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基于8448例数据的一般人群中医体质类型与健康状况关系的分层分析

[Stratified analysis of the relationship between traditional Chinese medicine constitutional types and health status in the general population based on data of 8,448 cases].

作者信息

Zhu Yan-bo, Wang Qi, Chen Ke-fan, Wu Yu-e, Hong Wei-li, Liu Li

机构信息

School of Administration, Beijing University of Chinese Medicine, Beijing 100029, China.

出版信息

Zhong Xi Yi Jie He Xue Bao. 2011 Apr;9(4):382-9. doi: 10.3736/jcim20110406.

Abstract

OBJECTIVE

To examine the relationship between traditional Chinese medicine (TCM) constitutional types and health status among groups of different age or gender in the general population of China.

METHODS

Data of 8 448 cases were randomly sampled from a database of 21 948 cases of a cross-sectional survey on the TCM constitutional types and health status which was carried out in 9 provinces or municipalities of China (Jiangsu, Anhui, Gansu, Qinghai, Fujian, Beijing, Jilin, Jiangxi and Henan) according to gender and age structure of the Chinese population in 2005. Scores of health-related quality of life scale--the Medical Outcomes Study 36-Item Short-Form Health Survey (MOS SF-36)--were analyzed by Nemenyi test to compare the health status of individuals with different constitutional types.

RESULTS

Compared with the gentleness type, the MOS SF-36 scores of the 8 types of pathological constitution were significantly low (P<0.05) among groups of different age or gender. The MOS SF-36 score was the lowest in men of the qi-deficiency, qi-depression and blood-stasis types, while it was the lowest in women of the phlegm-dampness, qi-depression and qi-deficiency types. For the age group of 15 to 34, the special diathesis, qi-depression and blood-stasis types had the lowest MOS SF-36 scores; for the age group of 35 to 59, the qi-deficiency, qi-depression and blood-stasis types had the lowest MOS SF-36 scores; for the age group of over 60, the qi-deficiency, qi-depression and phlegm-dampness types had the lowest MOS SF-36 scores.

CONCLUSION

In groups of different gender or age, the MOS SF-36 scores of the 8 types of pathological constitution were significantly lower than that of the gentleness type, indicating a deficient health status. The health status of different types of constitution showed different characteristics in groups of different gender or age.

摘要

目的

探讨中国普通人群中不同年龄或性别人群组的中医体质类型与健康状况之间的关系。

方法

根据2005年中国人群的性别和年龄结构,从在中国9个省或直辖市(江苏、安徽、甘肃、青海、福建、北京、吉林、江西和河南)进行的一项关于中医体质类型与健康状况的横断面调查的21948例病例数据库中随机抽取8448例病例的数据。采用Nemenyi检验分析健康相关生活质量量表——医学结局研究简明健康调查量表(MOS SF-36)的得分,以比较不同体质类型个体的健康状况。

结果

与平和质相比,不同年龄或性别人群组中8种偏颇体质的MOS SF-36得分均显著较低(P<0.05)。气虚质、气郁质和血瘀质男性的MOS SF-36得分最低,而痰湿质、气郁质和气虚质女性的MOS SF-36得分最低。15至34岁年龄组中,特禀质、气郁质和血瘀质MOS SF-36得分最低;35至59岁年龄组中,气虚质、气郁质和血瘀质MOS SF-36得分最低;60岁以上年龄组中,气虚质、气郁质和痰湿质MOS SF-36得分最低。

结论

在不同性别或年龄组中,8种偏颇体质的MOS SF-36得分均显著低于平和质,表明健康状况较差。不同体质类型的健康状况在不同性别或年龄组中表现出不同特征。

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