福州市中青年伏案工作者颈椎病中医体质分型的研究-《中医正骨》

文章信息/Info

Title:: Study on traditional Chinese medicine physical constitution typing of cervical spondylosis for young and middle-aged patients with sedentary work in Fuzhou city

作者:: 仲卫红¹; 冯居平²; 陈水金¹; 宋红梅¹; 王和鸣³; 王诗忠 ¹; 1.福建中医药大学附属第二人民医院屏山分院,福建福州 350003;
2.河南省南阳市中医院,河南南阳 473003;
3.福建中医学院,福建福州 350008

Author(s):: ZHONG Wei-hong^*; FENG Ju-ping; CHEN Shui- jin; et al.^*; Pingshan branch of the second people's hospital affiliated to Fujian University of traditional Chinese Medicine,Fuzhou 350003,Fujian,China

Keywords:: Cervical spondylosts; Medicine; Chinese traditional; Physical constitution theory; Cross-sectional studies

摘要:: 目的:了解福州市中青年伏案工作者中颈椎病人群的中医体质类型分布情况,探讨体质与颈椎病发病的联系,为颈椎病的防治提供依据。方法:按单位性质将福州市区的行政机关、银行、学校、医院等单位分层,采用分层整群抽样的方法,抽取18～50岁长时间从事低头伏案工作的人员为调查对象,采用横断面现场调查法进行颈椎病调查表和中医体质量表的问卷调查。结果:实际调查1 739例,患颈椎病者286例,占调查对象的16.45%; 平和质在非颈椎病人群中所占比例高于在颈椎病人群中所占比例,差异有统计学意义(χ²=22.264,P=0.000); 偏颇体质中,气虚质和痰湿质在颈椎病人群中所占的比例高于在非颈椎病人群中所占比例,差异有统计学意义(χ²=5.150,P=0.023; χ2=8.063,P=0.005); 两种人群之间其他体质类型构成比的差异无统计学意义。结论:在预防和治疗颈椎病时,应针对不同地域颈椎病患者的体质特点,采用因地治宜的防治措施,以提高疗效。

Abstract:: Objective:To comprehend the distribution of traditional Chinese medicine(TCM)physical constitution typing of cervical spondylosis(CS)for young and middle-aged patients with sedentary work in Fuzhou city,and to explore the relationship between physical constitution and incidence situation of CS on the purpose of CS prevention.Methods:The administrative agencies,banks,schools and hospitals in Fuzhou urban district were stratified according to their unit nature.The participants,whose age from 18 to 50 and whose work needing bending over a table for long hours,were extracted through stratified sampling method.CS questionnaires and TCM physical constitution questionnaires were used when the cross-sectional survey were carried out.Results:286 CS patients found in 1739 participants accounted for 16.45% of the total amount.The ratio of patients who had mildly physical constitution in non-CS group was higher than that in CS group(χ²=22.264,P=0.000). The ratio of patients who had physical constitution of deficiency of vital energy or phlegmatic hygrosis in CS group was higher than that in non-CS group(χ²=5.150,P=0.023; χ²=8.063,P=0.005).There was no statistical difference between non-CS group and CS group in ratio of patients who had physical constitution of other types.Conclusion:In order to improve the curative effect,we should adopt the suitable measures according to the physical constitutions of CS patients in different regions.