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4、2022-03-23)基金项目:自贡市卫生健康委员会 2019 年立项课题(编号:19yb017)社区老年人早期肾小球滤过率功能减退与中医体质辨识的现状调查研究邹学敏1,魏艳2,张真全1,李传芬1,叶灵兰1,陆娟3,高理群3,杨九芹3,潘平4(1.自贡市中医医院治未病中心,四川 自贡 643000;2.自贡市中医医院营养科,四川 自贡 643000;3.自贡市中医医院丹桂街社区卫生服务中心,四川 自贡 643000;4.自贡市中医医院信息统计室,四川 自贡 643000)摘要:目的:对老年人体质分布、体质指数(BMI)、早期肾小球滤过率减退患者体质分布进行调查研究,探索社区老年人早期肾小球滤过
5、率功能减退与年龄、中医体质、体质指数的关系。方法:收集五个社区 546 例老年人体检资料,采用一般资料调查表、老年人中医药健康管理服务记录表进行调查,体质辨识量表、生化检测。检出早期肾小球滤过率功能减退 146 例并进行统计分析。结果:546 例老年人中,男性 213 人(39%),女性 333 人(61%)。九种体质情况分布:阴虚体质 240 人(44%),痰湿体质 132 人(24.2%),平和体质 66 人(12.1%),阳虚体质 54 人(9.9%),湿热体质 18 人(3.3%),血瘀体质 14 人(2.6%),气虚体质 13 人(2.4%),特禀体质 8 人(1.5%),气郁体质
6、1 人(0.2%)。BMI(kg/m2)分布特点:18.5,20 人(3.7%),18.5BMI23.9,279 人(51.1%),24BMI28,197 人(36.1%),28,50 人(9.2%)。社区老年人检出早期肾小球滤过率功能减退 146 例,检出率为26.74%,其中阴虚体质 62 人(42.47%),痰湿体质 37 人(25.34%),平和体质 14 人(9.59%),阳虚体质 18 人(12.33%),湿热体质 4 人(2.7%),血瘀体质 5 人(3.42%),气虚体质 5 人(3.42%),特禀体质 1 人(0.7%)。分析发现年龄与胱抑素 C(CysC)间存在正相关关系,
7、差异有统计学意义(2=25.849,P0.05),体质指数、中医体质与胱抑素 C(CysC)间存在相关性,差异有统计学意义(2=170.548、9.604,P0.05)。结论:本研究表明社区老年人早期肾小球滤过率功能减退与年龄、中医体质、体质指数间存在相关性,提示从中医体质调理、体重调整方面入手有可能延缓或避免肾小球滤过率功能减退。关键词:老年人;体质辨识;胱抑素 C 中图分类号:R 592 文献标志码:A 文章编号:1000-3649(2023)02-0078-05 Investigation on the Status of Early Glomerular Filtration Rate
8、 Dysfunction and Traditional Chinese Medicine Con-stitution Identification in Community Elderly/ZOU Xuemin,WEI Yan,ZHANG Zhenquan,et al./1.Disease TreatmentCenter of Zigong Traditional Chinese Medicine Hospital(Zigong Sichuan 643000,China);2.Nutrition Department of ZigongTraditional Chinese Medicine
9、 Hospital(Zigong Sichuan 643000,China)Abstract:Objective:To investigate the physical distribution,body mass index(BMI)and the physical distribution of theelderly patients with early glomerular filtration rate decline,and to explore the relationship between the early glomerular filtration87四 川 中 医Jou
10、rnal of Sichuan of Traditional Chinese Medicine2023 年第 41 卷第 2 期Vol.41,No.2,2023rate decline and age,TCM constitution and body mass index of the elderly in community.Methods:The physical examination dataof 546 elderly patients in five communities were collected and investigated by general data quest
11、ionnaire,TCM health managementservice record form,physique identification scale and biochemical test.Early glomerular filtration rate dysfunction was detected in146 cases.Conduct statistical analysis.Results:Among the 546 elderly patients,213(39%)were male and 333(61%)were fe-male.Distribution of ni
12、ne physical conditions:240 patients with Yin deficiency constitution(44%),132 patients with phlegm-dampness constitution(24.2%),66 patients with peace constitution(12.1%),54 patients with Yang deficiency constitution(9.9%),18 patients with dampness-heat constitution(3.3%),14 patients with blood stas
13、is constitution(2.6%),13 pa-tients with qi deficiency constitution(2.4%),8 patients with special constitution(1.5%),Qi depression constitution 1(0.2%).BMI(kg/m2)distribution characteristics:18.5,20(3.7%),18.5BMI23.9,279(51.1%),24BMI28,197(36.1%),28,50(9.2%).146 cases of early glomerular filtration r
14、ate dysfunction were detected among the eld-erly in community,the detection rate was 26.74%,including 62 cases of Yin deficiency constitution(42.47%),37 cases ofphlegm-dampness constitution(25.34%),14 cases of peace constitution(9.59%),18 cases of Yang deficiency constitution(12.33%),4 cases of damp
15、-heat constitution(2.7%).5 patients(3.42%)had blood stasis constitution,5 patients(3.42%)had qi deficiency constitution,and 1 patient(0.7%)had special constitution.There was a positive correlation betweenage and cystatin C(CysC),the difference was statistically significant(2=25.849,P0.05),there was
16、a significant correla-tion between body mass index,TCM constitution and cystatin C(CysC)(2=170.548,9.604,P0.05).Conclusion:Thisstudy shows that there is a correlation between early glomerular filtration rate decline and age,TCM constitution and body mass in-dex in elderly community,suggesting that TCM constitution conditioning and body weight adjustment may delay or avoid glomeru-lar filtration rate decline.Keywords:Elderly;Constitution identification;Cystatin C;Endogenous creatinine clearance全球
