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中国澳门老年人中医体质分布及偏颇体质影响因素分析 被引量:8

Analysis of traditional Chinese medicine constitutions’distribution and influential factors for unbalanced constitutions among elderly residents in Macao
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摘要 目的:调查中国澳门老年人中医体质分布特点,探究偏颇体质影响因素。方法:依据《中医体质量表——老年版(65岁以上)》判断调查对象中医体质类型,采用卡方检验或确切概率法对偏颇体质进行单因素分析,Logistic回归进行多因素分析。结果:共纳入313名老年人,平和质占27.48%(86/313),偏颇体质中阴虚质、痰湿质及阳虚质占比超过10%。食欲不振为气郁质的影响因素(OR=0.207,P<0.01),居澳时间为阳虚质的影响因素(OR=0.306,P<0.05),高血压病和糖尿病为痰湿质的影响因素(OR=2.833、2.832,P<0.05),糖尿病为阴虚质的影响因素(OR=2.580,P<0.05)。结论:大部分老年人表现为偏颇体质,年龄、性别、慢性病及生活方式等与体质类型相关,可用于指导老年人健康管理,提升老年人健康状况。 Objective:To analyse the distribution characteristics of traditional Chinese medicine(TCM)constitution among Macao elderly,and explore the influential factors for unbalanced constitutions.Methods:TCM constitution types of respondents were determined based on Constitution in Chinese Medicine Questionnaire:Elderly Edition(Over 65 Years Old),univariate analysis(Chi-square or Fisher’s exact test)and multivariate analysis(Logistic regression)were conducted to explore influential factors for unbalanced constitutions.Results:In total,313 elderly were enrolled.People with balanced constitution accounted for 27.48%(86/313),and those with yin-deficiency,damp-heat and yang-deficiency accounted for over 10%.Loss of appetite and duration of stay in Macao were found to be the influential factors for qi-stagnation(OR=0.207,P<0.01)and yang-deficiency types,respectively(OR=0.306,P<0.05).Hypertension and diabetes were the influential factors for phlegm-dampness(OR=2.833,2.832,P<0.05),and diabetes was also the influential factor for yindeficiency type(OR=2.580,P<0.05).Conclusion:Majority of included elderly are judged as unbalanced constitutions.Besides,age,gender,chronic disease and lifestyles relate with constitution type,which could be applied in health management and improvement for elderly.
作者 白倩 赵永华 卞鹰 BAI Qian;ZHAO Yong-hua;BIAN Ying(Institute of Chinese Medical Sciences,University of Macao,Macao 999078,China)
出处 《中华中医药杂志》 CAS CSCD 北大核心 2023年第1期372-376,共5页 China Journal of Traditional Chinese Medicine and Pharmacy
基金 澳门特别行政区科学技术发展基金项目(No.0106/2019/A2)。
关键词 中医体质 偏颇体质 影响因素 老年人 中国澳门 Traditional Chinese medicine constitution Unbalanced constitution Influential factor Elderly Macao
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