摘要
目的:探讨福州市认知衰弱症老年人中医体质分布特点和规律。方法:选福建省福州市社区以及附近养老院和老年大学的469名确诊为认知衰弱症的老年人作为研究对象,采用《老年版中医体质分类与判定量表》作为调查工具,收集中医体质类型辨识结果和一般人口学资料进行统一分析。结果:福州市认知衰弱老年人中偏颇体质占79.1%,前三位的体质类型分别为痰湿质(27.9%)、平和质(20.9%)和阴虚质(17.5%);70岁以上老年人阴虚质占比明显高于70岁以下老年人,而湿热质明显低于70岁以下老年人,差异具有统计学意义(P<0.05);BMI<24的CF老年人平和质、阳虚质、阴虚质高于BMI≥24的老年人,而痰湿质低于BMI≥24老年人,差别具有统计学意义(P<0.05);阴虚质在不同受教育程度的CF老年人中分布比较存在差异,文化程度高者阴虚质明显高于文化程度低者(P<0.05);不同性别的CF老年人中医体质比较差异无统计学意义(P>0.05)。结论:福州市认知衰弱症老年人的中医体质分布以痰湿质最高,其次为平和质和阴虚质,体质分布情况与年龄、BMI和受教育程度有一定的关联性。
Objective To explore the characteristics and regularity of TCM constitution of elderly with cognitive frailty in Fuzhou.Methods From November 2018 to October 2019,469 elderly people diagnosed with cognitive frailty in communities in Fuzhou city,Fujian province,as well as in nearby nursing homes and universities for the elderly were selected as research subjects.Using Constitution in TCM questionnaire For Old Person as a survey tool,the results of TCM constitution type identification and general demographic data were collected for unified analysis.Results Biased constitution accounted for 79.1%among the elderly with cognitive frailty in Fuzhou,and the top three TCM constitution type were phlegm-dampness constitution(27.9%),calm constitution(20.9%)and yin-deficiency constitution(17.5%),respectively;The proportion of yin-deficiency constitution in the elderly over 70 years old was significantly higher than that in the elderly under 70 years old,while the proportion of damp-heat constitution in the elderly over 70 years old was significantly lower than that in the elderly under 70 years old,and the difference was statistically significant(P<0.05);In the CF elderly with BMI<24,calm constitution、yang-deficiency constitution and yin-deficiency constitutionwere higher than those with BMI≥24,while phlegm-dampness constitution were lower than those with BMI≥24,the difference was statistically significant(P<0.05);There were differences in the distribution of yin-deficiency constitution among CF elderly with different education levels,yin-deficiency constitution of those with high education level was significantly higher than those with low education level(P<0.05);There was no significant difference in TCM constitution between CF elderly of different genders(P>0.05).Conclusion The distribution of TCM constitution in the elderly with cognitive frailty in Fuzhou was the highest in phlegm-dampness constitution,followed by calm constitutionand yin-deficiency constitution,the distribution of TCM constitution is correlated w
作者
林慧颖
邱娉婷
郑国华
LIN Huiying;QIU Pingting;ZHENG Guohua(College of Rehabilitation Medicine,Fujian University of Traditional Chinese Medicine,Fuzhou 350122,China;College of Nursing and Health Management,Shanghai University of Medicine&Health Sciences,Shanghai 201318,China)
出处
《中国民族民间医药》
2021年第9期11-15,共5页
Chinese Journal of Ethnomedicine and Ethnopharmacy
基金
国家自然科学基金面上项目(82074510)。
关键词
认知衰弱症
中医体质
分布特点
年龄
体质指数
Cognitive Frailty
TCM Constitution
Distributioncharacteristics
Age
Body Mass Index
