CAJ | 학술논문

目的：探讨腰椎间盘突出症(lumbar disc herniation,LDH)与中医体质类型的相关性,为指导临床实践中的一级预防和“辨质施护”提供新的思路和参考依据.方法采用病例对照研究方法,收集2013年11月至2014年5月在浙江省中医院骨伤科住院及骨伤康复室就诊的 LDH 患者150例为病例组,同期来自骨伤科的150例非 LDH 患者为对照组,依据中医体质分类量表进行体质辨识,进行秩和检验及多因素 Logistic回归分析.结果两组患者的阳虚质、血瘀质、平和质分布的差异有统计学意义(P＜0．05)；其中阳虚质与血瘀质为 LDH 的危险因素,而平和质为保护因素.结论 LDH 的发生与体质密切相关,阳虚质、血瘀质是其发病的易感体质,在其防治及护理过程中应注意积极调整这两种偏颇体质.
목적：탐토요추간반돌출증(lumbar disc herniation,LDH)여중의체질류형적상관성,위지도림상실천중적일급예방화“변질시호”제공신적사로화삼고의거.방법채용병례대조연구방법,수집2013년11월지2014년5월재절강성중의원골상과주원급골상강복실취진적 LDH 환자150례위병례조,동기래자골상과적150례비 LDH 환자위대조조,의거중의체질분류량표진행체질변식,진행질화검험급다인소 Logistic회귀분석.결과량조환자적양허질、혈어질、평화질분포적차이유통계학의의(P＜0．05)；기중양허질여혈어질위 LDH 적위험인소,이평화질위보호인소.결론 LDH 적발생여체질밀절상관,양허질、혈어질시기발병적역감체질,재기방치급호리과정중응주의적겁조정저량충편파체질.
Objective To investigate the correlation between TCM constitution and lumbar disc hernia-tion,and to provide new ideas and references for primary prevention and nursing by differentiating consti-tution.Methods By case-control study,150 cases of lumbar disc herniation patients were selected as case group and 150 cases of non-LDH patients from orthopedics and traumatology department were selected as control group.Also the TCM constitution of each group was determined according to the standardized ques-tionnaire of TCM constitution,rank sum test and logistic regression were then conducted.Results There were significant differences between the two groups in the distributions of Yang-deficiency,blood-stagna-tion and gentleness constitution(P<0.05).The Yang-deficiency and blood-stagnation were risk factors, while the gentleness constitution was protective factor.Conclusion Lumbar disc herniation was closely cor-related to the TCM constitution.The Yang-deficiency and blood-stagnation constitution were susceptibility constitution to lumbar disc herniation,thus,to adj ust these two partial constitutions actively was necessary for prevention and nursing care.