体质干预对中风易患者体质的影响

目的:调查中风易患者多见的体质类型,制定具体干预措施,了解体质干预对中风易患者体质的影响,探讨体质干预在中风病一级预防中所具有的作用。方法:运用中医辨体理论对有中风危险因素的120例中风易患者进行体质分类,找出中风易患者多见的体质类型;结合个体差异,制定出适合于个人体质的调理措施,从饮食、起居、运动、情志、药物、针灸、药浴等方面给予干预,观察干预前后中风易患者体质类型的变化,收集数据,采用SPSS 17.0统计软件处理,进行卡方检验t、检验和非参数检验。结果:120例中风易患者中,男67例(55.83%),女53例(44.17%),男女比例为1.264∶1。对其体质进行分类,以痰湿质为最,占据34.16%。中风病危险因素中,有高血压病的78人,有糖尿病和血脂异常的分别为48例和57例。对有偏颇体质的中风易患者进行体质干预,各种体质的干预效果并不相同,痰湿质和气郁质有所改善,其余各种体质干预效果不明显。结论:中风易患者的体质分布具有趋向性,痰湿质为其最主要的体质类型;对中风易患者进行体质干预,短期内对部分体质类型有影响,期待进一步大样本、长时间的研究可以对其得出更明确的结果。

Influence of Body Constitution Intervention on People Prone to Develope Stroke

Objective:Investigating the common constitution types of the people prone to develope stroke,making specific intervention measures,understanding the influence of the intervention measures on the people prone to develope stroke,discussing the role of the constitution intervention played in stroke primary prevention.Methods:Classify the constitutional types of 120 cases of the people prone to develope stroke with dialectical thinking of TCM and find out the common constitutional types in the cases;combining with individual difference,work out the suitable intervention measures from diet、daily life、sentiment、exercise、drug、acupuncture、medicated bath and so on for personal and observe the changes of the constitution types and the risk factors for these cases before and after the interventions.Collecting data,all the data is processed by the statistical software SPSS17.0,and the measurement data is processed with T-test and X2-test.Results:In the 120 cases of the people who is apt to get stroke,67 cases of male(55.83%),41 cases of female(44.17%),male to female rate is 1.264∶ 1.Classify the cases in constitutional types to find the most common types is phlegmy wet constitution,taking the percent of 34.16%,followed by peace constitution and blood stasis constitution,which accounted for 17.5% and 11.67%.In the stroke risk factors,there are 78 people with hypertension、48 with diabetes and 57 with high blood lipid.Putting the constitutional interventions on the people with biased constitution,the results on different constitutional type are not the same.Phlegmy wet constitution and Qi depression constitution became better,the effect on other constitution is not obvious.Conclusion:The constitutional distribution of people prone to develope stroke has tendency and the phlegmy wet constitution is the most common one.Putting constitutional intervention on people prone to develope stroke,the risk factors are significant effected;the effect on constitution needs more cases and longer time to study.Taking constitution intervention on people prone to develope stroke,only part of the types had effect,looking forward to further large sample,long time of the study can conclude more positive results.