文献类型：期刊文献

中文题名：中老年人原发性骨质疏松症与中医体质类型的Logistic回归分析

英文题名：Logistic Regression Analysis of Middle-aged and Elderly People with Primary Osteoporosis and TCM Constitution Types

作者：曾昭洋[1];胡文斌[1];魏学玲[2];张华[1];张本忠[3];王嘉图[4];田艳瑛[5];张兴璐[2]

第一作者：曾昭洋

机构：[1]甘肃中医药大学,甘肃兰州730000;[2]兰州市城关区疾病控制中心;[3]兰州大学公共卫生学院;[4]甘肃中医药大学附属医院;[5]青海仁济医院

第一机构：甘肃中医药大学

年份：2018

卷号：31

期号：2

起止页码：66

中文期刊名：西部中医药

外文期刊名：Western Journal of Traditional Chinese Medicine

收录：CSTPCD

基金：兰州市城关区科技局项目(编号2012-1-3)

语种：中文

中文关键词：原发性骨质疏松症;中医体质;兰州市;城关区

外文关键词：primary osteoporosis;TCM constitution;Lanzhou municipality;Chengguan district

摘要：目的:分析中老年人原发性骨质疏松症(POP)的中医体质类型,探讨对POP的防治思路。方法:采取多阶段整群分层随机抽样方法抽取城关区年龄在50岁以上的社区人员2 500人进行调查,检测为骨质疏松症的是502人,分别对其进行中医体质分类,分析中医体质类型分布特点。结果:POP人群的髋部及腰椎的骨密度较正常的峰值骨量均偏低,总体来说,髋部比腰椎骨量丢失更加明显,且随着年龄的增加而减少,差异有统计学意义(P<0.05),腰椎的骨密度随年龄的变化其丢失量无明显差异。男性骨量呈现这种变化较女性明显。气郁质、阳虚质、血瘀质、气虚质、阴虚质与痰湿质是POP的危险因素,按危险度大小排名则气郁质、阳虚质、血瘀质为前三位体质类型。结论:明确了POP的中医体质分布特点,即气郁质、阳虚质、血瘀质、气虚质、阴虚质与痰湿质,针对性的对此6种体质进行调理,特别是气郁质、阳虚质、血瘀质者,可有效延缓或预防中老年人POP的发生。
Objective: To explore the preventive thinking of primary osteoporosis(POP) by analyzing TCM constitution types of middle-aged and elderly people with POP. Methods: By using multi-stage cluster layering randomized sampling method, 2 500 persons elder than 50 years from the communities of Chengguan district were selected and surveyed, there were 502 persons diagnosed as POP, and they were classified according to TCM constitutions to analyze the distribution features of TCM constitutions. Results: Hip and lumbar bone densities of POP people were lower than normal peak bone mass, generally speaking, hip bone loss was more obvious than lumbar, it lowered as the people became older, and there was a statistical difference, while there was no obvious difference in the loss amount when lumbar bone density changed as the people became older. Male bone mass showed the changes more obviously compared with female. Qi stagnation constitution, Yang deficiency constitution,blood stasis constitution, Qi deficiency constitution, Yin deficiency constitution and phlegm damp constitution were the risk factors of POP, Qi stagnation constitution, Yang deficiency constitution and blood stasis constitution ranked the first three places according to the risk. Conclusion: After confirming TCM constitution distribution features of POP, that is, Qi stagnation constitution, Yang deficiency constitution, blood stasis constitution, Qi deficiency constitution, Yin deficiency constitution and phlegm damp constitution, corresponding care according to six constitutions, especially Qi stagnation constitution, Yang deficiency constitution and blood stasis constitution, could effectively delay or prevent POP of middle-aged and elderly people.