1.中国藏学研究中心藏医药研究所,北京市朝阳区北四环东路131号,100101
2.北京中医药大学国家中医体质与治未病研究院
lilingru912@163.com
收稿:2021-11-14,
修回:2022-04-25,
纸质出版:2022-08-17
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罗辉,俞若熙,李英帅等.阴虚质与疾病的相关性——基于196项临床研究的文献计量分析[J].中医杂志,2022,63(16):1580-1584.
LUO Hui,YU Ruoxi,LI Yingshuai,et al.Correlation between Yin-deficiency Constitution and Disease: A Bibliometric Analysis of 196 Clinical Studies[J].Journal of Traditional Chinese Medicine,2022,63(16):1580-1584.
罗辉,俞若熙,李英帅等.阴虚质与疾病的相关性——基于196项临床研究的文献计量分析[J].中医杂志,2022,63(16):1580-1584. DOI: 10.13288/j.11-2166/r.2022.16.014.
LUO Hui,YU Ruoxi,LI Yingshuai,et al.Correlation between Yin-deficiency Constitution and Disease: A Bibliometric Analysis of 196 Clinical Studies[J].Journal of Traditional Chinese Medicine,2022,63(16):1580-1584. DOI: 10.13288/j.11-2166/r.2022.16.014.
目的
2
基于中医体质与疾病相关性临床研究的文献报告,分析阴虚质与疾病的相关性。
方法
2
全面检索和纳入2009年4月《中医体质分类与判定》标准发布以来至2020年12月31日国内外所有应用该标准开展的中医体质类型和疾病相关性(简称“体病相关”)临床研究文献,提取文献题录、文献计量学特征、研究地域、发表类型、文献语种、试验设计类型、样本量、疾病、阴虚质在疾病人群中所占的比例、阴虚质与疾病发生的比值比(
OR
)或相对危险度(
RR
)等,从中筛选、整理和分析阴虚质与疾病关系的临床研究证据。
结果
2
从1746项体病相关临床研究中纳入符合条件的临床研究文献共196篇,总样本量达83 038例。159项研究发现,阴虚质为高血压(28.7%)、糖尿病(26.0%)、便秘(32.8%)、更年期综合征(29.5%)、骨质疏松症(26.0%)、肺癌(25.1%)、干眼症(27.0%)、乳腺癌(20.4%)、复发性脑卒中(25.6%)、过敏性紫癜(31.0%)、卵巢功能不全(28.3%)、失眠(26.9%)疾病人群中出现最多的体质类型,其中位比例为20.4%~32.8%。49项研究发现阴虚质是高血压(
OR
=3.086)、骨质疏松症(
OR
=3.167)、糖尿病(
OR
=1.859)的危险因素。
结论
2
阴虚质与中老年人群部分常见的循环、生殖、内分泌、骨骼等系统疾病以及中医阴虚证候相关病症等具有较密切的关系,中医体质辨识和调理将有助于这些疾病的防治。
Objective
2
To investigate and analyze the correlation between
yin
-deficiency constitution and di-sease based on the existing clinical research evidence.
Methods
2
Clinical studies on the correlation between body constitution and diseases using the creteria
Classification and Determination of Constitution in TCM
(《中医体质分类与判定》) from April 2009
publisation date of the creteria to December 31
2020 were systematically searched and included. Information on literature bibliography
bibliometirc characteristics
study area
publication type
language
study design
sample size
disease
percentage of
yin
-deficiency constitution among the total people with certain di-sease
odds radio (
OR
) or risk ratio (
RR
) of
yin
-deficiency constitution and disease were extracted and summarized
so as to analyze the association between
yin
-deficiency constitution and disease.
Results
2
Totally, 196 studies out of the 1746 studies were included, involving 83 038 cases. The results from 159 studies showed that
yin
-deficiency constitution was the most common constitutional type among hypertension (28.7%), diabetes (26.0%), constipation (32.8%), menopausal syndrome (29.5%), osteoporosis (26.0%), lung cancer (25.1%), dry eye disease (27.1%), breast cancer (20.4%), recurrent stroke (25.6%), allergic purpura (31.0%), ovarian insufficiency (28.3%), and insomnia (26.9%), with a median proportion from 20.4% to 32.8%. Forty-nine studies found that
yin
-deficiency constitution was a risk factor for hypertension (
OR
= 3.086), osteoporosis (
OR
= 3.167), and diabetes (
OR
= 1.859).
Conclusion
2
Yin
-deficiency constitution is closely related to certain circulatory, reproductive, endocrine, and skeletal system diseases, and diseases and symptoms related to TCM
yin
-deficiency syndrome in middle-aged and elderly people. Identification and regulation of
yin
-deficiency constitution will help to promote the prevention and treatment of these diseases.
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