基于中医健康状态气辨识的天津地区健康体检人群健康风险评估研究  

Study on risk assessment of health status in Tianjin area based on TCM qi identification

作　　者：冉俐 王泓午[2] 赵铁牛 步怀恩[2] RAN Li;WANG Hong-wu;ZHAO Tie-niu;BU Huai-en(Wuhan University,Wuhan 430071,China;Tianjin University of Traditional Chinese Medicine,Tianjin 301617,China)

机构地区：[1]武汉大学,武汉430071 [2]天津中医药大学,天津301617

出　　处：《中华中医药杂志》2021年第4期2326-2329,共4页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金：国家重点基础研究发展计划(973计划)(No.2011CB505406);天津市卫生健康委员会中医药重点领域科研项目(No.2019007);天津市卫生计生委、天津市中医药管理局中西医结合科研课题(No.2017099);天津中医药大学校级科研项目(No.XJ201801)。

摘　　要：目的:筛查非健康状态危险因素,建立风险预测模型及简明风险评分量表。方法:采用Logistic回归分析进行自变量筛选,建立非健康状态风险预测模型;采用危险因素评分法建立简明风险评分量表。结果:年龄(OR=1.646,P<0.001)、平素健康状态(OR=0.592,P=0.030)、头晕(OR=3.068,P<0.001)、乏力(OR=1.423,P=0.044)、易于感冒(OR=6.576,P=0.043)、懒言(OR=2.620,P=0.005)和大便无力或时稀(OR=6.334,P=0.039)是非健康状态的风险因素。简明风险评分量表总分达到8分时,约登指数最大,ROC曲线下面积为0.773(95%CI[0.751,0.793])。结论:年龄、平素健康状态、头晕、乏力、易于感冒、懒言和大便无力或时稀,是健康状态的风险因素;自评总分>8分时,建议自评对象去医院进行健康体检。Objective:To screen the main risk factors of non-health status,and establish a risk prediction model and brief rating scale.Methods:Logistic regression analysis was used to screen the independent variables and establish the risk prediction model of non-health status.A brief rating scale was established by risk factors scoring method.Results:Age(OR=1.646,P<0.001),health condition(OR=0.592,P=0.030),dizziness(OR=3.068,P<0.001),weakness(OR=1.423,P=0.044),susceptibility to the common cold(OR=6.576,P=0.043),laziness to speak(OR=2.620,P=0.005),and inability to defecate or loose stools(OR=6.334,P=0.039)were the risk factors of non-health status.When the scores of brief rating scale reached 8,the Youden’s index was the maximal.The area under the curve was 0.773(95%CI[0.751,0.793]).Conclusion:Age,health condition,dizziness,weakness,susceptibility to the common cold,laziness to speak,and inability to defecate or loose stools are the risk factors of non-health status.When the scores are more than 8,the object is advised a body check.

关 键 词：中医气辨识 风险评估 ROC曲线 非健康状态 

分 类 号：R229[医药卫生—中医基础理论]