中医血瘀体质危险因素的logistic回归分析

Logistic regression analysis in risk factors of traditional Chinese medicine blood stasis constitution

关键词:  中医体质  血瘀体质  性别差异  危险因素  回归分析

Key words:  traditional Chinese medicine constitution  blood stasis constitution  gender difference  risk factors  regression analysis

摘要:

[目的]探讨中医血瘀体质的独立危险因素，为健康管理提供依据。[方法]采用方便抽样方法，对16岁以上获得知情同意的健康体检人群实施横断面现场调查。血瘀体质得分采用标准化的中医体质量表测评，危险因素调查采用自编调查问卷。按血瘀体质得分将调查对象分为高分组和低分组，应用二元logistic回归分析法，探究总样本及不同性别人群中医血瘀体质的危险因素。[结果]2 010例样本纳入分析。在单因素分析的基础上，控制混杂因素的logistic回归分析结果显示，血瘀体质的危险因素在总样本中为女性[OR=3.724，95%CI（2.777，4.992）]、经常出差[OR=2.073，95%CI（1.317，3.264）]、经常熬夜[OR=1.575，95%CI（1.276，1.945）]、有慢性病[OR=1.436，95%CI（1.180，1.750）]、饮酒[OR=1.433，95%CI（1.101，1.867）]、长期用电脑[OR=1.312，95%CI（1.041，1.652）]、高文化程度[OR=1.262，95%CI（1.060，1.502）]7个因素；男性为经常出差[OR=2.307，95%CI（1.309，4.068）]1个因素；女性为经常熬夜[OR=1.781，95%CI（1.378，2.302）]、长期用电脑[OR=1.539，95%CI（1.169，2.027）]、有慢性病[OR=1.527， 95%CI（1.207，1.933）]、饮酒[OR=1.519，95%CI（1.063，2.170）]、文化程度高[OR=1.249，95%CI（1.016，1.534）]5个因素。[结论]女性、经常出差、经常熬夜、有慢性病、饮酒、长期用电脑、高文化程度是血瘀体质的独立危险因素；不同性别血瘀体质危险因素不同，临床中应根据不同性别对血瘀体质进行针对性的体质调护。

Abstract:

[Objective] To explore the risk factors of traditional Chinese medicine (TCM) blood stasis constitution and to offer some evidences for health management.[Methods] The healthy people 16 years or older were selected from medical examination center using the convenience sampling method to conduct a cross-sectional investigation,a written informed consent was obtained from each participant. The standard constitution in Chinese Medicine Questionnaire (CCMQ) was adopted to determine the scores of blood stasis constitution. The subjects were divided into high group and low group according to the mean score of blood stasis. The binary logistic regression analysis was used to explore the risk factors of blood stasis constitution in total sample and different gender groups.[Results] The 2 010 samples were included in the analysis. The results of binary logistic regression analysis showed that,the risk factors of blood stasis constitution in the total sample were seven factors:female[OR=3.724,95%CI(2.777,4.992)],business trips[OR=2.073,95%CI(1.317,3.264)],staying up too late[OR=1.575,95%CI(1.276,1.945)],chronic illness[OR=1.436,95%CI(1.180,1.750)],drinking[OR=1.433,95%CI(1.101,1.867)],use computers[OR=1.312,95%CI(1.041,1.652)],education[OR=1.262,95%CI(1.060,1.502)];one factor in the male:business trips[OR=2.307,95%CI(1.309,4.068)];while the risk factors in female were five factors:staying up too late[OR=1.781,95%CI(1.378,2.302)],use computers[OR=1.539,95%CI(1.169,2.027)],chronic diseases[OR=1.527,95%CI(1.207,1.933)],drink[OR=1.519,95%CI(1.063,2.170)],education[OR=1.249,95%CI(1.016,1.534)].[Conclusion] The main risk factors of blood stasis constitution include female,business trips,staying up too late,chronic illness,drink,use computers,the degree of higher education. The risk factors between male and female groups have some different characteristics. It should be carry out targeted physical intervention according to different gender in the future.