1.北京中医药大学管理学院,北京市房山区阳光南大街与白杨东路交叉口东北角,102488
2.北京中医药大学中医学院
yanbo0722@sina.com
收稿:2023-04-28,
修回:2023-05-22,
纸质出版:2023-10-02
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赵心源,朱燕波,丛建妮等.基于改进雷达图的中医体质健康状态综合评价研究[J].中医杂志,2023,64(19):2003-2009.
ZHAO Xinyuan,ZHU Yanbo,CONG Jianni,et al.Comprehensive Evaluation of Health Status of Traditional Chinese Medicine Constitution based on Improved Radar Chart[J].Journal of Traditional Chinese Medicine,2023,64(19):2003-2009.
赵心源,朱燕波,丛建妮等.基于改进雷达图的中医体质健康状态综合评价研究[J].中医杂志,2023,64(19):2003-2009. DOI: 10.13288/j.11-2166/r.2023.19.011.
ZHAO Xinyuan,ZHU Yanbo,CONG Jianni,et al.Comprehensive Evaluation of Health Status of Traditional Chinese Medicine Constitution based on Improved Radar Chart[J].Journal of Traditional Chinese Medicine,2023,64(19):2003-2009. DOI: 10.13288/j.11-2166/r.2023.19.011.
目的
2
基于改进雷达图对中医体质健康状态进行综合评价,旨在更直观全面地呈现中医体质健康状态。
方法
2
回顾性收集2013年2月至2014年1月在广东省中医院珠海医院治未病中心完成为期26周中医体质综合干预项目研究的受试者临床资料,按照性别、年龄设置青年男性组、青年女性组、中年男性组、中年女性组、老年男性组和老年女性组。分析3个时间点[干预前(T1)、干预13周(T2)、干预26周(T3)]中医体质量表的9种基本中医体质测评信息和健康调查简表(SF-36)测评的生命质量信息。对9种基本中医体质评分绘制改进雷达图进行中医体质健康状态综合评价的可视化呈现,并提取图形特征函数(面积S值、周长L值),构建体质综合健康指数(H值);采用斯皮尔曼相关分析法分析H值与SF-36总分的相关性。
结果
2
共纳入分析509例受试者临床资料,其中老年男性组45例,老年女性组76例,中年男性组60例,中年女性组140例,青年男性组53例,青年女性组135例。中医体质健康状态综合评价雷达图显示,各组在T3时雷达图总面积较T1时均有所升高,青年人群升高最明显,而中年人群在T2时出现部分体质扇形面积较T1时降低的情况;T3时同年龄段女性的雷达图形状较男性更均衡。计算改进雷达图的图形特征函数,老年人群的S、L、H值较同性别中年、青年人群更高;青年人群的图形特征函数升高比例最高。T3较T1的评价函数显示,S值平均增长率为26%(中年人群11%、老年人群14%)、L值平均增长率为22%(中年人群10%、老年人群10%)、H值平均增长率为22%(中年人群10%、老年人群9%);T3时同年龄段女性的S和L值低于男性,但H值高于男性。所有受试者H值与SF-36总分的相关系数为0.662(
P
<0.01)。
结论
2
基于改进雷达图的中医体质健康状态综合评价模型能够更整体、直观地呈现中医体质健康状态和干预效果,临床调节体质应以达到体质健康状态动态平衡为干预思路,从整体把握部分,注重9种中医体质的平衡。
Objective
2
To present the health status of traditional Chinese medicine (TCM) constitutions more intuitively and comprehensively based on improved radar chart.
Methods
2
Participants who completed a 26-week comprehensive intervention based on TCM constitution from February 2013 to January 2014 in Zhuhai branch of Guangdong Provincial Hospital of Chinese Medicine were included in the study. They were divided into groups according to gender and age, i.e. young, middle-aged, and elderly male and female groups. TCM constitution scale and health survey short form (SF-36) were used to evaluate the 9 basic TCM constitution types and quality of life at three time points, including pre-intervention (T1), at 13-week intervention (T2), and at 26-week intervention (T3). The improved radar charts were drawn to visually present the comprehensive evaluation results on the health status of 9 TCM constitutions, and graphic features (area S value, perimeter L value) were extracted to construct a comprehensive health index for TCM constitutions (H value). Spearman correlation analysis was used to analyze the correlation between H value and SF-36 total score.
Results
2
Among the included 509 participants, there were 45 elderly male, 76 elderly female, 60 middle-aged male, 140 middle-aged female, 53 young male and 135 young female. The radar charts for comprehensive evaluation of TCM constitution health status showed that the total areas for all groups increased at T3 compared to T1, with the most significant increase in the young population. In the middle-aged population, the fan-shaped areas of certain constitutions decreased at T2 than T1. At T3, the radar chart shapes for females were more balanced than males in the same age group. By calculating the features of function graphs, it was found that the S, L, and H values for the elderly population were relatively higher than those for the middle-aged and young population with the same gender, and the young population increased by highest ratio. The values measured at T3 compared to T1 showed average increase of 26% for S value (11% for the middle-aged and 14% for the elderly), 22% for L value (10% for the middle-aged and the elderly each), and 22% for H value (10% for the middle-aged and 9% for the elderly). The female had lower S and L values, as well as higher H value than the male of the same age group measured at T3. The correlation coefficient between the H value of all participants and the total SF-36 score was 0.662 (
P
<0.01).
Conclusion
2
The comprehensive evaluation model for the health status of TCM constitution based on the improved radar chart constructed in this study can present the health status of TCM constitutions and intervention effectiveness more comprehensively and intuitively. It is suggested to regulate the constitution in pursuit of the dynamic balance of the constitution health status, as well as consider the parts from the whole, and put focus on the balance of nine TCM constitutions.
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