上海市高新技术从业人员中医体质类型及其兼夹体质的相关性分析

Correlation Analysis of TCM Constitution Types and Physique of High and New Technology Practitioners in Shanghai

摘要: 目的：调查上海市高新技术从业人员的中医体质类型，并进行兼夹体质的相关性分析。方法：采用横截面调查收集上海市123名高新技术从业人员的中医体质流行病学资料，采用标准化的中医体质量表测评各体质类型的得分，应用判别分析法判定体质类型；应用Pearson相关系数分析兼夹体质的相关性。应用结果：调查人群平和质构成为17.2%，偏颇体质为82.9%，其中比例最高的为阳虚质(17.9%)、气虚质(12.2%)、痰湿质(11.4%)及湿热质(11.4%)。偏颇体质中，兼夹体质占86%，相关系数最大的为痰湿质与湿热质(R = 0.77, P < 0.0001)、气虚质与阳虚质(R = 0.69, P < 0.0001)。平和质与其他偏颇体质均呈负相关，其中与气虚质负相关性最大(R = −0.65, P < 0.0001)。结论：与全国一般人群比较，上海市高新技术从业人员的平和质比例偏低，而偏颇体质比例偏高。在兼夹体质中，痰湿与湿热、气虚与阳虚共存的可能性最高，这对养生保健有一定的指导意义。

Abstract: Objective: To investigate the constitution types of high and new technology practitioners in Shanghai, and to analyze the correlation of their facultative constitution. Methods: Cross-sectional survey was used to collect the epidemiological data of Chinese medicine constitution of 123 high-tech practitioners in Shanghai. Standardized Chinese Medicine Constitution Scale was used to evaluate the scores of each constitution type and discriminant analysis was used to determine the constitution type. Pearson correlation coefficient was used to analyze the correlation of facultative constitution. Results: The composition of the mild constitution was 17.2%, and the biased constitution was 82.9%. The highest proportion was Yang deficiency (17.9%), Qi deficiency (12.2%), phlegm-dampness (11.4%) and dampness-heat (11.4%). In the biased constitution, facultative constitution accounted for 86%. The greatest correlation coefficients were phlegm-dampness and dampness-heat (R = 0.77, P < 0.0001), Qi-deficiency and Yang-deficiency (R = 0.69, P < 0.0001). Mild constitution was negatively correlated with other biased constitutions, especially with Qi deficiency (R = −0.65, P < 0.0001). Conclusion: Compared with the general population in China, the proportion of mild constitution of the high-tech practitioners in Shanghai is on the low side, while the proportion of the biased constitution is on the high side. In the combination of physique, phlegm-dampness and dampness-heat, Qi deficiency and Yang deficiency coexist most likely, which has a certain guiding significance for health care.