一般人群藏医体质特征及相关因素分析:基于2 322例多中心横断面研究  

Characteristics and Related Factors of Tibetan Medicine Body Constitution in General Population:A Multi-center Cross-sectional Study of 2322 Cases

作　　者：罗辉 仲格嘉[2] 扎西东主[3] 白明华[4] 晋美 李新民[6] LUO Hui;ZHONG Ge-jia;ZHAXI Dong-zhu;BAI Ming-hua;JIN Mei;LI Xin-min(Institute for Tibetan Medicine,China Tibetology Research Center,Beijing 100101;Beijing Tibetan Hospital of China Tibetology Research Center,Beijing 100029;Tibetan Medicine School of Qinghai University,Xining,810016;National Institute of Chinese Medicine Constitution and Preventive Medicine,Beijing University of Chinese Medicine,Beijing 100029;Tibet Autonomous Region Center for Disease Control and Prevention,Lhasa 850000;School of Basic Medicine,Henan University of Traditional Chinese Medicine,Zhengzhou 450046)

机构地区：[1]中国藏学研究中心藏医药研究所,北京100101 [2]中国藏学研究中心北京藏医院,北京100029 [3]青海大学藏医学院,西宁810016 [4]北京中医药大学国家中医体质与治未病研究院,北京100029 [5]西藏自治区疾病预防控制中心,拉萨850000 [6]河南中医药大学基础医学院,郑州450046

出　　处：《中国中西医结合杂志》2021年第9期1055-1060,共6页Chinese Journal of Integrated Traditional and Western Medicine

基　　金：国家自然科学基金青年项目(No.81704197)。

摘　　要：目的调查一般成年人群的藏医体质分布特征及其相关因素。方法应用藏医体质量表调查北京、郑州、西宁、拉萨4市15岁以上一般人群2322例,描述各体质类型的比例,分析体质与人口学因素的关系。结果隆型体质344例(14.81%),赤巴型111例(4.78%),培根型196例(8.44%),其余1671例(71.97%)为复合体质。男性赤巴型、隆赤合并型、赤培合并型、聚合型体质比例高于女性(6.4%vs 3.5%,22.3%vs 18.9%,22.2%vs 11.9%,4.3%vs 2.6%),其余体质则相反(隆型9.5%vs 18.8%,培根型5.9%vs 10.3%,隆培型29.2%vs 34.0%)。年龄与隆型体质评分呈正相关(r=0.06,P=0.004),与培根型呈负相关(r=-0.045,P=0.031)。各体质在不同职业、学历、高原地区各民族人群中的分布总体差异无统计学意义(P>0.05)。结论一般人群的藏医体质分布以复合型体质居多,体质与性别、年龄密切相关,与职业、文化程度、海拔、民族未见显著相关性。Objective To investigate the characteristics of Tibetan medicine(TM) body constitution and related factors in the general population.Methods The Tibetan Medicine Constitution Questionnaire(TMCQ)was applied in this cross-sectional study.Totally 2 322 cases of general population over 15 years old in Beijing,Zhengzhou,Xining and Lhasa were included in the study for body constitution measurement.Descriptive statistics was used to calculate the distribution proportion of each body constitutional type.The correlation among body constitution and socio-demographic factors was analyzed by inferential statistics.Results In the total population,the number and proportion of each constitution were 344 cases(14.81%) of rlung constitution,111 cases(4.78%) of mkhris pa,196 cases(8.44%) of bad kan,and 1671 cases(71.97%) of combined constitutions.The proportions of the mkhris pa,combined rlung-mkhris,combined mkhris-bad,and three-factor convergence constitution in male were higher than female(6.4% vs 3.5%,22.3% vs 18.9%,22.2% vs 11.9%,4.3% vs 2.6%),while the other three were on the contrary(rlung 9.5% vs 18.8%,bad kan 5.9% vs 10.3%,combined rlung-bad29.2% vs 34.0%).Age was positively correlated with the constitution score of rlung type(r=0.06,P=0.004),and negatively correlated with bad kan(r=-0.045,P=0.031).There was no statistical difference in the distribution proportions of the seven constitution types among occupational groups,education background and ethnic groups in plateau areas(P>0.05).Conclusions The main type of TM constitution was combined constitution in general population.TM constitution was closely related to sex and age,but not significantly related to occupation,education level,altitude and ethnicity.

关 键 词：藏医 体质 一般人群 横断面研究 相关分析 

分 类 号：R29[医药卫生—民族医学]