CAJ | 학술논문

目的：通过调查受试者的焦虑情绪，探讨伴有焦虑人群的体质类型特点和人群易感性，为发挥中医“治未病”优势，预防焦虑的发生提供理论依据。方法采用横断面研究的方法，收集伴有焦虑的病例组317例，对照组251例，根据“中医体质分类与判定表”判断体质类型并观察其分布情况，采用卡方检验和回归分析的方法分析体质因素对焦虑的影响。结果病例组体质类型分布为气郁质（19.24%）、气虚质（16.40%）、瘀血质（15.46%）、湿热质（11.04%）、阳虚质（10.41%）、阴虚质（8.83%）、痰湿质（6.62%）、平和质（5.99%）、特禀质（5.99%）。对照组体质类型分布为湿热质（17.53%）、阴虚质（14.34%）、痰湿质（13.94%）、阳虚质（11.55%）、平和质（11.55%）、气郁质（8.76%）、气虚质（8.37%）、瘀血质（7.97%）、特禀质（5.98%）。两组体质类型分布差异有统计学意义（P＜0.01或0.05）。气郁质、气虚质、瘀血质在病例组分布率（51.10%）高于对照组（25.10%）。病例组中，气郁质、气虚质、瘀血质三种体质类型之间分布率差异无统计学意义（P＞0.05）。回归分析，气郁质、气虚质和瘀血质三种体质类型与焦虑呈正相关（P＜0.05）。优势比（Exp）气郁质（Exp＝4.447）、气虚质（Exp＝3.942）、瘀血质（Exp＝3.929），其他六种体质均为无关因素。结论气郁质、气虚质、瘀血质可能是焦虑发生的危险体质因素。
목적：통과조사수시자적초필정서，탐토반유초필인군적체질류형특점화인군역감성，위발휘중의“치미병”우세，예방초필적발생제공이론의거。방법채용횡단면연구적방법，수집반유초필적병례조317례，대조조251례，근거“중의체질분류여판정표”판단체질류형병관찰기분포정황，채용잡방검험화회귀분석적방법분석체질인소대초필적영향。결과병례조체질류형분포위기욱질（19.24%）、기허질（16.40%）、어혈질（15.46%）、습열질（11.04%）、양허질（10.41%）、음허질（8.83%）、담습질（6.62%）、평화질（5.99%）、특품질（5.99%）。대조조체질류형분포위습열질（17.53%）、음허질（14.34%）、담습질（13.94%）、양허질（11.55%）、평화질（11.55%）、기욱질（8.76%）、기허질（8.37%）、어혈질（7.97%）、특품질（5.98%）。량조체질류형분포차이유통계학의의（P＜0.01혹0.05）。기욱질、기허질、어혈질재병례조분포솔（51.10%）고우대조조（25.10%）。병례조중，기욱질、기허질、어혈질삼충체질류형지간분포솔차이무통계학의의（P＞0.05）。회귀분석，기욱질、기허질화어혈질삼충체질류형여초필정정상관（P＜0.05）。우세비（Exp）기욱질（Exp＝4.447）、기허질（Exp＝3.942）、어혈질（Exp＝3.929），기타륙충체질균위무관인소。결론기욱질、기허질、어혈질가능시초필발생적위험체질인소。
Objective To explore the characteristics of constitution according to traditional Chinese medicine and the anxiety susceptibility of the population, providing the theoretical basis for carrying out population intervention in anxiety and taking full advantage of the preventive treatment by investigating anxiety emotion of patients. Methods A cross-sectional study method was adopted. 317 anxiety patients were recruited into an observation group and another 251 anxiety patients were recruited into a control group. Based on the traditional Chinese medicine constitution scale we defined every participant’s constitution type and got the distribution of different constitution types among all the participants. Then we usedχ2 test and binary regression to analyze the impact of constitution on anxiety. Result The observation group constitution type distribution:Qi stagnation(19.24%), Qi deficiency(16.40%), blood stasis(15.46%), damp heat (11.04%), Yang deficiency(10.41%), Yin deficiency(8.83%), phlegm dampness(6.62%), mild quality(5.99%), special intrinsic quality(5.99%). The control group constitution type distribution:damp heat(17.53%), Yin deficiency (14.34%), phlegm dampness (13.94%), Yang deficiency(11.55%),mild quality (11.55%), Qi stagnation (8.76%), Qi deficiency (8.37%), blood stasis (7.97%), special intrinsic quality (5.98%). The result ofχ2 test showed that the distribution of constitution types among participants in the observation group were different from that in the control group and the difference was statistically significant(P<0.001). Three kinds of constitution types(Qi stagnation, Qi deficiency, Blood stasis)showed a different distribution percentage in the observation group(51.10%)and the control group(25.10%, P<0.01). In the observation group, the distribution ratio among Qi stagnation, Qi deficiency, blood stasis had no significant differences (P>0.05). The binary regression result showed that the three constitutions of Qi stagnation, Qi deficiency and blood stasis had significantly positive correlation with anxiety(P<0.05). Odds ratios showed Exp of Qi stagnation, Qi deficiency and blood stasis was 4.447, 3.942 and 3.929. while the other six constitutions are independent factors to anxiety. Conclusion Qi stagnation, Qi deficiency and blood stasis constitutions were possible risk factors for anxiety.