CAJ | 학술논문

目的：通过六安城区一般人群中医体质流行病学调查，描述一般人群的中医体质类型分布规律，分析不同社会人群的体质类型的特征，为中医体质分类理论在基层医疗的疾病防治、养生保健、健康教育、健康管理等方面的应用提供流行病学调查数据支持。方法：根据中华中医药学会《中医体质分类与判定》，采用调查问卷方法实施中医体质辨识。结果：1554人中，平和体质人群占32.37%，偏颇体质占67.63%；偏颇体质按人数多少依次排列为：痰湿质占10.75%、阳虚质占9.85%、气虚质占7.85%、血瘀质占7.21%、阴虚质占7.40%、湿热质占6.31%、气郁质占4.25%、特禀质占0.90%、兼夹体质占13.13%。性别在平和质中无差别；男性痰湿质、阴虚质、血瘀质、湿热质明显高于女性，女性阳虚质、气虚质、气郁质、特禀质、兼夹体质明显高于男性(P＜0.001)；平和质、气郁质、特禀质随年龄的增长呈减少趋势，血瘀质、阳虚质随着年龄增长比例呈逐渐上升趋势，兼夹体质60岁以上者较其他年龄组明显升高。结论：痰湿、阳虚、气虚是六安人群体质的主要偏颇倾向，且与地域气候，饮食生活，情志年龄，社会环境等多方面相关。
목적：통과륙안성구일반인군중의체질류행병학조사，묘술일반인군적중의체질류형분포규률，분석불동사회인군적체질류형적특정，위중의체질분류이론재기층의료적질병방치、양생보건、건강교육、건강관리등방면적응용제공류행병학조사수거지지。방법：근거중화중의약학회《중의체질분류여판정》，채용조사문권방법실시중의체질변식。결과：1554인중，평화체질인군점32.37%，편파체질점67.63%；편파체질안인수다소의차배렬위：담습질점10.75%、양허질점9.85%、기허질점7.85%、혈어질점7.21%、음허질점7.40%、습열질점6.31%、기욱질점4.25%、특품질점0.90%、겸협체질점13.13%。성별재평화질중무차별；남성담습질、음허질、혈어질、습열질명현고우녀성，녀성양허질、기허질、기욱질、특품질、겸협체질명현고우남성(P＜0.001)；평화질、기욱질、특품질수년령적증장정감소추세，혈어질、양허질수착년령증장비례정축점상승추세，겸협체질60세이상자교기타년령조명현승고。결론：담습、양허、기허시륙안인군체질적주요편파경향，차여지역기후，음식생활，정지년령，사회배경등다방면상관。
Objective:To provide data support of epidemiological study for the application of TCM constitu-tions category theory to the prevention and treatment of the disease, life nurturing, health education, health manage-ment and others in basic medical care by investigating the epidemiology of general people with different constitu-tions in Lu′an city, describing TCM constitution distribution laws of general people and analyzing constitution types of different social groups. Methods:TCM constitutions differentiation was performed with questionnaire according to TCM constitutions category and judgement of Chinese Medical Association. Results:Among 1 554 persons, the patients with peaceful constitution reached 32.37%, the ones with biased constitution accounted for 67.63%;the per-sons with biased constitution ranked according to the number of the persons:phlegm-damp constitutions occupied 10.75%, Yang deficiency 9.85%, Qi deficiency 7.85%, blood stasis 7.21%, Yin deficiency 7.40%, damp-heat 6.31%, Qi stagnation 4.25%, specific 0.90%, mixed 13.13%. The comparison of peaceful constitution showed no difference in the gender:male patients were signficantly more than female ones in phlegm-damp, Yin deficiency, blood stasis and damp-heat obviously, female patients were more than male ones in Yang deficiency, Qi deficiency, Qi stagna-tion, specific and mixed constitution evidently (P<0.001);the patients of peaceful, Qi stagnation and specific consti-tution were decreased as they grew older, the patients of blood stasis and Yang deficiency constitution were in-creased gradually as they became older, the patients older than 60 years with mixed constitution were increased ob-viously compared with other groups. Conclusion:Phlegm-damp, Yang deficiency and Qi deciency are mainly biased constitution types of urban residents in Lu′an city, and the influencing factors are region, climate, diet, life, emotion, age, social environment and other aspects.