中医血瘀体质危险因素的logistic回归分析

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。

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

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:femaleOR=3.724,95%CI(2.777,4.992)],business tripsOR=2.073,95%CI(1.317,3.264)],staying up too lateOR=1.575,95%CI(1.276,1.945)],chronic illnessOR=1.436,95%CI(1.180,1.750)],drinkingOR=1.433,95%CI(1.101,1.867)],use computersOR=1.312,95%CI(1.041,1.652)],educationOR=1.262,95%CI(1.060,1.502)];one factor in the male:business tripsOR=2.307,95%CI(1.309,4.068)];while the risk factors in female were five factors:staying up too lateOR=1.781,95%CI(1.378,2.302)],use computersOR=1.539,95%CI(1.169,2.027)],chronic diseasesOR=1.527,95%CI(1.207,1.933)],drinkOR=1.519,95%CI(1.063,2.170)],educationOR=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.