我国21省市2014例雄激素性脱发患者中医体质调查

目的：通过多地区人群调查获得我国雄激素性脱发的体质分布及社会人口分布情况,分析不同社会人群的体质类型的特征。方法：2011年10月至2012年7月通过全国多地区人群问卷调查发放,采用标准化的中医体质量表,采用判别法评测各体质类型（平和质,气虚质,阳虚质,阴虚质,痰湿质,湿热质,血瘀质,气郁质,特禀质）,分析雄激素性脱发患者体质分布规律。结果：共调查2 084人,收回有效问卷2 014人,合格率为96.8%,其中男性1 261例,女性753例;平和质1142例,占56.70%;8种偏颇体质占43.30%,居于前4位的偏颇体质类型是阳虚质（12.51%）、湿热质（9.14%）、气郁质（6.11%）、阴虚质（5.56%）,单纯体质893例,占44.34%,复合体质1 121例,占55.66%,男性（androgenetic alopecia,AGA）患者平和质明显高于女性,男性AGA患者以湿热质居多,阳虚质次之,女性AGA患者以阳虚质居多,气郁质次之,二者比较有统计学意义,不同脱发类型的体质分布差异无统计学意义,同时通过7个不同区域的调查数据分析,中医体质类型在不同区域间存在差异：平和质东北比例最低。偏颇体质中,气虚质华南华西较高,东北,华南阳虚比例较高,华南阴虚体质较高,华北痰湿比例较高,东北,华中华东地区湿热比例偏高,东北,西南气郁比例偏高。结论：AGA患者中偏颇体质占43.30%,主要偏颇体质中阳虚质,湿热质,气郁质较多见,不同区域,性别的AGA患者体质分布存在不同。

Investigation of TCM Constitutional Types in 2014 Androgenetic Alopecia Patients from 21 Provinces and Cities in China

Objective： To study the distribution regularity of TCM constitutional types in androgenetic alopecia（ AGA） population and analysis the characteristics of different social demography population through investigation of TCM constitutional types in AGA population.Methods： Adopting the method of questionnaire issuing from October 2011 to July 2012 in seven regions. Using the standardized Constitution in Chinese Medicine Questionnaire（ CCMQ） to evaluate the scores of all kinds of Constitutional types（ Gentleness type,Qi-deficiency type,Yang-deficiency type,Yin-deficiency type,Phlegm-wetness type,Wet-heat type,Blood-stasis type,Qi-depression type,Special diathesis type）. Application Discriminant Analysis to distinguish the individual Constitutional types,and analysis the distribution regularity of constitutional types of Chinese medicine in AGA population. Results： Totally 2084 subjects were interviewed and 2014 completed the questionnaires（ the response rate 96. 8%）. Among all subjects,1261 cases were male while 753 cases were female. In the AGA population,Gentleness type accounted for 56. 70 percent,eight pathological constitutions accounted for 43. 30 percent,and the former four types of eight pathological constitutions were Yang-deficiency type（ 12. 51%）,Wet-heat type（ 9. 14%）,Qi-depression type（ 6. 11%） and Yin-deficiency type（ 5. 56%）. Simple constitution accounted for 44. 34% while mixed constitution accounted for 55. 66%. The male percent with Gentleness type is significantly higher than that of the female. The former two pathological constitutions types in male were Wet-heat type and Yang-deficiency type; the former two pathological constitutions types in female were Yang-deficiency type and Qi-depression type,and the difference is significant. The composition ratio of constitutional types in different geographical regions was different. Among seven regions,the proportion of Gentleness type in Dongbei was the lowest,the proportion of Yang-deficiency was higher in Dongbei and Huanan area,the proportion of Wet-heat type was higher in Dongbei,Huazhong and Huadong area,the proportion of Qi-depression type was higher in Dongbei and Xinan. Conclusion： In the AGA population,eight pathological constitutions accounted for 43. 30 percent,Yang-deficiency type,Wet-heat type and Qi-depression type are common seen in AGA population.The composition ratio of constitutional types in different geographical and sex is different.