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中文摘要: 摘 要：目的：了解甘肃省广河县老年人的中医体质并分析其影响因素，为广河县老年人健康评估及管理工作提供依 据。方法 ：整群抽取广河县庄禾集镇589名老年人，收集其社会人口学特征、实验室检测指标、慢性病患病情况及用药史、 中医体质诊断、日常生活行为方式等资料，运用logistic回归分析模型探究广河县老年人不同中医体质的影响因素。结果：单 因素分析结果显示，BMI、谷丙转氨酶水平、糖尿病、高血压、使用抗生素的频率、吃肉类食品的频率、吃新鲜水果的频 率、作息时间与中医体质有相关性，差异均有统计学意义 （P值均＜0.05）。多因素logistic回归分析结果显示，与气虚质相关 的因素为肥胖 （OR＝23.772）、糖尿病 （OR＝15.219）、高血压 （OR＝155.221）；与痰湿质相关的因素为超重 （OR＝ 10.380）、肥胖 （OR＝568.545）、糖尿病 （OR＝78.625），差异均有统计学意义 （P值均＜0.05）。结论：超重、肥胖、患高血 压、患糖尿病与气虚质、痰湿质的形成可能存在较强的相关性；生活方式对中医体质的形成也有一定影响。应结合中医体质 评估老年人的健康状况，采取针对性的干预措施，改善广河县老年人的健康状况。
Abstract:Abstract: OBJECTIVE To understand the Traditional Chinese Medicine (TCM) constitution of the elderly in Guanghe County, Gansu Province and analyze its influencing factors, so as to provide basis for health assessment and management of the elderly in Dongxiang inhabited areas. METHODS Cluster sampling was used to select the elderly population in Zhuangheji Town, Guanghe County, Linxia Hui Autonomous Prefecture, Gansu Province, and the residential data of social demography, daily life behavior, labo⁃ ratory test indicators, chronic diseases, medication history, and TCM constitution diagnosis were collected. The influencing factors of different TCM constitutions were explored by regression analysis based on above data. RESULTS The results of univariate analysis of TCM constitution of 589 subjects showed that BMI, alanine aminotransferase, fasting blood glucose, diabetes, hypertension, frequency of using antibiotics, frequency of eating meat, frequency of eating fresh fruit, and working and rest time were correlated with different TCM constitution types(P＜0.05). Multivariate logistic regression analysis showed that the factors associated with qi deficiency were obesity(OR＝23.772), diabetes (OR＝15.219) and hypertension(OR＝155.221), and the factors associated with phlegm-dampness were overweight(OR＝10.380), obesity(OR＝568.545) and hypertension(OR＝78.625). CONCLUSION Overweight, obesity, hyperten⁃ sion, and diabetes may be associated with the formation of qi deficiency and phlegm. Certain lifestyles may also have a strong impact on TCM physique. The health status should be evaluated in combination with the identification of traditional Chinese medicine consti⁃ tution, and targeted interventions should be carried out to promote the health of the elderly in Guanghe County, Gansu Province.
文章编号：3202110024 中图分类号：R229 文献标志码：