze the correlation between common constitution and risk factors.Methods:359 newly diagnosed tuberculosis patients hospitalized in the tuberculosis department of nanjing second hospital(public health medical center)were selected as the study objects to complete the questionnaire survey on general demographic data and TCM constitution determination table,SPSS 22.0 software was used to statistically analyze the survey data,analyze the correlation between common pathological conditions and risk factors,and conduct multivariate regression analysis.Results:Among the 359 newly diagnosed pulmonary tuberculosis patients investigated,peaceful substance accounted for 3.80%and biased substance accounted for 96.20%.The biased substance was mainly Yin deficiency and qi deficiency and Yang deficiency.The proportion of Yin deficiency in patients with pulmonary tuberculosis complicated with diabetes was 42.70%(P<0.05).Multivariate regression analysis showed that diabetes was a risk factor for pulmonary tuberculosis.The proportion of tuberculosis patients with Yin deficiency in smoking patients was 45.60%,and the results were statistically significant(P<0.05).The proportion of patients with deficiency of qi and Yin in the working environment exposed to dust or chemical aerosol was 52.84%and 57.30%,respectively,and the results were statistically significant(P<0.05).Multivariate regression analysis showed that chemical aerosol or dust exposure was a risk factor for pulmonary tuberculosis with Yang deficiency.Conclusion The happening of phthisical and constitution type of traditional Chinese medicine concern,clew wants the happening of integrated prevention and cure phthisical.

关 键 词：肺结核 中医体质 危险因素 

分 类 号：R259[医药卫生—中西医结合]