摘要
目的基于《黄帝内经》五运六气理论及各气象指标数据,探讨长春地区老年脑梗死患者发病规律,为预防和治疗老年脑梗死提供理论依据。方法回顾性分析2014年1月20日-2024年1月19日在长春中医药大学附属医院住院的60周岁及以上患者资料,筛选出第一诊断为脑梗死的病例16196例,并从中国气象数据网获取同一时期的8项气象指标数据。运用χ^(2)检验、相关性检验、Logistic回归分析等统计学方法进行分析。结果长春地区老年脑梗死在岁运为土运不及之年、主运为太商、客运为少角、主客气为太阴湿土时高发。初之气、二之气是脑梗死的保护性因素,三之气、四之气、五之气、终之气为脑梗死危险因素。发病人数与平均气温、最高气温、最低气温呈显著正相关,与平均气压、气温日较差、平均风速呈负相关,与平均相对湿度、降雨量无显著相关性。且不同六主气时段内发病与气象指标的相关性之间均存在显著差异。结论长春地区老年脑梗死发病与五运六气变化密切相关,本研究为临床预防脑梗死提供了新的理论依据。
Objective To explore the incidence pattern of elderly patients with cerebral infarction in Changchun area based on the theory of the Five Elements and Six Qi from the"Huangdi Neijing"and various meteorological indicator data,and to provide a theoretical basis for prevention and treatment of elderly cerebral infarction.Methods The data of patients aged 60 years and above who were hospitalized in the Affiliated Hospital of Changchun University of Chinese Medicine from January 20,2014 to January 19,2024 were retrospectively analyzed.A total of 16,196 cases with a primary diagnosis of cerebral infarction were selected,and data on eight meteorological indicators during the same period were obtained from the China Meteorological Data Network.Statistical methods such as chi-square test,correlation test,and logistic regression analysis were used for the analysis.Results The incidence of elderly cerebral infarction in Changchun area was high when year evolutive phase was in years when Earth Movement was deficient,Governor Motion was Tai Shang,the vip Motion was Shao Jiao,and both the Principal Qi and vip Qi were Tai Yin damp earth.The First Qi and the Second Qi were protective factors for cerebral infarction,while the Third Qi,the Fourth Qi,the Fifth Qi,and the Final Qi were risk factors.The number of cases was significantly positively correlated with average temperature,maximum temperature,and minimum temperature,and negatively correlated with average atmospheric pressure,diurnal temperature range,and average wind speed,but not significantly correlated with average relative humidity and rainfall.Moreover,there was significant difference in the correlation between the incidence of diseases and meteorological indicators during different periods of the six major climatic Qi.Conclusion The incidence of elderly cerebral infarction in Changchun area is closely related to the changes of the Five Elements and Six Qi.This study provides a new theoretical basis for the clinical prevention of cerebral infarction.
作者
吴俊达
姚俊杰
孙雅蕙
纪媛媛
江晶蕾
丛德毓
娄惠娟
WU Junda;YAO Junjie;SUN Yahui;JI Yuanyuan;JIANG Jinglei;CONG Deyu;LOU Huijuan(School of Acupuncture and Moxibustion and Massage,Changchun University of Chinese Medicine,Changchun 130117,China;Department of Massage,the Affiliated Hospital of Changchun University of Chinese Medicine,Changchun 130021,China)
出处
《长春中医药大学学报》
2025年第8期876-882,共7页
Journal of Changchun University of Chinese Medicine
基金
国家自然科学基金青年基金项目(82405598)
国家重点研发计划(2018YFC1706000)
吉林省科技发展计划项目(YDZJ202401695ZYTS)。
关键词
老年
脑梗死
发病
五运六气
气象
相关性
LOGISTIC回归分析
senile
cerebral infarction
incidence
Five Elements and Six Qi
meteorology
correlation
Logistic regression analysis
