CAJ | 학술논문

目的研究福州地区人群食物不耐受分布特点、识别相关症状及其影响因素;同时辨别不同中医体质人群对食物不耐受的易感性.方法采取方便抽样的方法在体检人群中抽取样本,用酶联免疫方法检测人血清中14种食物过敏原特异性IgG抗体.同时调查问卷收集中医体质、饮食、生活方式等方面资料,用SPSS13.0进行统计分析.结果 (1)411例调查对象中,食物不耐受者247例,占总体60.1％.不同性别、年龄、体型、学历、婚姻状况、职业、地区、过敏史的人群之间食物不耐受发生情况差异无统计学意义(P＞0.05).(2)食物不耐受发生频率前三位是:蛋清／蛋黄(44.9％)、蟹(37.7％)、鳕鱼(23.1％).不同患者可出现1种到5种食物不耐受.亚健康人出现食物不耐受情况高于健康人群(P＜0.05).(3)鳕鱼进食频率越高,鳕鱼不耐受发生率越高(P＜0.05).(4)食物不耐受者表现为多系统症状.但较少出现心血管系统症状,在呼吸系统以及其他症状方面表现更明显.(5)食物不耐受患者主要的中医体质类型前四位:平和质、气虚质、阳虚质、湿热质.偏颇体质对鳕鱼不耐受情况高于平和质(P＜0.05).非瘀血质更易对蟹产生不耐受(P＜0.05).结论食物不耐受者在福州地区人群中分布广泛,但人口学特征相关性并不明显.亚健康者、肥胖女性、偏颇体质人群对14种食物存在不同程度的易感性.
목적 연구복주지구인군식물불내수분포특점、식별상관증상급기영향인소;동시변별불동중의체질인군대식물불내수적역감성.방법 채취방편추양적방법재체검인군중추취양본,용매련면역방법검측인혈청중14충식물과민원특이성IgG항체.동시조사문권수집중의체질、음식、생활방식등방면자료,용SPSS13.0진행통계분석.결과 (1)411례조사대상중,식물불내수자247례,점총체60.1％.불동성별、년령、체형、학력、혼인상황、직업、지구、과민사적인군지간식물불내수발생정황차이무통계학의의(P＞0.05).(2)식물불내수발생빈솔전삼위시:단청／단황(44.9％)、해(37.7％)、설어(23.1％).불동환자가출현1충도5충식물불내수.아건강인출현식물불내수정황고우건강인군(P＜0.05).(3)설어진식빈솔월고,설어불내수발생솔월고(P＜0.05).(4)식물불내수자표현위다계통증상.단교소출현심혈관계통증상,재호흡계통이급기타증상방면표현경명현.(5)식물불내수환자주요적중의체질류형전사위:평화질、기허질、양허질、습열질.편파체질대설어불내수정황고우평화질(P＜0.05).비어혈질경역대해산생불내수(P＜0.05).결론 식물불내수자재복주지구인군중분포엄범,단인구학특정상관성병불명현.아건강자、비반녀성、편파체질인군대14충식물존재불동정도적역감성.
Objective To investigate clinical symptoms and influencing factors of food intolerance and to identify susceptibility of food intolerance among adults with various Traditional Chinese Medicine (TCM) constitutions.Methods A total of 411 individuals were recruited by using simple sampling method.ELISA was used to test serum levels of food intolerance specific IgG antibody.TCM constitution,food intake habit,lifestyle,and biochemical data were collected.Results ( 1 ) The prevalence of food intolerace was 60.1％ (247/411).(2) The most commonly seen food intolerance specific IgG were those against egg (44.9％ ),crab ( 37.7％ ),or cod ( 23.1％ ).Intolerance to 1 to 5 kinds of food could be found in single individual.Subhealthy people were more likely to suffer from food intolerance ( P＜0.05 ).( 3 ) Those with food intolerance always presented with various symptoms,mainly respiratory system symptoms.(4) The most common types of TCM constitution of the participants were gentleness constitution,qi-insufficiency constitution,yang-deficiency constitution,and dampness-heat constitution.Those of non-bloodstasis constitution were more likely to suffer from crab intolerance ( P＜0.05 ).Conclusion The prevalence of food intolerance is relatively high in Fuzhou areas.Subhealthy status,obesity women,and pathological constitutions may be risk factors of food intolerance.