长春地区脑卒中高危人群中医体质及兼夹规律的横断面研究  

A cross-sectional study on the TCM constitution distribution and pairing laws in the high-risk population of stroke in Changchun

作　　者：臧晓宇 吕志国[2] 常天瀛 徐鹏[2] 史钊 陈鸿雁 张冬梅[2] 王健[2] ZANG Xiaoyu;LV Zhiguo;CHANG Tianying;XU Peng;SHI Zhao;CHEN Hongyan;ZHANG Dongmei;WANG Jian(Graduate School of Changchun University of Chinese Medicine,Changchun 130117,China;Department of Encephalopathy,Affi liated Hospital of Changchun University of Chinese Medicine,Changchun 130021,China;GCP,Affi liated Hospital of Changchun University of Chinese Medicine,Changchun 130021,China)

机构地区：[1]长春中医药大学研究生院,长春130117 [2]长春中医药大学附属医院脑病科,长春130021 [3]长春中医药大学附属医院GCP,长春130021

出　　处：《吉林中医药》2023年第6期621-625,共5页Jilin Journal of Chinese Medicine

基　　金：国家重点研发计划项目(2019YFC1709902);中华中医药学会团体标准《脑卒中高危人群中医干预指南(20210501-BZ-CACM)》;国家中医药管理局项目(2019XZZX-NB005);吉林省科技厅项目(20190905005SF)。

摘　　要：目的分析长春市脑卒中高危人群中医体质分布规律及偏颇特点。方法收集305例长春市地区脑卒中高危人群中医体质资料,采用横断面研究方法,对单一体质进行描述性分析,对兼夹体质进行因子分析、相关性分析及关联规则分析。结果研究发现平和质占39.0%,偏颇体质占61.0%。单一体质占70.2%,兼夹体质占29.8%。性别在中医体质的分布上存在显著性差异,年龄段上体质无显著性差异。系统分析兼夹体质规律,痰湿质-湿热质、气虚质-阳虚质、血瘀质-气郁质有较强的兼夹倾向,阳虚质不易兼夹阴虚质。气虚质、痰湿质与气郁质、阳虚质关联最为紧密。结论长春地区脑卒中高危人群以气虚、阴虚、阳虚、痰湿的偏颇体质为主要类型,有气虚质、痰湿质为主兼夹其他体质的基本特点。Objective To analyze the distribution patterns and biased characteristics of the traditional Chinese medicine constitutions in the high-risk population of stroke in Changchun.Methods The data of TCM constitutions of 305 cases of high-risk population of stroke in Changchun were collected,and a cross-sectional study was conducted to make a descriptive analysis on each single constitution,and a factor analysis,a correlation analysis and an association rule analysis were performed on the compound constitutions.Results The study found that 39.0%of the patients belonged to the balanced constitution and the other 61.0%to the biased constitution,while single constitutions accounted for 70.2%,and compound constitution for 29.8%.There was a significant diff erence in the distribution of TCM constitutions between genders while no signifi cant diff erence in the constitution distribution among age groups.According to a systematic analysis,the phlegm-dampness and dampness-heat constitutions,the qi-deficiency and yang-deficiency constitutions,the blood stasis and qi-stagnation constitutions had a strong tendency to pair with each other,while the yang-deficiency constitution did not tend to pair with the yin-deficiency constitution.The qi-deficiency constitution and the phlegm-dampness constitution were most closely related to the qi-stagnation constitution and the yang-deficiency constitution.Conclusion In the high-risk population of stroke in Changchun,the biased constitutions such as the qi-deficiency constitution,the yin-deficiency constitution,the yang-deficiency constitution and the phlegmdampness constitution are the main types,with a basic characteristics of the qi-defi ciency constitution and the phlegmdampness constitution as the main types to mix with other constitutions.

关 键 词：卒中 高危人群 中医体质 兼夹体质 横断面调查 

分 类 号：R255.2[医药卫生—中医内科学]