摘要
目的:分析社区老年人内脏器官患病情况与中医体质辨识的相关性,为社区老年人内脏器官疾病快速识别提供参考依据。方法:以参加2018年5-6月上海市曹路社区健康体检的8980例老年人为研究对象,其中男性有3545例,占39.5%,女性有5435例,占60.5%;平均年龄为(68.6±6.7)岁。采用多因素回归方法分析内脏器官患病与中医体质辨识之间的相关性。结果:痰湿质和湿热质是老年人患肝胆疾病的风险因素(OR=2.110,95%CI为1.373~3.243和OR=2.713,95%CI为1.230~5.983),阳虚质是老年人患肝胆疾病的保护因素(OR=0.727,95%CI为0.614~0.861)。阴虚质是老年人患肾脏疾病的保护因素(OR=0.647,95%CI为0.433~0.967)。老年人的中医辩证体质与患脾脏、心肺疾病之间的关系没有统计学意义(P>0.05)。结论:老年人的中医体质与患肝胆疾病和肾脏疾病存在相关性,中医体质辨识有望在社区老年人日常健康管理工作中发挥良好的作用。
Objective:To analyze the correlation between the visceral organ diseases of the elderly in the community and the constitution identification of traditional Chinese medicine(TCM),and to provide reference for the rapid identification of visceral organ diseases of the elderly in the community.Methods:Eight thousand nine hundred and eighty elderly people who participated in the health checkup in Caolu Community of Shanghai from May to June 2018 were selected as the research objects,and among them there were 3545 males,accounting for 39.5%,and 5435 females,accounting for 60.5%;the average age was(68.6±6.7)years old.Multivariate regression analysis was used to analyze the correlation between visceral organ diseases and TCM constitutional identification.Results:Phlegm-dampness and damp-heat were risk factors for hepatobiliary diseases in the elderly(OR=2.110,95%CI 1.373~3.243 and OR=2.713,95%CI 1.230~5.983).Yang deficiency was a protective factor for hepatobiliary diseases in the elderly(OR=0.727,95%CI 0.614~0.861).Yin deficiency was a protective factor for kidney diseases in the elderly(OR=0.647,95%CI 0.433~0.967).There was no statistically significant relationship between the TCM syndrome differentiation constitution of the elderly and the spleen and cardiopulmonary diseases(P>0.05).Conclusion:There is a correlation between the constitution of traditional Chinese medicine and hepatobiliary and kidney diseases in the elderly,the TCM constitutional identification is expected to play a good role in the daily health management of the elderly in the community.
作者
刘怀磊
王程成
丁克妍
宋徽江
LIU Huailei;WANG Chengcheng;DING Keyan;SONG Huijiang(General Practice Department of Caolu Community Health Service Center in Pudong New District,Shanghai 201209,China)
出处
《上海医药》
CAS
2019年第24期38-40,共3页
Shanghai Medical & Pharmaceutical Journal
基金
上海市浦东新区卫生和计划生育委员会优秀社区适宜人才培养计划(PWRs2017-36)
关键词
内脏器官患病
中医体质辨识
相关性
老年人
visceral organ disease
TCM constitutional identification
correlation
elderly people
