超重和肥胖人群的中医体质和经络检测特点研究  

Study on the Characteristics of Traditional Chinese Medicine Constitution and the Findings of Meridian Detection in Overweight and Obese Population

作　　者：冯敏瑶 欧阳敏华 潘梓珊 季兵 FENG Min-Yao;OUYANG Min-Hua;PAN Zi-Shan;JI Bing(Guangzhou University of Chinese Medicine,Guangzhou 510405 Guangdong,China;Standardized-Training Residents of Foshan Hospital of Traditional Chinese Medicine,Foshan 528000 Guangdong,China;Guangdong Clifford Hospital,Guangzhou 511495 Guangdong,China)

机构地区：[1]广州中医药大学,广东广州510405 [2]佛山市中医院规培生,广东广州528000 [3]广东祈福医院,广东广州511495

出　　处：《广州中医药大学学报》2023年第9期2153-2159,共7页Journal of Guangzhou University of Traditional Chinese Medicine

摘　　要：【目的】探讨超重和肥胖人群在中医体质和经络检测上的特异性表现,结合中医治未病理论,以期为临床防治肥胖和优化体质量管理模式提供新思路。【方法】采用横断面研究方法,回顾性收集2021年10月至2022年6月在佛山市中医院体检和治未病中心门诊进行体检的人群共409例,根据体质量指数(BMI)情况将研究对象分正常体质量组253例及超重和肥胖组156例。分析超重和肥胖人群的体质类型和经络检测特点。【结果】(1)在中医体质方面,超重和肥胖人群以偏颇体质为主,占79.5%(124/156),其中居前3位的偏颇体质分别为痰湿质(19.9%)、湿热质(16.7%)、阳虚质(14.7%),其体质类型分布与正常体质量人群比较,差异有统计学意义(χ^(2)=28.225,P<0.01);Logistic回归分析结果显示,痰湿质人群超重和肥胖的危险度显著增高[OR=2.71,95%CI(1.29-5.69)]。(2)在经络检测层面,超重和肥胖人群的上下值和最大值/最小值高于正常体质量人群,其中的上下值组间比较,差异有统计学意义(P<0.05);在单经检测方面,与正常体质量人群相比,超重和肥胖人群的脾经左侧、膀胱经左侧、膀胱经右侧、肝经左侧的经络检测值偏低,差异均有统计学意义(P<0.05),提示超重和肥胖与脾经左侧、膀胱经左右侧及肝经左侧的经络检测值具有相关性。【结论】中医体质方面,痰湿质与超重和肥胖密切相关;经络检测方面,超重和肥胖人群存在上下失衡表现,其形成可能与脾、肾、肝等脏腑功能失调有关。把握这些特征可更精确地为超重和肥胖人群提供体质量管理方案,从而达到更好的诊疗效果。Objective To explore the specific manifestations of overweight and obese population in terms of traditional Chinese medicine(TCM)constitution and the findings of meridian detection,so as to provide new thoughts for clinical prevention and treatment of obesity and the optimization of body mass management mode by following the principle of preventive treatment of the disease.Methods A cross-sectional study was conducted.The clinical data of 409 subjects who underwent physical examination from October of 2021 to June of 2022 at the outpatient department and the central clinic of preventive treatment of disease in Foshan Hospital of Traditional Chinese Medicine were retrospectively collected.The study subjects were divided into the normal body mass group(253 cases)and the overweight and obese group(156 cases)according to body mass index(BMI).And then the TCM constitution types and meridian detection findings of the overweight and obese population were analyzed.Results(1)In terms of TCM constitution,the overweight and obese population was dominated by biased constitution,accounting for 79.5%(124/156).And the top three biased constitutions of the overweight and obese population were phlegm-damp constitution(19.9%),damp-heat constitution(16.7%),and yang-deficiency constitution(14.7%),with statistically significant differences in the distribution of the constitution types compared with those of normal body mass population(χ^(2)=28.225,P<0.01).The logistic regression analysis showed that the risk of overweight and obesity was significantly higher in the population with phlegm-damp constitution[OR=2.71,95%CI(1.29-5.69)].(2)The meridian detection results showed that the upper/lower limit values and maximum/minimum values in the overweight and obese population were higher than those in the normal body mass population,and the difference of the upper/lower limit values was statistically significant(P<0.05)between the two groups.The single-meridian detection results showed that the meridian detection values of the left spleen

关 键 词：治未病 体质量指数 经络检测 中医体质 痰湿质 超重和肥胖 横断面研究 

分 类 号：R589.2[医药卫生—内分泌]