脑卒中高危人群中医体质分布研究

发布时间：2018-05-25 16:57

本文选题：脑卒中 + 高危人群　；参考：《福建中医药大学》2016年硕士论文

【摘要】：目的：通过对脑卒中高危人群进行中医体质判定及分析,探讨脑卒中高危人群中医体质分布规律,为中医药干预脑卒中高危人群提供依据。方法：根据卫生部《2014年度脑卒中高危人群筛查和干预项目工作手册》,对福建中医药大学附属第二人民医院健康管理中心体检人群中符合入选标准者进行脑卒中危险因素的调查,进而筛选出脑卒中高危人群；根据《中医体质分类与判定量表》对筛选出的脑卒中高危人群进行中医体质判定,分析脑卒中高危人群中医体质分布规律。结果：1.本课题剔除资料不完善者412例,共收集12749例研究对象。其中男性占总人数50.83%,女性占总人数49.17%。在年龄分布上,40～50岁年龄段占总人数34.21%,51～60岁年龄段占总人数33.00%,61～70岁年龄段占总人数32.79%。经检验,性别、年龄均无统计学差异。地区分布五区八县均有涵盖,职业分布以机关、企事业单位为主体人群,各职业分布存在较大差异。12749例研究对象筛选出脑卒中高危人群1132例,其中男性占总人数82.60%,女性占总人数17.40%,男性显著多于女性。在年龄分布上,以40～50岁年龄段居多。年龄最小40岁,最大70岁,平均年龄(50.36±7.99)岁。2.脑卒中高危人群危险因素总体分布为：血脂异常很少进行体育运动吸烟明显超重或肥胖高血压病史糖尿病脑卒中家族史房颤或明显的脉搏不齐。在性别分布上,男性与总体分布类似,女性在高血压危险因素上明显增加。在年龄分布上,40～50岁年龄段与总体分布类似,51～60岁年龄段除吸烟有所下降外,余分布特点与总体分布相似,61～70岁年龄段高血压病史已排名首位危险因素,房颤也略有所升。3.脑卒中高危人群中医体质类型总体分布为：平和质气虚质痰湿质湿热质阳虚质气郁质阴虚质瘀血质特禀质。在性别分布上,男性与总体分布类似,女性在气郁质和阴虚质上有所增加。在年龄上,40～50岁年龄段与总体分布类似,51～60岁年龄段阳虚体质有所增加,61～70岁年龄段阳虚、阴虚体质有所增加。气虚质、阳虚质在三个年龄段呈逐渐上升的趋势,气郁质则逐渐下降。4.脑卒中高危人群各中医体质在危险因素的分布上,除特禀体质外,其余八种体质大致均以血脂异常、很少进行体育运动、吸烟和明显超重或肥胖这四种危险因素排名前位,危险因素的分布并无太大差异。5.脑卒中高危人群湿热质年龄小于平和质、气虚质和阳虚质,阳虚质年龄大于痰湿质、湿热质和气郁质。结论：1.脑卒中高危人群男性显著多于女性,以40～50岁年龄段居多。总体危险因素分布以血脂异常、很少进行体育运动、吸烟和明显超重或肥胖为主,应加强在饮食、运动等生活习惯的健康管理以控制危险因素的发展；女性在血压方面需加以重视；年龄大者需特别注意心脏问题。2.脑卒中高危人群总体中医体质类型分布除平和质外,偏颇体质以气虚质、痰湿质、湿热质和阳虚质为主；女性在气郁质和阴虚质上有所增加；年龄大者在气虚质、阳虚质和阴虚质上有所增加。
[Abstract]:Objective: To investigate the constitution of TCM Constitution and analyze the constitution of Chinese Medicine Constitution for high risk population of stroke, and to provide the basis for Chinese medicine to interfere with the high risk population of stroke. Method: according to the work manual of screening and intervention items for the high-risk population of stroke in <2014 of the Ministry of health, affiliated to Fujian University of traditional Chinese medicine (TCM) In Second People's Hospital Health Management Center, the risk factors of stroke were investigated and the risk factors for stroke were investigated, and then the high risk population of stroke was screened. According to the Constitution and decision scale of Chinese medicine, the constitution of Chinese medical constitution was determined and the constitution of TCM Constitution of the high risk population of stroke was analyzed. Results: 1. the total number of 12749 subjects was collected in 412 cases. The total number of men accounted for 50.83%, women accounted for the total number of 49.17%. in the age distribution, 40~50 years old age accounted for 34.21%, 51~60 age group accounted for 33%, 61~70 years old age group accounted for the total number of 32.79%. through test, sex, age There were no statistical differences. The distribution of regional distribution in five districts and eight counties was covered. The distribution of occupations was mainly by organs, enterprises and institutions as the main group. There were significant differences in the distribution of occupational groups. 1132 cases of high risk of stroke were screened by.12749 cases. The total number of men accounted for 82.60%, women accounted for 17.40%, and male was significantly more than women. On the cloth, the majority of the age group of 40~50 years old, the age of 40 years, the maximum 70 years old, the average age (50.36 + 7.99) years (50.36 + 7.99), the overall distribution of risk factors in the high risk population of.2. stroke. At the age distribution, the 40~50 year old age segment was similar to the overall distribution, and the 51~60 year old age segment was similar to the overall distribution except smoking. The history of high blood pressure in the age of 61~70 was the first risk factor, and the atrial fibrillation was also slightly higher. The general distribution of TCM Constitution Types in high risk population of.3. stroke was as follows: flat, Qi deficiency, damp heat, damp heat, damp heat, Yang deficiency, Qi and qi stagnation, yin deficiency, yin deficiency and blood stasis. In sex distribution, male and overall distribution were similar, women increased in Qi depression and yin deficiency. At age, the age of 40~50 was similar to the overall distribution, 51~60 The physique of Yang deficiency in the age group increased, the age of 61~70 years was Yang deficiency and the deficiency of yin deficiency was increased. Qi deficiency and yang deficiency were gradually rising in the three ages. Qi depression gradually decreased the distribution of the risk factors of the TCM Constitution of.4. stroke high-risk groups. Except for the special constitution, the other eight kinds of physique were generally different from blood lipid. Often, few sports, smoking, and obvious overweight or obesity were the four risk factors, and the distribution of risk factors was not much different..5. high risk population of high risk of stroke was less than flat and mass, Qi deficiency and yang deficiency, Yang deficiency age was greater than phlegm, wet heat and Qi and qi depression. Conclusion: 1. men with high risk of stroke are male. More than women, more than women, with the majority of the age of 40~50. The overall risk factors are abnormal in blood lipids, few sports, smoking and obvious overweight or obesity. We should strengthen the health management of living habits such as diet and exercise to control the development of risk factors; women should pay attention to the blood pressure; the older people need special attention. Do not pay attention to the heart problems of the.2. high risk population of stroke in general, the general constitution of traditional Chinese medicine distribution except for flat and qualitative, biased constitution with Qi deficiency, phlegm wet quality, damp heat and yang deficiency quality mainly; women in qi depression and yin deficiency quality have increased; older people in Qi deficiency, Yang deficiency and yin deficiency increase.
【学位授予单位】：福建中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R277.7

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