| 北京地区体检人群中医经络检测结果与慢性病相关体检异常结果 检出情况的关系研究 |
| Relationship between the results of TCM meridian detection and the abnormal values of chronic disease-related in health checkup in Beijing area |
| DOI： |
| 中文关键词: 健康体检 经络检测 证型 慢性病 异常结果 |
| 英文关键词: ：Medical examination Meridian detection Syndrome Chronic Diseases The abnormal values |
| 基金项目:中华中医药学会(2021-2023年度)青年人才托举工程项目(CACM-2021-QNRC2-A05),北京市新时代文明实践基层科普行动(Y-24) |
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| 中文摘要: |
| 目的：探究北京地区体检人群中医经络检测结果与慢性病相关体检异常结果检出情况之间的关系。方法：回顾性横断面研究。收集2022年1月-2022年12月期间北京电力医院体检科888例中医经络检测人员基本资料和慢病相关体检异常结果检出情况,应用描述性统计、卡方检验、二分类logistic回归等统计方法分析中医经络检测证型与受检者年龄、性别、超重和肥胖、非酒精性脂肪性肝病(Non - alcoholic fatty liver disease,NAFLD)、颈动脉内中膜厚度(Carotid intima-media thickness,CIMT)异常检出情况之间的关系。结果：北京地区888例体检人群中医经络检测证型分布出现频次前10位依次为肾阴虚证(296例,33.3%)、三焦湿热(224,25.2%)、肝郁气滞(222,25%)、寒湿证(179,20.2%)、胃阳亏虚(169,19.0%)、心火炽盛(169,19.0%)、肾精亏虚(167,18.8%)、肝经湿热(148,16.7%)、肾阳虚证(134,15.1%)、肺热证(97,10.9%)、肝火上炎(97,10.9%)。χ2检验结果显示肾阴虚证、肝经湿热在女性受检者中出现频率高于男性(P＜0.05),肝郁气滞、寒湿证、肾阳虚证在男性受检者中出现频率高于女性(P＜0.05)；三焦湿热、胃阳亏虚、心火炽盛、肺阴亏虚在不同年龄段分组受检者中分布有差异(P＜0.05)。χ2检验结果显示肝郁气滞、肝经湿热、肺热证在超重和肥胖受检者中分布有差异(P＜0.05),肾阴虚证、肝经湿热在NAFLD受检者中分布有差异(P＜0.05),心火炽盛、肝经湿热、肾阳虚证在CIMT异常受检者中分布有差异(P＜0.05)。二分类logistic回归结果显示肝郁气滞、肺热证与超重肥胖检出情况相关(P＜0.05),肾阴虚证、肝经湿热、肾精亏虚与NAFLD检出情况相关(P＜0.05),肝经湿热、肾阳虚证与CIMT异常检出情况相关(P＜0.05)。结论：中医经络检测证型在不同慢病检出分布中有一定特异性,为慢性病的中医防治提供客观依据。 |
| 英文摘要: |
| Objective: To explore the relationship between the results of TCM meridian detection and the abnormal values of chronic disease-related in health checkup in Beijing area. Methods: A retrospective cross-sectional study was conducted. The clinical data of 888 TCM meridian detection subjects in the physical examination Department of Beijing Electric Power Hospital from February 2021 to June 2022 were analyzed retrospectively. Descriptive statistics, Chi-square test, binary logistic regression were used to analyze the relationship between the syndrome type of TCM detection and the age, sex, overweight and obesity, non-alcoholic fatty liver disease(NAFLD), and carotid intima-media thickness abnormalities(CIMT). Result: Of 888 subjects, the top 10 frequency of syndromes that the TCM meridian detection indicated was ranked from high to low as follows: syndrome of kidney yin deficiency (296, 33.3%), syndrome of dampness heat in the triple energizer (224,25.2%), syndrome of qi stagnation due to liver depression (222, 25%), syndrome of cold dampness (179,20.2%), syndrome of stomach yang deficiency (169,19.0%), syndrome of intense exuberant heart fire (169,19.0%), syndrome of kidney essence depletion (167,18.8%), syndrome of dampness and heat in the liver meridian (148,16.7%), syndrome of kidney yang deficiency (134,15.1%), syndrome of lung heat (97,10.9%), syndrome of liver fire flaming up (97,10.9%). Chi-square test results showed that the frequency of syndrome of kidney yin deficiency and syndrome of dampness and heat in the liver meridian in female subjects was higher than that in male subjects (P < 0.05), and the frequency of syndrome of qi stagnation due to liver depression, cold dampness and kidney Yang deficiency in male subjects was higher than that in female subjects (P < 0.05). There were differences in the distribution of syndrome of dampness heat in the triple energizer, syndrome of stomach yang deficiency, syndrome of intense exuberant heart fire and syndrome/pattern of lung yin deficiency (P < 0.05). Chi-square test results showed that the distribution of syndrome of qi stagnation due to liver depression , syndrome of dampness and heat in the liver meridian and syndrome of lung heat in overweight and obese subjects was different (P < 0.05), and the distribution of syndrome of kidney yin deficiency and syndrome of dampness and heat in the liver meridian in NAFLD subjects was different (P < 0.05). There were differences in the distribution of syndrome of intense exuberant heart fire, syndrome of dampness and heat in the liver meridian and syndrome of kidney yang deficiency in subjects with CIMT abnormalities (P < 0.05). The results of binary Logistic regression analysis showed that syndrome of qi stagnation due to liver depression and syndrome of lung heat were correlated with the detection of overweight and obesity (P < 0.05), syndrome of kidney yin deficiency, syndrome of dampness and heat in the liver meridian, syndrome of kidney essence depletion were correlated with the detection of NAFLD (P < 0.05). Syndrome of dampness and heat in the liver meridian and syndrome of kidney yang deficiency were correlated with the detection of CIMT abnormalities (P < 0.05). Conclusion: There is some specificity in the distribution of different chronic diseases that TCM meridian detection indicated. The results of the study can provide objective basis for the prevention and treatment of chronic diseases. |
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