1. 北京中医药大学东方医院
2. 北京市丰台区疾病预防控制中心
纸质出版:2016
移动端阅览
[1]王晓才,赵洪杰,董晓根,李安德,陈燕力,孙利红,崔宁,苌华颖,郭子宁,荣伟.甲型流感中医证候与体质类型的相关性分析[J].中医杂志,2016,57(02):149-153.
WANG Xiaocai, ZHAO Hongjie, DONG Xiaogen, et al. Correlation Analysis of Chinese Medicine Syndrome and Constitution Types of Influenza A[J]. Journal of Traditional Chinese Medicine2016, 57(2): 149-153.
[1]王晓才,赵洪杰,董晓根,李安德,陈燕力,孙利红,崔宁,苌华颖,郭子宁,荣伟.甲型流感中医证候与体质类型的相关性分析[J].中医杂志,2016,57(02):149-153. DOI: 10.13288/j.11-2166/r.2016.02.015.
WANG Xiaocai, ZHAO Hongjie, DONG Xiaogen, et al. Correlation Analysis of Chinese Medicine Syndrome and Constitution Types of Influenza A[J]. Journal of Traditional Chinese Medicine2016, 57(2): 149-153. DOI: 10.13288/j.11-2166/r.2016.02.015.
目的探讨甲型流感患者中医证候与体质类型的相关性。方法收集甲型流感确诊病例151例
分别进行中医四诊资料的中医证候学调查和中医体质类型问卷调查
进而作出中医证候分析和中医体质类型判定。以各证候为因变量
9种中医体质类型为自变量
进行多元线性回归分析。结果 151例患者中卫分证136例(占90.1%)
气分证91例(占60.3%)
无营分证、血分证。在气分证中
阳明证52例(占34.4%)
肺热证30例(占19.9%)
少阳证40例(占26.5%)
胸膈证10例(占6.6)%
湿阻证28例(占18.5%)。体质类型分布由高到低依次为痰湿质>湿热质>气虚质>阳虚质>气郁质>阴虚质>血瘀质>平和质>特禀质。回归分析显示
甲型流感气分证与平和质、特禀质呈负相关
与阴虚质呈正相关;阳明证与阴虚质呈正相关;少阳证与气郁质呈正相关;肺热证与痰湿质呈正相关;湿阻证与痰湿质呈正相关
与特禀质呈负相关;卫气合病证与阴虚质呈正相关
与特禀质呈负相关;单卫分证与平和质、特禀质呈正相关
与阴虚质呈负相关(P<0.05)。结论阴虚质、痰湿质、气郁质、平和质、特禀质是影响甲型流感患者中医证候的5种主要中医体质类型
发病时的中医证候与患者中医体质密切相关。
Objective To explore the relevance between Chinese medicine syndromes and constitution types in patients with influenza A. Methods Totally 151 confirmed cases of influenza A were collected. Chinese medicine syndromes information was investigation by physicians with the four diagnosis methods
and data on constitution types were gathered by a questionnaire survey. Then Chinese medicine syndromes were analyzed and constitution types were identified. The syndromes were took as dependent variable and 9 types of constitution as independent variable
multivariate linear regression analysis was conducted. Results Among 151 patients
there were 136 cases with Wei-fen syndrome( 90. 1%)
91 cases with Qi-fen syndrome( 60. 3%)
but no any cases with Ying-fen syndrome and Xue-fen syndrome. Among patients with Qi-fen syndrome
there were 52 cases with Yangming syndrome( 34. 4%)
30 cases with lung-heat syndrome( 19. 9%)
40 cases with Shaoyang syndrome( 26. 5%)
10 cases with chestdiaphragm syndrome( 6. 6%)
and 28 cases with damp obstruction syndrome( 18. 5%). The distribution of different constitution types in 151 cases in a descending order was that the most common one was phlegm-dampness constitution
followed by dampness-heat constitution
Qi deficiency constitution
Yang deficiency constitution
Qi stagnation constitution
Yin deficiency constitution
blood stasis constitution
normal constitution
and specific diathesis constitution. Regression analysis demonstrated that there was a negative correlation between influenza A with Qi-fen syndrome and normal
or specific diathesis constitution
and a positive correlation between influenza A with Qi-fen syndrome and Yin deficiency constitution. There was a positive correlation between Yangming syndrome and Yin deficiency constitution
a positive correlation between Shaoyang syndrome and Qi stagnation constitution
a positive correlation between lung heat syndrome and phlegm-dampness constitution
a positive correlation between damp obstruction syndrome and phlegm-dampness constitution
a negative correlation between damp obstruction syndrome and specific diathesis constitution
a positive correlation between disease involving Wei-fen and Qi-fen syndrome and Yin deficiency constitution
a negative correlation between disease involving Wei-fen and Qi-fen syndrome and specific diathesis constitution
a positive correlation between Wei-fen syndrome alone and normal
or specific diathesis constitution
and a negative correlation between Wei-fen syndrome alone and Yin deficiency constitution( P < 0. 05). Conclusion Yin deficiency
phlegm-dampness
Qi stagnation
normal
and specific diathesis constitutions were 5 main constitution types influencing Chinese medicine syndromes in influenza A patients. There was a close relationship between Chinese medicine syndromes at onset and patients’ constitutions.
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