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体检人群慢性病指标与中医体质的多重对应分析OA北大核心CSTPCD

Multiple correspondence analysis of chronic disease indicators and TCM constitution in physical examination population

中文摘要英文摘要

目的:探讨体检人群慢性病指标与中医体质的关联性.方法:选取2023年3月—5月在山西医科大学第一医院接受体检的736例受检者为研究对象,收集其体检当日体格检查、实验室检查、中医体质测定等数据.采用分类资料的关联性分析探索体检人群慢性病指标与中医体质之间是否存在关联,并采用多重对应分析两者之间存在何种关联.结果:体检人群慢性病指标与中医体质之间存在关联(P<0.001).多重对应分析结果显示,高尿酸、2种及以上指标异常与痰湿质、湿热质存在关联,倾向发生于男性、肥胖群体中;高血脂与阴虚质存在关联,倾向发生于>44岁、超重群体中;高血压、高血糖与血瘀质存在关联;无指标异常、≤44岁、体质指数过低或正常的女性与平和质、气虚质、阳虚质、气郁质、特禀质存在关联.结论:体检人群慢性病指标与中医体质之间存在不同的关联性,提示在预防时应重视调理不同年龄、性别、体质指数水平体检人群的偏颇体质,以达到慢性病防治的目的.

Objective:To explore the relationship between chronic disease index and traditional Chinese medicine physique.Methods:736 subjects who received physical examination in the First Hospital of Shanxi Medical University from March to May 2023 were selected as the research objects,and the data of physical examination,laboratory examination and traditional Chinese medicine physique determination were collected on the physical examination day.The correlation analysis of classified data was used to explore whether there was a correlation between chronic disease indicators and traditional Chinese medicine physique,and what kind of correlation between the two employing multiple correspondence analysis.Results:There was a correlation between chronic disease index and TCM physique(P<0.001).The results of multiple correspondence analysis showed that high uric acid,two or more abnormal indexes were associated with phlegm and damp and hot quality,and tended to occur in male and obese groups.Hyperlipidemia was associated with Yin deficiency,and tended to occur in overweight population>44 years old.Hypertension and hyperglycemia were associated with blood stasis.Women with no abnormal indicators,≤44 years old,low or normal body mass were associated with peace quality,Qi deficiency quality,Yang deficiency quality,qi stagnation quality and characteristic quality.Conclusion:There are different correlations between chronic disease indexes and traditional Chinese medicine physique in the physical examination population,suggesting that attention should be paid to adjusting the biased physique of the physical examination population of different ages,genders and BMI levels in order to achieve the purpose of chronic disease prevention.

张文婷;葛珊珊;胡晓瑾;温惠淇

山西医科大学护理学院,山西 030001山西医科大学第一医院

体检人群慢性病指标中医体质多重对应分析

physical examination populationchronic disease indicatorsTCM constitutionmultiple correspondence analysis

《护理研究》 2024 (019)

3429-3434 / 6

山西省中医药管理局科研课题,编号:2022ZYYC074

10.12102/j.issn.1009-6493.2024.19.008

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