老年轻度认知障碍与中医体质相关性临床研究  

Clinical study on the correlation between mild cognitive impairment and TCM constitution in the aged

作　　者：陈修保[1,2] 李沐阳 李芮[1] 姚莉[1,2] CHEN Xiubao;LI Muyang;LI Rui;YAO Li

机构地区：[1]山东中医药大学附属医院,山东济南250014 [2]山东中医药大学,山东济南250355

出　　处：《中医临床研究》2021年第33期58-62,共5页Clinical Journal Of Chinese Medicine

基　　金：山东省中医药科技发展计划项目(2019-0175);山东省自然科学基金(ZR2017LH073)。

摘　　要：通过对老年轻度认知障碍(Mild Cognitive Impairment,MCI)患者进行中医体质分析,探讨疾病发生发展与中医体质相关性,为临床诊疗提供参考。方法:从山东中医药大学附属医院老年医学科门诊及住院患者中收集98例老年MCI患者进行资料收集、中医体质分类,运用SPSS 24.0统计软件分析老年MCI与中医体质相关性。结果:老年MCI患者性别无明显差别;平均年龄73.92岁,年龄70~80岁患者例数多;教育程度初中及以上组例数较多。合并高血压病例数最多,其次为睡眠障碍、冠状动脉粥样硬化性心脏病、糖尿病。简明精神状态量表评分随患者年龄增大而降低。体质分布以偏颇体质为主,分布由高到底依次为阴虚质、气虚质、湿热质、阳虚质、痰湿质、气郁质、血瘀质。结论:老年MCI与年龄、文化程度、伴随疾病等因素有一定相关性。偏颇体质所占比例多,主要好发体质类型为阴虚质、气虚质、湿热质。主要体质与舌象之间有一定对应关系。Objective:Through analyzing TCM constitution of elderly patients with mild cognitive impairment,the correlation between disease occurrence and development and TCM constitution is discussed,which provides reference for clinical diagnosis and treatment.Methods:Data were collected from 98 elderly patients with mild cognitive impairment(MCI)in outpatient department and inpatient department of Geriatrics,Affiliated Hospital of Shandong University of Traditional Chinese Medicine,and TCM constitution was classified.SPSS 24.0 statistical software was used to analyze the correlation between MCI and TCM constitution.Results:There was no significant difference between genders in elderly patients with mild cognitive impairment.The average age was 73.92 years,and the patients aged 70~80 years were the majority.Most patients had junior high school or above education level.The number of patients with hypertension was the largest,which was followed by sleep disorders,coronary heart disease,and diabetes.MMSE scores decreased with age.The distribution of constitution was mainly biased constitution,and the distribution from high to bottom was constitution of Yin(阴)deficiency,Qi(气)deficiency,damp-heat,Yang(阳)deficiency,phlegm-dampness,Qi stagnation,and blood stasis.Conclusion:Aged mild cognitive impairment is correlated with age,education level and accompanying diseases.The proportion of biased constitution is large,and the main type of constitution is Yin deficiency,Qi deficiency and damp heat.There is a certain correspondence between body constitution and tongue image.

关 键 词：老年轻度认知障碍 中医体质 相关性研究 

分 类 号：R592[医药卫生—老年医学]