摘要
目的探讨腰椎间盘突出症(lumbar disc herniation,LDH)与中医体质类型的相关性,为指导临床实践中的一级预防和"辨质施护"提供新的思路和参考依据。方法采用病例对照研究方法,收集2013年11月至2014年5月在浙江省中医院骨伤科住院及骨伤康复室就诊的LDH患者150例为病例组,同期来自骨伤科的150例非LDH患者为对照组,依据中医体质分类量表进行体质辨识,进行秩和检验及多因素Logistic回归分析。结果两组患者的阳虚质、血瘀质、平和质分布的差异有统计学意义(P<0.05);其中阳虚质与血瘀质为LDH的危险因素,而平和质为保护因素。结论 LDH的发生与体质密切相关,阳虚质、血瘀质是其发病的易感体质,在其防治及护理过程中应注意积极调整这两种偏颇体质。
Objective To investigate the correlation between TCM constitution and lumbar disc hernia-tion,and to provide new ideas and references for primary prevention and nursing by differentiating consti-tution.Methods By case-control study,150 cases of lumbar disc herniation patients were selected as case group and 150 cases of non-LDH patients from orthopedics and traumatology department were selected as control group.Also the TCM constitution of each group was determined according to the standardized ques-tionnaire of TCM constitution,rank sum test and logistic regression were then conducted.Results There were significant differences between the two groups in the distributions of Yang-deficiency,blood-stagna-tion and gentleness constitution（P〈0.05）.The Yang-deficiency and blood-stagnation were risk factors, while the gentleness constitution was protective factor.Conclusion Lumbar disc herniation was closely cor-related to the TCM constitution.The Yang-deficiency and blood-stagnation constitution were susceptibility constitution to lumbar disc herniation,thus,to adj ust these two partial constitutions actively was necessary for prevention and nursing care.
出处
《解放军护理杂志》
CSCD
2015年第9期28-30,52,共4页
Nursing Journal of Chinese People's Liberation Army
基金
浙江省中医药科学研究基金项目(2015ZB037)
关键词
腰椎间盘突出症
中医体质
辨识
病例对照研究
lumbar disc herniation
TCM constitution
logistic regression analysis
case-control study
