本文選題：老年 + 高血壓　； 參考：《中國(guó)醫(yī)藥導(dǎo)報(bào)》2017年01期

【摘要】：目的分析老年高血壓患者中醫(yī)體質(zhì)特征與生存質(zhì)量間的關(guān)系,為制訂合理有效的健康管理方案提供科學(xué)嚴(yán)謹(jǐn)?shù)囊罁?jù)。方法選取2014年1月~2015年12月深圳市龍崗社區(qū)內(nèi)65周歲以上8080例高血壓患者作為調(diào)查對(duì)象。采用分層抽樣法對(duì)轄區(qū)內(nèi)患者進(jìn)行調(diào)查,調(diào)查過(guò)程中收集受訪者婚姻狀況、受教育程度、年齡、性別等基本資料;采用"中醫(yī)體質(zhì)分類及判斷表"對(duì)受訪者的中醫(yī)體質(zhì)特征進(jìn)行評(píng)估;使用世界衛(wèi)生組織生存質(zhì)量簡(jiǎn)表(WHO QOL-BREF)調(diào)查受訪者生存質(zhì)量。將獲取數(shù)據(jù)錄入Access軟件中并建立數(shù)據(jù)庫(kù),行典型性相關(guān)分析及描述性統(tǒng)計(jì)分析。結(jié)果 Y變量組為生存質(zhì)量,分別使用Y_1、Y_2、Y_3、Y_4表示生理、心理、環(huán)境及社會(huì)關(guān)系四個(gè)領(lǐng)域的得分。X變量組為中醫(yī)體質(zhì),分別使用X_1、X_2、X_3、X_4、X_5、X_6、X_7、X_8、X_9表示平和、氣虛、陽(yáng)虛、陰虛、痰濕、濕熱、血瘀、氣郁、特稟轉(zhuǎn)化分。生活質(zhì)量與中醫(yī)體質(zhì)相關(guān),4個(gè)典型相關(guān)系數(shù)均存在顯著性(P0.05);冗余分析結(jié)果顯示,W_1變量可解釋Y_1~Y_9的43.9%變異和X_1~X_9的16.4%變異。V_1變量可有效解釋Y_1~Y_4的14.3%變異及X_1~X_9的50.5%變異;其余3個(gè)變量無(wú)法有效解釋原始變量變異。結(jié)論老年高血壓患者的中醫(yī)體質(zhì)特征與生存質(zhì)量存在相關(guān)關(guān)系,通過(guò)調(diào)攝辨體,糾正偏頗體質(zhì),有助于改善患者健康水平,管理及防治疾病,提高患者生存質(zhì)量。
[Abstract]:Objective to analyze the relationship between traditional Chinese medicine (TCM) constitution and quality of life (QOL) in elderly patients with hypertension, and to provide scientific and rigorous basis for making reasonable and effective health management plan. Methods from January 2014 to December 2015, 8080 hypertensive patients aged 65 years or older in Longgang Community of Shenzhen City were selected as subjects. The stratified sampling method was used to investigate the patients in the area. The basic data such as marital status, education level, age, sex and so on were collected during the survey. The quality of life (QQOL-BREF) of the interviewees was evaluated by the classification and judgment table of TCM constitution, and the quality of life (QOL-BREF) of the respondents was surveyed by the World Health Organization (WHO) QOL-BREF. The acquired data is entered into Access software and the database is established, and the typical correlation analysis and descriptive statistical analysis are carried out. Results in the Y variable group, the quality of life was determined by using Y1C / YS _ 2Y _ S _ 2T _ 3Y _ S _ 4 respectively to indicate that the scores in the four fields of physiology, psychology, environment and social relations were as follows: the group of variables X was TCM physique, and the group of variables X _ (x) _ 1X _ 2C _ (2) X _ (3) X _ (3) X _ (4) T _ (5) T _ (6) X _ (6) X _ (6) X _ (6) X _ (9) was used to mean "peaceful", "Qi deficiency", "Yang deficiency", "Yin deficiency", "phleg@@ Blood stasis, qi depression, special transformation points. The results of redundancy analysis showed that the W1 variable could explain the 43.9% variation of Y1S / Y9 and the 16.4% variation of X1T / X9. The V1 variable could effectively explain the variation of Y1SI-YV4 and the 50.5% variation of X1D / X9, and the correlation coefficient of QOL with TCM constitution was significant (P0.05), and the results of redundancy analysis showed that W1 variable could explain 43.9% of the variation of Y1S / Y9 and 16.4% of the variation of X1T / X9, and the variation of X1T / X9 was 50.5%. The other three variables can not effectively explain the variation of the original variable. Conclusion there is a correlation between TCM physique and quality of life in elderly patients with hypertension. It is helpful to improve the health level of patients, manage and prevent diseases, and improve the quality of life of patients by adjusting the body differentiation and correcting the biased physique.
【作者單位】： 廣東省深圳市龍崗區(qū)中醫(yī)院骨傷科;廣東省深圳市龍崗區(qū)中醫(yī)院腎病科;廣東省深圳市龍崗區(qū)中醫(yī)院社康辦;廣東省深圳市龍崗區(qū)中醫(yī)院肝病科;
【基金】：廣東省深圳市龍崗區(qū)科技計(jì)劃醫(yī)療衛(wèi)生類項(xiàng)目(LG20140610225447)
【分類號(hào)】：R259

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