乳腺疾病中医体质分布及易患体质危险因素分析
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R737.9

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河北省高等学校科学技术研究项目(QN2019146);河北大学高层次创新人才科研启动项目(521000981113);河北大学医学学科培育项目(2022B14)


Analysis of Distribution of Traditional Chinese Medicine Constitutions of Breast Diseases and Their Predisposing Risk Factors
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    摘要:

    目的:探索乳腺疾病中医体质分布规律,并分析易患体质的相关危险因素,为防治乳腺疾病提供 参考。方法:选取126 例乳腺疾病患者进行中医体质辨识,收集患者的一般资料,根据患者疾病类型分为乳腺 恶性肿瘤组和乳腺良性疾病组,统计2 组患者中医体质分布规律。结果:乳腺恶性肿瘤组分布最多的年龄段为 50 岁以上,乳腺良性疾病组分布最多的年龄段为35~50 岁,2 组年龄分布比较,差异有统计学意义(P< 0.05)。乳腺恶性肿瘤组超重患者占52.5%,乳腺良性疾病组为32.3%,2 组体质量指数(BMI) 比较,差异有 统计学意义(P<0.05)。乳腺恶性肿瘤组绝经率为78.7%,乳腺良性疾病组绝经率为21.5%,2 组比较,差异 有统计学意义(P<0.05)。2 组体质类型分布均以气郁质、阳虚质、气虚质、痰湿质多见。通过二元Logistic 回归分析发现,性情与气郁质呈正相关(P<0.05);超重与痰湿质呈正相关(P<0.05)。结论:相比乳腺良性 疾病,恶性肿瘤患者年龄偏高,超重者占比较大,提示广大女性随着年龄增长,超重可能会增加罹患恶性肿瘤 风险,要注意做好乳腺恶性肿瘤早期筛查工作。超重人群更易成为痰湿质,性情急躁人群更易成为气郁质,易 患体质人群要及早进行偏颇体质的调整干预,减少乳腺恶性肿瘤的发生。

    Abstract:

    Abstract:Objective:To explore the distribution laws of traditional Chinese medicine (TCM) constitutions in breast diseases, analyze the relevant risk factors for constitutions which are predisposed to breast diseases, and provide references for the prevention and treatment of breast diseases. Methods: There were 126 patients with breast diseases were selected;their TCM constitutions were identified,and their general information was collected. All patients were divided into the breast cancer group and the benign breast diseases group according to their disease types. The distribution of TCM constitutions in the two groups was counted. Results:The age group with the largest distribution in the breast cancer group was over 50 years old, and that in the benign breast diseases group was between 35 and 50 years old, the comparison between the two groups showed significance in the difference (P<0.05). The proportion of overweight patients in the breast cancer group was 52.5%,and that in the benign breast diseases group was 32.3% , the comparison of the body mass index (BMI) values between the two groups showed significance in the difference (P<0.05). The menopausal rate in the breast cancer group was 78.7%,and the menopausal rate in the benign breast diseases group was 21.5% , the comparison between the two groups showed significance in the difference (P<0.05). The most common constitution types in the two groups were qi constraint constitution, yang deficiency constitution, qi deficiency constitution, and phlegm- damp constitution. Through binary logistic regression analysis, it was found that temperament was positively correlated with qi constraint constitution (P<0.05);there was a positive correlation between overweight and phlegm- damp constitution (P<0.05). Conclusion: Compared to benign breast diseases, patients with malignant tumors are older and have a larger proportion of overweight, suggesting that overweight may increase the risk of developing malignant tumors for women with age, and attention should be paid to early screening for breast cancer. Overweight people are more likely to have a phlegmdamp constitution,and those with irritable temperament are more likely to have a qi constraint constitution. People who are predisposed to breast diseases should undergo early adjustment and intervention for biased constitution and reduce the occurrence of breast cancer.

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陈佳燕,王晓春,张苗苗.乳腺疾病中医体质分布及易患体质危险因素分析[J].新中医,2023,55(11):134-139

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  • 在线发布日期: 2023-06-16
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