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中医经络检测与慢性病相关体检异常结果相关性分析

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目的 探究北京地区体检人群中医经络检测结果与慢性病相关体检异常结果的相关性.方法 选取2022年1月—2022年12月北京电力医院体检科进行过中医经络检测的888例受检者,收集受检者基本资料和慢性病相关体检异常结果,应用频数分布、x2检验、logistic回归分析等统计学方法分析中医经络检测结果与受检者年龄、性别、超重和肥胖、非酒精性脂肪性肝病(nonalcoholic fatty liver disease,NAFLD)、颈动脉内膜中层厚度(carotid intima media thickness,CIMT)等异常结果之间的关系.结果 北京地区888例中医经络检测受检者中,中医证型分布出现频次前10位依次为肾阴虚证(296例,33.3%)、三焦湿热(224例,25.2%)、肝郁气滞(222例,25.0%)、寒湿证(179例,20.2%)、胃阳亏虚(169例,19.0%)、心火炽盛(169例,19.0%)、肾精亏虚(167例,18.8%)、肝经湿热(148例,16.7%)、肾阳虚证(134例,15.1%)、肺热证(97例,10.9%)、肝火上炎(97例,10.9%).x2检验结果显示肾阴虚证、肝经湿热在女性受检者中出现频率高于男性(P<0.05),肝郁气滞、寒湿证、肾阳虚证在男性受检者中出现频率高于女性(P<0.05);三焦湿热、胃阳亏虚、心火炽盛、肺阴亏虚在不同年龄段分组受检者中分布有差异(P<0.05);肝郁气滞、肝经湿热、肺热证在超重和肥胖受检者中分布有差异(P<0.05),肾阴虚证、肝经湿热、湿郁三焦在NAFLD受检者中分布有差异(P<0.05);心火炽盛、肝经湿热、肾阳虚证在CIMT异常受检者中分布有差异(P<0.05).二分类logistic回归结果显示肝郁气滞、肺热证与超重肥胖检出情况相关(P<0.05);肾阴虚证、肝经湿热、肾精亏虚与NAFLD检出情况相关(P<0.05);肝经湿热、肾阳虚证与CIMT异常检出情况相关(P<0.05).结论 中医经络检测结果在超重肥胖、NAFLD、CIMT异常结果检出中分布有差异,可为慢性病的中医防治提供一定客观依据.
Correlation Analysis between Traditional Chinese Medicine Meridian Detection and Abnormal Physical Examination Results Related to Chronic Diseases
Objective To explore the correlation between traditional Chinese medicine meridian detection re-sults and abnormal physical examination results related to chronic disease among the population underwent physi-cal examination in Beijing area.Methods Eight hundred and eighty-eight subjects who underwent traditional Chi-nese medicine meridian detection in the physical examination department of Beijing electric power hospital from January 2022 to December 2022 were selected,the basic information of the subjects and abnormal results of chronic disease-related physical examinations were collected.Statistical methods such as frequency distribution,chi square test,and logistic regression analysis were used to analyze the relationship between traditional Chinese medicine me-ridian detection results and abnormal results such as age,gender,overweight and obesity,nonalcoholic fatty liver disease(NAFLD),and carotid intima media thickness(CIMT)of the subjects.Results Among 888 cases of tradi-tional Chinese medicine meridian detection in Beijing,the top 10 most frequently occurring TCM syndrome types were kidney yin deficiency(296 cases,33.3%),dampness heat in sanjiao(224 cases,25.2%),liver depression and qi stagnation(222 cases,25.0%),cold dampness(179 cases,20.2%),stomach yang deficiency(169 cases,19.0%),blazing heart-fire(169 cases,19.0%),kidney essence deficiency(167 cases,18.8%),dampness-heat in liver meridi-an(148 cases,16.7%),kidney yang deficiency(134 cases,15.1%),lung heat(97 cases,10.9%)and liver fire flaming up(97 cases,10.9%).The results of chi square test showed that the frequency of kidney yin deficiency and damp-ness-heat in liver meridian in female subjects was higher than that in male subjects(P<0.05),and the frequency of liver depression and qi stagnation,cold dampness and kidney yang deficiency in male subjects was higher than that in female subjects(P<0.05).There were differences in the distribution of dampness heat in sanjiao,stomach yang deficiency,blazing heart-fire and lung yin deficiency in different age groups(P<0.05).There were differences in the distribution of liver depression and qi stagnation,dampness-heat in liver meridian,lung heat in overweight and obese subjects(P<0.05).There were differences in the distribution of kidney yin deficiency,dampness-heat in liver meridian and dampness stagnation in sanjiao in NAFLD subjects(P<0.05).There were differences in the distribu-tion of blazing heart-fire,dampness-heat in liver meridian,and kidney yang deficiency in CIMT abnormal subjects(P<0.05).The binary logistic regression results showed that the detection of overweight and obesity was correla-ted with liver depression and qi stagnation,lung heat(P<0.05).The detection of NAFLD was correlated with kid-ney yin deficiency,dampness-heat in liver meridian,kidney essence deficiency(P<0.05).The detection of CIMT abnormalities was correlated with dampness-heat in liver meridian,kidney yang deficiency(P<0.05).Conclusion There were differences in the distribution of traditional Chinese medicine meridian detection results with the detec-tion of overweight and obesity,NAFLD,and CIMT abnormalities,which could provide objective basis for the pre-vention and treatment of chronic diseases in traditional Chinese medicine.

traditional Chinese medicine meridian detectionphysical examinationchronic diseasesnonalco-holic fatty liver diseasecarotid intima media thickness

师宁、张静、苏泽琦、王朋洁、刘龙飞、董静、闫焱

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首都医科大学电力教学医院(国家电网公司北京电力医院)体检科,北京 100073

北京中医药大学北京中医药研究院,北京 100029

国中康健(北京)健康管理有限公司健康管理部,北京 100073

中医经络检测 体检 慢性病 非酒精性脂肪性肝病 颈动脉内膜中层厚度

2024

中西医结合研究
华中科技大学

中西医结合研究

影响因子:0.649
ISSN:1674-4616
年,卷(期):2024.16(6)