中医药导报2025，Vol.31Issue(12)：273-278,6.DOI:10.13862/j.cn43-1446/r.2025.12.043
我国老年慢性病患者中医药治疗现状及影响因素分析
Analysis of Current Status and Influencing Factors of Traditional Chinese Medicine Treatment for Elderly Patients with Chronic Diseases in China
摘要
Abstract
Objective:To analyze the status quo of traditional Chinese medicine(TCM)treatment selection and its influencing factors among elderly patients with chronic diseases in China.Methods:A total of 7,372 elderly patients aged 60 years and above with chronic diseases from the 2018 follow-up data of the China Health and Retirement Longitudinal Study(CHARLS)database were selected as the research objects.The χ2 test and rank-sum test were used to compare the differences in various indicators between the TCM treatment group and other treatment groups,and logistic regression was applied to analyze the influencing factors of TCM participation in treatment.Results:Among the 7,372 included elderly patients with chronic diseases,2,142 received TCM treatment,with an overall TCM participation rate of 29.06%.The highest TCM participation rate was observed in stroke patients(208 cases,26.40%),while the lowest was in diabetic patients(134 cases,9.83%).TCM treatment in elderly patients with chronic diseases was significantly correlated with the following factors:region(ORcentral=1.211,P=0.007;ORwestern=2.135,P＜0.001),place of residence(ORurban=1.163,P=0.036),ethnicity(ORethnic minorities=1.256,P=0.025),self-rated health status(ORfair=1.255,P=0.010;ORpoor=1.726,P＜0.001),number of chronic diseases(OR2 types=1.689,P＜0.001;OR3 types=2.223,P＜0.001;OR≥4 types=3.519,P＜0.001),monthly outpatient visits(OR1-2 visits=1.306,P=0.001;OR≥3 visits=1.897,P＜0.001),annual hospitalization times(OR1-2 times=1.164,P=0.023),medical service satisfaction(ORdissatisfied=1.146,P=0.016),and personal annual income(OR＞72,000 yuan=0.530,P=0.037).In terms of medical costs,the monthly outpatient medical expenses of the TCM treatment group were higher than those of the other treatment groups(P=0.012).Conclusion:The choice of TCM treatment among elderly patients with chronic diseases is closely related to individual characteristics,disease status,and medical behaviors of the patients.关键词
慢性病/老年人/中医药治疗/影响因素/CHARLSKey words
chronic diseases/elderly/traditional Chinese medicine treatment/influencing factors/CHARLS分类
医药卫生引用本文复制引用
和晓珺,智恺,徐欢欢,于亚南,刘骏,肖静,党海霞..我国老年慢性病患者中医药治疗现状及影响因素分析[J].中医药导报,2025,31(12):273-278,6.基金项目
中国中医科学院科技创新工程(CI2023E002XB) （CI2023E002XB）
国家中医药管理局课题(GHC-2022-ZFGM-001) （GHC-2022-ZFGM-001）
