[1]何强 梅杰 孙欣 尹宏△.膝骨性关节炎临床症状与中医体质类型相关性分析[J].中国中医骨伤科杂志,2021,29(11):42-46.
　HE Qiang MEI Jie SUN Xin YIN Hong.Correlation between the Severity of Clinical Symptoms of Knee Osteoarthritis and TCM Constitution Types[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2021,29(11):42-46.
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膝骨性关节炎临床症状与中医体质类型相关性分析()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第29卷
期数:
2021年11期
页码:
42-46
栏目:
临床研究
出版日期:
2021-11-15

文章信息/Info

Title:
Correlation between the Severity of Clinical Symptoms of Knee Osteoarthritis and TCM Constitution Types
文章编号:
1005-0205(2021)11-0042-05
作者:
何强1 梅杰1 孙欣2 尹宏2△
Author(s):
HE Qiang1 MEI Jie1 SUN Xin2 YIN Hong2△
1Nanjing University of Traditional Chinese Medicine, Nanjing 210029,China; 2Nanjing Hospital of Traditional Chinese Medicine Affiliated to Nanjing University of Traditional Chinese Medicine, Nanjing 210029,China.
关键词:
膝关节骨性关节炎;  临床症状;  严重程度;  中医体质类型;  相关性
Keywords:
knee osteoarthritis;  clinical symptoms;  severity;  TCM constitution type;  correlation
分类号:
R684.3
文献标志码:
A
摘要:
目的:探讨膝骨性关节炎(KOA)临床症状严重程度与中医体质类型的相关性。方法:选取2020年5月1日至2021年3月1日期间就诊,符合KOA诊断标准的患者,根据标准纳入50～75岁共150例。将150例KOA患者按照WOMAC评分标准分为轻、中、重度三组,每组50例。对所纳入150例患者依据《中医体质分类与判定》标准进行中医体质分型,探究中医体质分布情况,分析不同中医体质类型对KOA患病情况及临床症状严重程度的影响。运用EXCEL软件将调査数据录入后进行整理,采用SPSS26.0软件统计处理。结果:KOA临床症状严重程度在九种中医体质类型分布上差异有统计学意义(P<0.01)。轻度组分布较前的三种体质为阳虚质(28%)、痰湿质(18%)、平和质(16%),中度组分布较前的三种体质为痰湿质(34%)、血瘀质(24%)、阳虚质(24%),重度组分布较前的三种体质为痰湿质(48%)、血瘀质(36%)、阳虚质(10%)。在九种中医体质类型中,KOA临床症状严重程度在平和质、痰湿质、血瘀质三种中医体质类型分布上差异有统计学意义(P<0.05)。KOA临床症状严重程度与中医体质类型Spearman相关分析,结果提示KOA临床症状严重程度与与痰湿质、血瘀质正相关,差异有统计学意义(P<0.05),相关系数分别为0.260和0.229; 与平和质、气虚质、阳虚质均负相关,差异有统计学意义(P<0.05),相关系数分别为-0.219,-0.167和-0.181; 其余各项指标无相关性,差异无统计学意义(P>0.05)。结论:KOA临床症状严重程度与中医体质类型之间存在相关性,痰湿质、血瘀质人群KOA临床症状更严重,而平和质人群其临床症状较偏颇体质更轻。
Abstract:
Objective:To explore the correlation between the severity of clinical symptoms of knee osteoarthritis(KOA)and the types of TCM constitution, and to provide valuable suggestions for the prevention and control of KOA.Methods:150 patients who met the diagnostic criteria of KOA from Mayf 1, 2020 to March 1, 2021 were selected in this study.150 patients with KOA were divided into mild, moderate and severe groups according to WOMAC rating scale, with 50 cases in each group.These patients also were divided into TCM constitution types according to the standard of TCM constitution classification and judgment to explore the distribution of TCM constitution and to analyze the influence of different TCM constitution types on the prevalence of KOA and the severity of clinical symptoms.Excel software was used to input and sort out the survey data, and SPSS26.0 software was used for statistical processing.Results:The severity of clinical symptoms of KOA had significant difference in the distribution of nine TCM constitution types(P<0.01).The main three constitutions of mild group were Yang deficiency(28%), phlegm dampness(18%)and peace(16%); the main three constitutions of moderate group were phlegm dampness(34%), blood stasis(24%)and Yang deficiency(24%); the main three constitutions of severe group were phlegm dampness(48%), blood stasis(36%)and Yang deficiency(10%).Among the nine TCM constitution types, the severity of KOA clinical symptoms had statistical differences in the distribution of three TCM constitution types: mild constitution, phlegm dampness constitution and blood stasis constitution(P<0.05). Three Spearman correlation analyses showed that the severity of clinical symptoms of KOA was positively correlated with phlegm dampness and blood stasis(P<0.05), and the correlation coefficients were 0.260 and 0.229 respectively; there was a negative correlation between mild, Qi deficiency and Yang deficiency(P<0.05), and the correlation coefficients were -0.219, -0.167 and -0.181, but there was no correlation between other indexes(P>0.05).Conclusion:There is a correlation between the severity of KOA clinical symptoms and TCM constitution types.The patients with phlegm dampness and blood stasis had more severe clinical symptoms of KOA. The clinical symptoms of mild constitution group are lighter than that of biased constitution group.

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备注/Memo

备注/Memo:
1南京中医药大学(南京,210029)
2南京中医药大学附属南京中医院
△通信作者 E-mail:545543314@qq.com
更新日期/Last Update: 1900-01-01